Presentation
Chest pain and dyspnea.
Patient Data
Age: 45 years
Gender: Female
From the case:
Sarcoidosis - perilymphatic nodular thicknening
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Enlarged bilateral hilar lymph nodes. Multiple mildly enlarged paratracheal, prevascular and subcarinal lymph nodes.
Pulmonary parenchymal changes which are evident on the right lower lung lobe, in the form of:
- perilymphatic irregular nodular thickening in the
- central interstitium: along the bronchovascular bundles with centrilobular nodules
- peripheral interstitium: interlobular septa, subpleural lung and interlobar fissures
Scanned upper abdominal cuts showed splenomegaly, calcular gallbladder and epigastric hernia containing bowel loops.
Case Discussion
This case demonstrates stage III sarcoidosis showing:
- bilateral hilar nodal enlargement
- pulmonary parenchymal changes mainly in the form of perilymphatic nodular thickening, involving the central interstitium with peribronovascular thickening and centrilobular nodules, and the peripheral interstitium showing nodular thickening of the inter-lobular septae, subpleural space and interlobar fissures
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