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Pulmonary Sarcoidosis with Pseudo-Plaques

Imaging findings

Chest CT of a female from West Africa shows symmetric upper lung-predominant, shaggy subpleural nodules and perilymphatic nodularity along the major fissures, simulating pleural plaques (pseudo-plaques), associated with mild hilar lymphadenopathy.

Key takeaways

Sarcoidosis can manifest with dense subpleural and fissural accumulation of granulomatous nodules. This creates a shaggy, irregular plaque-like appearance (pseudo-plaques) that must be distinguished from asbestos-related pleural plaques.

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