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Sarcoidosis presenting as cluster-like ground-glass nodules

Imaging findings

CT scan shows clusters of tiny ground-glass nodules in a peribronchovascular distribution. A decade later, follow-up shows persistent nodularity and development of mild peribronchovascular traction bronchiectasis.

Key takeaways

Sarcoidosis can present as clustered tiny nodules that simulate ground-glass opacity on thick-slice CT. The peribronchovascular distribution and lack of lymphadenopathy are typical of this alveolar/nodular pattern.

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