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Sarcoidosis

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Imaging findings

Chest radiography demonstrated volume loss and indistinct vascularity in the upper lobes. Subsequent CT imaging revealed a perilymphatic distribution of tiny, irregular nodules with some coalescence, characteristic of sarcoidosis. The findings also included pleural thickening along the fissures. Digital imaging can make these micronodular patterns appear more linear or hazy compared to traditional film-screen studies.

Key takeaways

Sarcoidosis typically presents with a perilymphatic distribution of nodules, often more pronounced in the upper lobes. Understanding the limitations of digital radiography in resolving micronodular disease is important, as the disease can appear linear when, in fact, it is coalescent nodular fibrosis.

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