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Year : 2006  |  Volume : 16  |  Issue : 4  |  Page : 869-873
Evolution from "typical" to "atypical" radiological appearances- report of two patients of Sarcoidosis


Department of Cardiorespiratory Physiology, Clinical Research Centre, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi - 110 007, India

Correspondence Address:
S K Chhabra
Department of Cardiorespiratory Physiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi - 110 007
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-3026.32371

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Two patients of pulmonary sarcoidosis are reported in whom during the course of the disease, the radiological lesions evolved from the more common presentations to unusual ones. In a 70 years old man, the evolution occurred from Stage I (bilateral hilar lymphadenopathy, BHL) to Stage II with reticular pattern and BHL. This was accompanied by multiple large pulmonary nodules and pleural effusion. In the second patient, a 48-year-old woman, the picture evolved from a typical stage II (BHL with bilateral reticulonodular pattern) to a large mass-lesion simulating a malignancy. Both the patients had a variable symptom-free period between the two presentations. The diagnosis was confirmed by the demonstration of noncaseating granulomas by transbronchial biopsy and transthoracic fine needle aspiration cytology, respectively.


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