Radiologic manifestations of sarcoidosis in various organs.
Sarcoidosis is a systemic disorder of unknown cause with a wide variety of clinical and radiologic manifestations. The diagnosis is usually made on the basis of these manifestations supported by histologic findings. Systemic manifestations (eg, Löfgren syndrome, Heerfordt syndrome) are commonly seen at clinical examination. Bilateral hilar lymphadenopathy is the most common radiologic finding-frequently with associated pulmonary infiltrates-and typically has a characteristic perivascular distribution at high-resolution chest computed tomography. Radiologic findings in the short tubular bones of the hands and feet and magnetic resonance imaging findings of nodular involvement of muscle are often sufficient to raise suspicion for sarcoidosis. In the liver, spleen, kidneys, and scrotum, coalescing granulomas form nodules whose imaging features may occasionally be nonspecific, although familiarity with the relevant clinical settings will be helpful in recognizing the presence of sarcoidosis. Radiologic recognition of cardiac and central nervous system involvement is also important because patients may be only mildly symptomatic. The clinical course and prognosis of sarcoidosis are highly variable, often correlating with the mode of onset. Familiarity with the clinical and radiologic features of sarcoidosis in various anatomic locations plays a crucial role in diagnosis and management.
Koyama
Takashi
T
Department of Radiology, Kyoto University Hospital, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan. montpeti@kuhp.kyoto-u.ac.jp
Ueda
Hiroyuki
H
Togashi
Kaori
K
Umeoka
Shigeaki
S
Kataoka
Masako
M
Nagai
Sonoko
S
D000328:Adult; D009202:Cardiomyopathies / Q000000981:diagnostic imaging; D004066:Digestive System Diseases / Q000000981:diagnostic imaging; D018450:Disease Progression; D005128:Eye Diseases / Q000000981:diagnostic imaging; D005260:Female; D052776:Female Urogenital Diseases / Q000000981:diagnostic imaging*; D006801:Humans; D008198:Lymph Nodes / Q000000981:diagnostic imaging; D008297:Male; D052801:Male Urogenital Diseases; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000000981:diagnostic imaging*; D009422:Nervous System Diseases / Q000000981:diagnostic imaging*; D011379:Prognosis; D011856:Radiographic Image Enhancement; D012507:Sarcoidosis / Q000000981:diagnostic imaging*; D017565:Sarcoidosis, Pulmonary / Q000000981:diagnostic imaging; D012871:Skin Diseases / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed