Q:

A 32 year old previously healthy woman has developed pain and swelling of both knees and ankles with nodular rash over her shins. As part of the investigation a chest X-ray has been performed. What is the single most likely chestXray appearance?

waelhammad
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2022-10-29
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A 32 year old previously healthy woman has developed pain and swelling of both knees and ankles with nodular rash over her shins. As part of the investigation a chest X-ray has been performed. What is the single most likely chestXray appearance?

  1. Apical granuloma
  2. Bilateral hilar lymphadenopathy
  3. Lobar consolidation
  4. Pleural effusion
  5. Reticular shadowing in the bases
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waelhammad
2022-10-29
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The key is B. bilateral hilar lymphadenopathy. [Diagnosis is sarcoidosis, more specifically Lofgren’s syndrome. It is the triad of i) erythema nodosum ii) bilateral hilar lymphadenopathy and iii) arthralgia].

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