CTICasesSarcoidosis with Tuberculous Empyema
Imaging findings
Initially classic perilymphatic nodules and calcified mediastinal lymphadenopathy (sarcoidosis). Later development of pleural thickening, loculated effusion, and "rind-like" pleural enhancement.
Key takeaways
New pleural effusions in patients with sarcoidosis should trigger suspicion for secondary processes like tuberculosis, especially if they are lymphocytic.
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