Mulkareddy Vani, Bhalla Varun, Gurell Michael
Department of Internal Medicine, Rochester General Hospital, USA.
Department of Pulmonology and Critical Care, Rochester General Hospital, USA.
Respir Med Case Rep. 2020 Oct 12;31:101256. doi: 10.1016/j.rmcr.2020.101256. eCollection 2020.
Sarcoidosis has a wide varying presentation. Pulmonary sarcoidosis typically presents with bilateral hilar adenopathy and reticulonodular opacities. Very rarely it can present as a single solitary mass. Here we present a case of a 39 year old African-American male who presented with cough and pleuritic chest pain. Initial imaging revealed a right lower lobe airspace opacity, concerning for pneumonia. Despite treatment with antibiotics, symptoms and radiological findings persisted. A PET scan revealed a FDG positive right lower lobe pulmonary mass. Biopsy of the mass and lymph nodes revealed non-caseating granulomas suggestive of sarcoidosis. This case showcases a rare presentation of pulmonary nodular sarcoidosis.
结节病的表现多种多样。肺结节病通常表现为双侧肺门淋巴结肿大和网状结节状阴影。极少数情况下，它可表现为单个孤立性肿块。在此，我们报告一例39岁非裔美国男性病例，该患者表现为咳嗽和胸膜炎性胸痛。初始影像学检查显示右下叶实变影，怀疑为肺炎。尽管使用了抗生素治疗，但症状和影像学表现持续存在。PET扫描显示右下叶肺部肿块FDG阳性。对该肿块及淋巴结进行活检，结果显示为非干酪样肉芽肿，提示结节病。该病例展示了肺结节病的一种罕见表现形式。
