Primary acute pulmonary cavitation in asymptomatic sarcoidosis.
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.
Canessa
P A
PA
Presidio di Pneumotisiologia, Ospedale Malpighi, Bologna.
Torraca
A
A
Lavecchia
M A
MA
Cagnetti
D
D
Poletti
V
V
Patelli
M
M
D000328:Adult; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging*; D008171:Lung Diseases / Q000000981:diagnostic imaging*; D008297:Male; D011859:Radiography; D012507:Sarcoidosis / Q000000981:diagnostic imaging*