Weekly Chest CasesArchive of Old Cases

Case No : 1459 Date 2025-10-06

  • Courtesy of Seung Min Yoo / CHA university Bundang medical center
  • Age/Sex 47 / M
  • Chief ComplaintAbnormality in screening chest CT
  • Figure 1
  • Figure 2
  • Figure 3

Diagnosis With Brief Discussion

Diagnosis
Sarcoidosis
Radiologic Findings
Fig 1 and 2. Multiple LN enlargements are noted at the right paracardiac and paratracheal area on coronal CT images.
Fig 3. Multiple masses with low attenuation are also noted in the spleen.
Brief Review
Scarcoidosis often presents mediastinal LN enlargement or lung parenchymal abnormalities. In cases involving sleen, CT demonstrates homogeneous splenomegaly or hypodense nodules, making it difficult to differentiate from metastases in the spleen.
References
1. Matsuzawa H, Goto T, Ohshima S et al. Sarcoidosis with Splenic Involvement Diagnosed with Endoscopic Ultrasound-Guided Fine-Needle Aspiration. Intern Med. 2020;59(16):2077-81. doi:10.2169/internalmedicine.4512-20
Keywords

No. of Applicants : 68

▶ Correct Answer : 21/68,  30.9%
  • - , Japan SUZUNE TSUKAMOTO
  • - Kyoto University , Japan AKIHIKO SAKATA
  • - , Korea (South) KYUNG HYUN WOO
  • - Kyeongpook National University Hospital , Korea (South) JUNGMIN LEE
  • - Chonbuk National University Hospital , Korea (South) YONG HWAN JO
  • - Secomedic Hospital , Japan FUMINORI MIYOSHI
  • - Oita University, Faculty of Medicine , Japan FUMITO OKADA
  • - The University of Tokyo Hospital , Japan TOSHIHIRO FURUTA
  • - , Japan YOSHIKI ISHII
  • - University of Yamanashi , Japan HIROAKI WATANABE
  • - Radiology fellow , United States KARTHIK RAYASAM
  • - Shiga General Hospital , Japan YUSAKU MORIBATA
  • - Dokkyo Medical University , Japan HIROAKI ARAKAWA
  • - The First Affiliated Hospital of Nanjing Medical University , China TENG ZHANG
  • - Kyoto University , Japan SHO KOYASU
  • - Kyung Hee University Medical Hospital , Korea (South) JEONG TAEK YOON
  • - Fukuoka university , Japan KEISUKE SATO
  • - Kantou Rousai Hospital , Japan KAORU SUMIDA
  • - Matsunami General Hospital , Japan TARO TAKEDA
  • - Ehime University , Japan KOTARO MATSUMOTO
  • - Toyota Kosei Hospital , Japan YUKI HAYASHI
▶ Correct Answer as Differential Diagnosis : 28/68,  41.2%
  • - Saitama-Sekishinkai Hosptal , Japan MIHOKO YAMAZAKI
  • - IUHW Narita Hospital , Japan ISSEI FUKUDA
  • - Shiga University of Medical Science , Japan AKITOSHI INOUE
  • - McGill University Health Center , Canada ALEXANDRE SEMIONOV
  • - Oita university , Japan AYUMI KAMEI
  • - Kyoto City Hospital , Japan YUSUKE UTSUNOMIYA
  • - Vita Hospital , Brazil DIOGO LAGO PINHEIRO
  • - , Korea (South) JIN YOUNG LEE
  • - , Korea (South) KANGHWI LEE
  • - University of Yamanashi , Japan TAKAAKI HASHIMOTO
  • - University of Yamanashi , Japan HIROYUKI MORISAKA
  • - Narayana Multispeciality Hospital Jaipur Rajasthan , India JAINENDRA JAIN
  • - Japanese Red Cross Otsu Hospital , Japan JUN YOSHIDA
  • - Oita university , Japan NORITAKA KAMEI
  • - , Japan KENTARO KOTANI
  • - Other , Korea (South) CHAEHUN LIM
  • - , Japan SHUNJIRO NOGUCHI
  • - Jichi Medical University, School of Medicine , Japan MITSURU MATSUKI
  • - , Japan MASAMICHI IWAI
  • - University of Tsukuba, Dept of Radiology , Japan MANABU MINAMI
  • - , Japan HIROAKI OKADA
  • - , Japan MATSUNO MAI
  • - Kobe Children , Japan SHUHEI NORIMOTO
  • - Yonsei University,Severance Hospital , Korea (South) SEO BUM CHO
  • - Other , Korea (South) DONG HAN SHIN
  • - Ehime University , Japan TOMOHISA OKADA
  • - The Catholic University of Korea Yoeuido St. Mary , Korea (South) CHAWOONG JEON
  • - University of Yamanashi , Japan KOJIRO ONOHARA
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