Avital Michael, Hadas-Halpern Irith, Deeb Maher, Izbicki Gabriel
Department of Radiology, Shaare Zedek Medical Center, Jerusalem, Israel.
Isr Med Assoc J. 2008 Aug-Sep;10(8-9):572-4.
Sarcoidosis is a multisystemic disorder of unknown cause that primarily affects the lungs. The diagnosis is based on the clinical manifestations, radiological findings and histological examination.
To review and illustrate the typical and atypical radiological findings of sarcoidosis in the chest.
We analyzed the radiographic thoracic findings of all patients who had biopsy-proven sarcoidosis over the last 10 years.
There were 100 consecutive patients (36 men and 64 women, age 20-84 years) with an established diagnosis of sarcoidosis. Thoracic lymphadenopathy was detected in 89 patients (89%). Lung parenchyma involvement was found in 60 patients. These changes were variable and included: ground-glass attenuation (n=39), multiple small nodules (n=44) and irregular thickening of the interlobular septa (n=16). Larger nodules (1-3 cm) were identified in 12 patients and frank consolidations were seen in 12 patients. Pleural thickening with subpleural nodules was identified in 17 patients.
Sarcoidosis has a wide variety of radiological manifestations in the chest. Familiarity with the various radiographic findings is important for diagnosis and management.
结节病是一种病因不明的多系统疾病，主要累及肺部。诊断基于临床表现、影像学检查结果和组织学检查。
回顾并阐述胸部结节病的典型和非典型影像学表现。
我们分析了过去10年中所有经活检证实为结节病患者的胸部X线检查结果。
共有100例确诊为结节病的患者（36例男性和64例女性，年龄20 - 84岁）。89例患者（89%）检测到胸部淋巴结肿大。60例患者发现肺实质受累。这些改变多种多样，包括：磨玻璃影（n = 39）、多发小结节（n = 44）和小叶间隔不规则增厚（n = 16）。12例患者发现较大结节（1 - 3 cm），12例患者出现实变。17例患者发现胸膜增厚伴胸膜下结节。
结节病在胸部有多种影像学表现。熟悉各种影像学表现对诊断和治疗很重要。
