Sarcoidosis chest x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Roshan Dinparasti Saleh

Overview

On chest x-ray, sarcoidosis is characterized by bilateral hilar adenopathy and/or lung infiltrates. The most severe pulmonary complication of the sarcoidosis is lung fibrosis.

Chest X Ray

An x-ray may be helpful in the diagnosis of the sarcoidosis. On Chest X ray, Bilateral hilar adenopathy on Chest X Ray raises the suspicion for sarcoidosis, especially if the patient has no fever and/or weight loss[1][2]. Scadding[3] proposed a scoring system for pulmonary sarcoidosis according to Chest X Ray findings:

Gallery

Stage I sarcoidosis adapted from www.radiopaedia.org
Stage II sarcoidosis adapted from www.radiopaedia.org
Stage VI sarcoidosis adapted from www.radiopaedia.org

References

  1. Reich JM, Brouns MC, O'Connor EA, Edwards MJ: Mediastinoscopy in patients with presumptive stage I sarcoidosis: a risk/benefit, cost/benefit analysis. Chest 1998, 113(1):147-153.
  2. Winterbauer RH, Belic N, Moores KD: Clinical interpretation of bilateral hilar adenopathy. Annals of internal medicine 1973, 78(1):65-71.
  3. Scadding JG: Prognosis of intrathoracic sarcoidosis in England. A review of 136 cases after five years' observation. British medical journal 1961, 2(5261):1165-1172.

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