22Lu Active Sarcoidosis with Pneumonic Consolidatio

 

SARCOIDOSIS, ACTIVE – PNEUMONIC FORM

48-year-old previously well presented with dyspnea and initial CXR showed an infiltrate at he right base, and clinically resolved.

A subsequent CT showed LUL nodular opacities and subpleural rim of consolidation in the LUL and more prominently at both lung bases, associated with significant mediastinal adenopathy. Lymphovacscular nodularity was noted in the bronchovascular bundles as well as in the interlobular septa, consistent with sarcoidosis

CXR and CT 4 years later showed almost complete resolution of the parenchymal findings and the CT findings except for minimal reticulation and scarring in the subpleural regions

Ashley Davidoff MD

 

He presents a year later with right chest pain and low grade ever and the CXR showed patchy opacities in the LUL and in the RLL

 

 

Galaxy Sign

 

 

1 Year Later