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Weekly Chest CasesArchive of Old Cases

Case No : 674 Date 2010-09-27

  • Courtesy of Jeong Min Ko, Dae Hee Han, Jung Im Jung, Myeong Im Ahn, Seok Hee Park / Catholic University of Korea, Seoul, St. Mary's Hospital
  • Age/Sex 44 / F
  • Chief ComplaintMild dyspnea
  • Figure 1
  • Figure 2
  • Figure 3

Diagnosis With Brief Discussion

Diagnosis
Sarcoidosis
Radiologic Findings
Chest PA shows multifocal irregular consolidations and reticulonodular opacities in both lungs. Symmetric bilateral hilar prominence is also noted.
Thin-section CT scan at the level of hilum shows peribronchial irregular consolidations and numerous small nodules in a perilymphatic distribution(see the additional CT image below) in both lungs with BUL predominance. Bilateral hilar LN enlargement is also present.
Brief Review
References
Refer to case 456 and 571.
Keywords
Lung, Interstitial lung disease, Sarcoidosis, ILD,

No. of Applicants : 89

▶ Correct Answer : 58/89,  65.2%
  • - Onomichi municipal hospital , Japan Hirofumi Mifune
  • - NTUH , Taiwan Kuei-pin Chung
  • - Osaka University , Japan Osamu Honda
  • - Hangang sacred heart hospital , Korea (South) You Mie Han
  • - University of British Columbia , Canada Amr Ajlan
  • - EKH-Berlin , Germany Michael Weber
  • - Ondokuz Mayis University , Turkey Cetin Celenk
  • - chp st martin , France Mariotte benoit
  • - Kasturba Medical College , India Chandan Kakkar
  • - DrRP GMEDICAL COLLEGE TANDA , India DINESH SOOD
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - Institute of Chest Diseases Calicut , India Dr.Divya Nair
  • - jobless , France jean-baptiste Noel
  • - Univ. of Miami/Jackson Memorial , United States mantosh rattan
  • - Assam Medical college , India samudra borah
  • - Seoul Veterans Hospital , Korea (South) Hye Sun Hwang
  • - EWHA WOMANS MOKDONG UNIVERSITY HOSPITAL , Korea (South) YOOKYUNG KIM
  • - Okayama University , Japan Akihiro Tada
  • - Retd. Prof Thoracic Surgery B.J.MEDIDCAL COLLEGE Punr India;Visitng Prof of Thoracic Surgery KLE University Belgaum , India Bankim Amin
  • - CHRU lille , France manuel toledano
  • - Asan Medical Center , Korea (South) Hye Jeon Hwang
  • - HOSPITAL SOTIRIA , Greece AIKATERINI DELAVERI
  • - seoul national university hospital , Korea (South) Ijin Joo
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - NDMVP Nashik , India Imran Jindani
  • - McGill University Health Center , Canada Alexandre Semionov
  • - Shree Diagnostics , India amol jagdale
  • - Auckland hospital , New Zealand (Aotearoa) Yuranga Weerakkody
  • - kovai medical centre , India k bhaskar
  • - Department of Radiology, Chonnam National University Hospital , Korea (South) Hyungjun Kim
  • - Chonnam university hospital , Korea (South) LEE HYUN
  • - Siirt Devlet Hastanesi , Turkey Armagan Sarac
  • - Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
  • - Saga University , Japan Ryoko Egashira
  • - Virgin Mary Hospital Burgas , Bulgaria VLADISLAV RUSINOV
  • - McGill University , Canada Ben Smith
  • - Goa Medical College , India Paresh Desai
  • - Onomichi municipal hospital , Japan Ryotaro Kishi
  • - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
  • - Doctors Hospital , Bahamas muneesh sharma
  • - Montreal , Canada Drago Jocov
  • - Seoul Nationial University Bundang Hospital , Korea (South) Hee Seok Choi
  • - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
  • - Beaulieu clinic Geneva , Switzerland gilles GENIN
  • - IRSA , France jean-luc BIGOT
  • - Hotel-Dieu Montreal , Canada nicolas gautier
  • - Hospital M de Deus , Brazil Thiago Bento da Silva
  • - Yokohama-asahi-chuo-general hospital , Japan Kyoko Nagai
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - Pneumology GHSR , Reunion fabrice paganin
  • - IRCCS Istituto Oncologico - Bari , Italy Carlo Florio
  • - NASA SCANS , India RAKESH BHATIA
  • - All India Institute of medical sciences , India Justin Moses
  • - UZ GASTHUISBERG , Belgium Johan COOLEN
  • - CNUH , Korea (South) Seoin Jeong
  • - KUMC ansan , Korea (South) kihwan kim
  • - CHU Notre-Dame Montreal , Canada Fabrice Bing
  • - Asan Medial center , Korea (South) Chae Lim
▶ Correct Answer as Differential Diagnosis : 15/89,  16.9%
  • - radiologist, aditya imaging centre , India vivek patel
  • - jaslok hospital & research centre mumbai , India JAINENDRA JAIN
  • - KING KHALID UNIVERSITY HOSPITAL , Saudi Arabia Elbagir Nasser
  • - Onomichi municipal hospital , Japan Junya Itakura
  • - Toyama University Hospital, Laboratory of Pathology , Japan TOMONORI TANAKA
  • - Fukuyama daiichi Hospital , Japan Mototsugu Saeki
  • - royal melbourne hospital , Australia kimchi kings
  • - Youngdong Hospital , Korea (South) Sang Min Lee
  • - Yashoda Superspeciality hospital , India Pravin Mahadevappa
  • - Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
  • - PingTung Christian Hospital ,China Medical University ,Taiwan,R.O.C. , Taiwan Jun Jun Yeh
  • - NIRMAN DIAGNOSTIC CENTRE,MUMBAI,INDIA , India PADMA KANNAN
  • - Inha University Hospital , Korea (South) Ju Won Lee
  • - Vital Imaging Centre, Mumbai,India , India Ganesh Agrawal
  • - Alhawra Hospital- Umlujj , Syria jehad alakabani
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