|Year : 2012 | Volume
| Issue : 4 | Page : 390-391
An unusual cause of photographic negative of pulmonary edema: Sarcoidosis
Akashdeep Singh1, Robert James2, Rupinder Kaur2, Jaspreet Singh3
1 Department of Pulmonary Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
2 Department of Medicine, Christian Medical College and Hospital, Ludhiana, Punjab, India
3 Department of Anesthesiology, Peninsula Regional Medical Center, Salisbury MD, USA
|Date of Web Publication||23-Oct-2012|
Department of Pulmonary Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Singh A, James R, Kaur R, Singh J. An unusual cause of photographic negative of pulmonary edema: Sarcoidosis. Lung India 2012;29:390-1
A 38-year-old male was admitted with complaints of fever, dry cough and progressive breathlessness of 6-week duration. His medical history was unremarkable.
On admission, he was febrile, with a temperature of 38.8C. His pulse was 108 beats/min, blood pressure was 148/94 mmHg and respiratory rate was 30 breaths/min, with a room air saturation of 90%. Respiratory examination revealed bilateral diffuse fine inspiratory crackles. The rest of the physical examination was unremarkable.
His routine investigations did not reveal any abnormality. The chest X-ray showed bilateral dense peripheral opacities with ill-defined margins without any segmental distribution [Figure 1]. High-resolution computed tomography of the chest revealed peripheral, subpleural confluent ground glass haze and consolidation in the middle and lower lobes [Figure 2].
|Figure 2: High-resolution computed tomography of the chest showing bilateral peripheral air-space disease|
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| Question|| |
What is your differential diagnosis?
| References|| |
|1.||Gaensler EA, Carrington CB. Peripheral opacities in chronic eosinophilic pneumonia: The photographic negative of pulmonary edema. AJR Am J Roentgenol 1977;128:1-13. |
|2.||Akbar JJ, Meyer CA, Shipley RT, Vagal AS. Cardiopulmonary imaging in sarcoidosis. Clin Chest Med 2008;29:429-43. |
[Figure 1], [Figure 2], [Figure 3]