title: Primary acute pulmonary cavitation in asymptomatic sarcoidosis.
abstract: Sarcoidosis has a large variety of chest x-ray manifestations, but primary acute cavitation is very rare. We report a case of cavitary sarcoidosis occurring in an asymptomatic 25 year-old white patient. The diagnosis was established from chest x-ray, transbronchial biopsy specimen, bronchoalveolar lavage and gallium 67 scan. The peculiarities of this case are: 1) the presence of hilar adenopathy; 2) the cavitation occurred during the decreased activity of the disease; 3) the resolution of cavity without therapy. We suggest asymptomatic sarcoidosis should be considered in the differential diagnosis of pulmonary cavitation.
authors.affiliation: Presidio di Pneumotisiologia, Ospedale Malpighi, Bologna.
authors.forename: P A
authors.initials: PA
authors.lastname: Canessa
authors.forename: A
authors.initials: A
authors.lastname: Torraca
authors.forename: M A
authors.initials: MA
authors.lastname: Lavecchia
authors.forename: D
authors.initials: D
authors.lastname: Cagnetti
authors.forename: V
authors.initials: V
authors.lastname: Poletti
authors.forename: M
authors.initials: M
authors.lastname: Patelli
mesh_terms: D000328:Adult; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging*; D008171:Lung Diseases / Q000000981:diagnostic imaging*; D008297:Male; D011859:Radiography; D012507:Sarcoidosis / Q000000981:diagnostic imaging*