Sarcoidosis presenting as a solitary pulmonary mass

Authors

Vani Mulkareddy, Rochester Regional HealthFollow
Varun Bhalla, Rochester Regional HealthFollow
Michael Gurell, Rochester Regional HealthFollow

Department

Internal Medicine

Document Type

Article

Publication Title

Respiratory Medicine Case Reports

Abstract

Sarcoidosis has a wide varying presentation. Pulmonary sarcoidosis typically presents with bilateral hilar adenopathy and reticulonodular opacities. Very rarely it can present as a single solitary mass. Here we present a case of a 39 year old African-American male who presented with cough and pleuritic chest pain. Initial imaging revealed a right lower lobe airspace opacity, concerning for pneumonia. Despite treatment with antibiotics, symptoms and radiological findings persisted. A PET scan revealed a FDG positive right lower lobe pulmonary mass. Biopsy of the mass and lymph nodes revealed non-caseating granulomas suggestive of sarcoidosis. This case showcases a rare presentation of pulmonary nodular sarcoidosis.

DOI

10.1016/j.rmcr.2020.101256

Volume

31

Publication Date

1-1-2020

Recommended Citation

Mulkareddy, V., Bhalla, V., & Gurell, M. (2020). Sarcoidosis presenting as a solitary pulmonary mass. Respiratory Medicine Case Reports, 31 https://doi.org/10.1016/j.rmcr.2020.101256