Sarcoidosis chest x ray: Difference between revisions

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{{Sarcoidosis}}
{{Sarcoidosis}}
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{{CMG}} {{AE}}Roshan Dinparasti Saleh


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==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]].


==Overview==
==Chest X Ray==
==Chest X Ray==
Chest X-ray changes are divided into five stages
* Stage 0 Negative chest radiograph
* Stage 1 [[bihilar lymphadenopathy]]
* Stage 2 Hilar lymphadenopathy and reticulonodular pulmonary infiltrates
* Stage 3 bilateral infiltrates
* Stage 4 fibrocystic sarcoidosis typically with upward hilar retraction, cystic & bullous changes


==Other X Rays==
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]]<ref>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.</ref><ref>Winterbauer RH, Belic N, Moores KD: Clinical interpretation of bilateral hilar adenopathy. Annals of internal medicine 1973, 78(1):65-71.</ref>. [[Scadding]]<ref>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.</ref> proposed a scoring system for pulmonary [[sarcoidosis]] according to [[Chest X Ray]] findings:
<div align="left">
* Stage I: [[Hilar adenopathy]] alone
<gallery heights="175" widths="125">
* Stage II: [[Adenopathy]] plus [[lung infiltrates]]
Image:Osseous-sarcoid-001.jpg|Osseous sarcoidosis
* Stage III: [[Lung infiltrates]] alone
Image:Osseous-sarcoid-002.jpg|Osseous sarcoidosis
* Stage IV: Fibrosis
Image:Osseous-sarcoid-003.jpg|Osseous sarcoidosis
===Gallery===
</gallery>
[[image:Sarcoidosis stage-I.jpg|thumb|250px|none|sarcoidosis_stage I|Stage I sarcoidosis adapted from www.radiopaedia.org]]
</div>
[[image:Sarcoidosis stage-II.jpg|thumb|250px|none|Sarcoidosis_stage_II|Stage II sarcoidosis adapted from www.radiopaedia.org]]
[[image:Sarcoidosis stage IV.jpg|thumb|250px|none|Sarcoidosis_stage_IV|Stage VI sarcoidosis adapted from www.radiopaedia.org]]


==References==
==References==
{{Reflist|2}}


{{Reflist|2}}
[[Category:Needs content]]
[[Category:Ailments of unknown etiology]]
[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:Abdominal pain]]
[[Category:Rheumatology]]
[[Category:Rheumatology]]


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Latest revision as of 14:23, 12 June 2018

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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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