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Sarcoidosis

Imaging findings

Thin-section CT shows a large, dense focal consolidative lesion in the right lung apex composed of confluent tiny nodules surrounded by satellite nodules (CT galaxy sign) and nodular thickening along the fissures, associated with well-defined mediastinal and hilar lymphadenopathy.

Key takeaways

The CT galaxy sign represents a large nodular mass formed by coalescent granulomas surrounded by tiny satellite nodules, which is a highly characteristic presentation of pulmonary sarcoidosis. Thin sections are essential for demonstrating the nodular components.

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