대한흉부영상의학회 Korean Society of Thoracic Radiology GuerBet

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대한흉부영상의학회 Weekly Case 검색
대한흉부영상의학회 Weekly Case 검색
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Weekly Chest CasesArchive of Old Cases

Case No : 48 Date 1998-09-28

  • Courtesy of Sang Jin Kim M.D. / Yonsei University College of Medicine, Yongdong Severance Hospital
  • Age/Sex 70 / F
  • Chief ComplaintChief Complaints: abnormal chest radiograph on routine-check She had no specific chest symptom, past medical history, or abnormal laboratory finding.
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Diagnosis With Brief Discussion

Diagnosis
Alveolar Sarcoidosis
Radiologic Findings
Chest Radiograph (27 May 1998 after steroid therapy)
Brief Review
About 5-10% of parenchymal involvement of sarcoidosis, it presents as multiple, large, round, mass-like consolidations. Their appearance resembles that of metastatic disease, and the masses may or may not demontrate air bronchograms. Although often referred to as "alveolar ''or "acinar'' sarcoid, this masses appear to represent the coalescence of numerous granulomas within the interstitium, forming massive conglomerates that compress surrounding airspaces, but do not cause actual airspace filling.
References
Keywords
Lung, Interstitium, Non-infectious inflammation, Sarcoidosis,

No. of Applicants : 15

▶ Correct Answer : 4/15,  26.7%
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▶ Semi-Correct Answer : 10/15,  66.7%
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