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Proposed Algorithm for Diagnosing Sarcoidosis
Highly suggestive Clinicoradiological Findings → Clinical diagnosis (without biopsy) e.g. Löfgren's syndrome
Suggestive
Sarcoidosis Highly ... Clinicoradiological Findings ... → Clinical diagnosis ... Löfgren's syndrome ... of alternative causes
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... granulomas within the lungs ... renal failure Clinical ... are not caused ... incidental CXR finding
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
or tumor cells (Table ... UIP, NSIP and long ... standing sarcoidosis ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Sarcoidosis
Stage 1 - Bilateral LAD without involvement of lung parenchyma
Stage 2 - Bilateral LAD with involvement
Sarcoidosis Stage ... 4 - Fibrosis Pulmonary ... chylothorax, and pulmonary ... #Diagnosis #Stages ... Staging #Signs #Symptoms
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... pneumonitis - Sarcoidosis ... edema #Diagnosis ... #Radiology #Pulmonary ... #Differential #Table
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
due to alveolar syndrome ... fibrotic alveolar syndrome ... #Clinical #Diagnosis ... #Correlation #Table ... #ILD #Findings
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... - Differential Diagnosis ... Artery Disease • Stable ... Acute Coronary Syndrome ... ILD • CHF • Sarcoidosis
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
ILD caused by inhalation ... Other ILDs: • Sarcoidosis ... Churg Strauss syndrome ... Diseases #ILD #diagnosis ... #causes
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Noninfectious Causes ... of Fever CRITICAL ... infarction - Pulmonary ... Malignancy - Gout - Sarcoidosis ... Noninfectious #Causes
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
, amyloidosis, sarcoidosis ... , mets to the lung ... Halo #Sign #CT #Lung ... #Pulmonary #diagnosis ... #radiology #clinical