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June 2005
By Theodore E. Keats, MD
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A 20-year-old woman complains of fatigue and cough.
What would be your diagnosis based on the findings seen
in this frontal film of her chest?
CLICK HERE FOR ANSWER
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ANSWER
The correct diagnosis is sarcoidosis. The classic presentation
of the disease as seen in this patient's chest film
is bilateral hilar and right paratracheal adenopathy—the
so-called 1-2-3 sign. One would also need to rule out
the possibility of lymphoma.
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This series of diagnostic quizzes that
challenge your ability to read a variety of x-ray films is
edited by Dr. Keats, alumni professor of radiology at the
University of Virginia School of Medicine in Charlottesville.
Emerg Med 37(6):57, 2005
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