208Lu Sarcoidosis Lymphadenopathy and Broncho-vascular Granulomas

32 yo M with PMH significant for sarcoidosis, pAFib, and GERD

CXR 1year ago – persistent cough hilar adenopathy

CXR 1year ago – persistent cough hilar adenopathy
Ashley Davidoff MD TheCommonVein.net

3 months later – repeat CXR  hilar adenopathy

CXR current- persistent cough hilar adenopathy
Ashley Davidoff MD TheCommonVein.net

CT Hilar and Mediastinal adenopathy Ashley Davidoff MD TheCommonVein.net

CT Hilar and Mediastinal adenopathy Ashley Davidoff MD TheCommonVein.net
CT Hilar and Mediastinal adenopathy CT Hilar and Mediastinal adenopathy Ashley Davidoff MD TheCommonVein.net

Lymph Nodes/Granulomas Along the Bronchovascular Bundles CT Hilar and Mediastinal adenopathy Ashley Davidoff MD TheCommonVein.net

Lymph Nodes/Granulomas Along the Bronchovascular Bundles CT Hilar and Mediastinal adenopathy Ashley Davidoff MD TheCommonVein.net
Lymph Nodes/Granulomas Along the Bronchovascular Bundles CT Hilar and Mediastinal adenopathy Ashley Davidoff MD TheCommonVein.net
Lymph Nodes/Granulomas Along the Bronchovascular Bundles CT Hilar and Mediastinal adenopathy Ashley Davidoff MD TheCommonVein.net
Lymph Nodes/Granulomas Along the Bronchovascular Bundles CT Hilar and Mediastinal adenopathy Ashley Davidoff MD TheCommonVein.net
Lymph Nodes/Granulomas Along the Bronchovascular Bundles CT Hilar and Mediastinal adenopathy Ashley Davidoff MD TheCommonVein.net
Lymph Nodes/Granulomas Along the Bronchovascular Bundles CT Hilar and Mediastinal adenopathy Ashley Davidoff MD TheCommonVein.net
Lymph Nodes/Granulomas Along the Bronchovascular Bundles CT Hilar and Mediastinal adenopathy Ashley Davidoff MD TheCommonVein.net

 

EBUS showing non-necrotizing granulomas.

Rx

flecainide and apixaban

Now

Developed palpitations and was diagnosed with Afib. Cardiac MRI did not show evidence of sarcoid involvement

 

 

CT Angio Coronaries
1.  CAD RADS 0.