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Radiology, News, Education, Service

59-year-old man undergoing lung transplant evaluation

A 59-year-old man with progressive chronic dyspnea undergoing lung transplant evaluation.

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Summary | 9 Annotations
Which clinical finding supports a diagnosis of systemic sarcoidosis?
2020/11/16 18:45
Arrhythmia (correct!)
2020/11/16 18:45
Clinically apparent cardiac involvement occurs in approximately 5% of sarcoidosis cases; conduction abnormalities are some of the most common findings.
2020/11/16 18:45
Which of these features is not associated with worsened outcomes in sarcoidosis?
2020/11/16 18:45
Age of onset before 40 (correct!)
2020/11/16 18:46
Late onset (> 40 years of age) has been been associated with worsened outcomes.
2020/11/16 18:46
In the above patient, which additional high-resolution CT (HRCT) findings would indicate that steroid therapy may provide some symptom relief?
2020/11/16 18:46
Clusters of small nodules without architectural distortion (correct!)
2020/11/16 18:46
Evidence of active inflammation on HRCT indicates that the patient could benefit from steroid therapy, i.e., clusters of small nodules without architectural distortion. The remaining answers are indicative of chronic irreversible fibrotic disease and pulmonary hypertension.
2020/11/16 18:46