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Weekly Chest CasesArchive of Old Cases

Case No : 1226 Date 2021-04-20

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  • Courtesy of Yoon Joo Shin, Su Yeon Ahn, Jeong Geun Yi / Konkuk University Medical Center
  • Age/Sex 25 / M
  • Chief ComplaintCough, sputum (2MA)
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5

Diagnosis With Brief Discussion

Diagnosis
Sarcoidosis
Radiologic Findings
Fig. 1. Chest posteroanterior radiograph showing increased haziness in the right hilar area, diffuse interstitial thickening especially in the right lung field, widening of the left and right paratracheal stripes, and right pleural effusion.
Figs. 2
Brief Review
Bronchoscopy revealed mucosal irregularity in both bronchi, and transbronchial lung biopsy (TBLB) of the spur mucosa was performed. Endobronchial ultrasound (EBUS) biopsy was performed for 4R, 7, and 10R lymphadenopathy. Noncaseating granulomatous inflammation was found in both TBLB and EBUS biopsy, and the angiotensin-converting enzyme level was elevated (125 U/L).
Because the patient was almost asymptomatic at the time, the clinician decided to perform observation without any treatment. Two months later, follow-up posteroanterior chest radiography showed mild improvement in hilar haziness, lymphadenopathy, and right pleural effusion.


Sarcoidosis is a multisystem granulomatous disorder characterized by the development of noncaseating granulomas in various organs. The clinical features are often nonspecific (e.g., cough, dyspnea, and chest pain) and can be seen in 9%
Please refer to
Case 895, Case 674, Case 604, Case 571, Case 541, Case 470, Case 456, Case 423, Case 400, Case 329, Case 129, Case 98, Case 53, Case 48, Case 18,
KSTR Imaging conference 2010 Summer  Case 14 ,
KSTR Imaging conference 2009 Summer  Case 6,
References
1. Criado E, S
Keywords

No. of Applicants : 86

▶ Correct Answer : 17/86,  19.8%
  • - Other , Korea (South) HYEJIN YANG
  • - CHCB , France LE GUEN RAPHAEL
  • - Other , Korea (South) SEONGSU KANG
  • - Samsung Medical Center , Korea (South) JUHYUN KIM
  • - Chungnam National University Hospital , Korea (South) HYUN JAE LIM
  • - Seoul National University Bundang Hospital , Korea (South) SUNG HYUN YOON
  • - Kyeongpook National University Hospital , Korea (South) HYEONJUN JANG
  • - Yeungnam University Medical Center , Korea (South) JONGSOO PARK
  • - Osaka City General Hospital , Japan SHU MATSUSHITA
  • - Seoul Veterans Hospital , Korea (South) JANG SEONG WON
  • - , Saudi Arabia RAWAN AHMED ALJEFRI
  • - Fortis hospital , Mohali , India SHALEEN RANA
  • - Chonbuk National University Hospital , Korea (South) MINJEE KIM
  • - Seoul National University Bundang Hospital , Korea (South) JUNWOO KIM
  • - Tokyo Metropolitan Bokutoh Hospital , Japan TOMOKI WADA
  • - Columbia asia radiology group , India VIKHYATH SHETTY Y
  • - Jiangsu province hospital , China WANGJIAN ZHA
▶ Correct Answer as Differential Diagnosis : 19/86,  22.1%
  • - Saitama-Sekishinkai Hosptal , Japan MIHOKO YAMAZAKI
  • - Showa University Fujigaoka Hospital , Japan KYOKO NAGAI
  • - Mayo Clinic , United States AKITOSHI INOUE
  • - Chonnam National University Hwasun Hospital , Korea (South) INWOO CHOI
  • - Chonbuk National University Hospital , Korea (South) MINGI SHIN
  • - , Japan YUSUKE UTSUNOMIYA
  • - , Italy PAOLO BALDASSARI
  • - Vita Hospital , Brazil DIOGO LAGO PINHEIRO
  • - Gifu University Hospital , Japan Yo Kaneko
  • - Mallinckrodt Institute of Radiology , United States NAGANATHAN MANI
  • - University of Tsukuba, Dept of Radiology , Japan MANABU MINAMI
  • - Seoul National University Hospital , Korea (South) SE WOO KIM
  • - , Japan HIROAKI ARAKAWA
  • - Osmania Medical College, Hyderabad , India PURUSHOTHAMA RAO TUMMALA
  • - The University of Tokyo Hospital , Japan HIROSHI TAKUMIDA
  • - Chonnam National University Hospital , Korea (South) SEUNG WAN KANG
  • - Chonnam National University Hwasun Hospital , Korea (South) WONGI JEONG
  • - the first affiliatited hospital of nanjing medical univercity , China HAI XU
  • - algeria , Algeria ZAKARIA CHERAGA
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Current Editor : Eui Jin Hwang, M.D., Ph.D Email : weeklychestcases@gmail.com

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