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Atypical radiological manifestation of sarcoidosis presenting with an anterior mediastinal mass
  1. Wan-Ting Tao1,2,
  2. Hao-Yu Huang1,2,
  3. Wen-Chiuan Tsai2,3,
  4. Kai-Hsiung Ko1,2
  1. 1Department of Radiology, Tri-Service General Hospital, Taipei City, Taiwan
  2. 2National Defense Medical Center, Taipei City, Taiwan
  3. 3Department of Pathology, Tri-Service General Hospital, Taipei City, Taiwan
  1. Correspondence to Kai-Hsiung Ko, Department of Radiology, Tri-Service General Hospital, Taipei City, Taiwan; m860818{at}gmail.com

https://doi.org/10.1136/thorax-2024-221604

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    A 44-year-old woman presented with a persistent diffuse skin rash for 3 months, along with progressively worsening dyspnoea, cough and fatigue over the past 2 weeks. Laboratory results and physical examination were unremarkable, except for decreased breath sounds over the right lung and multiple palpable nodular skin lesions over the chest, abdomen and limbs (figure 1). Chest radiograph revealed a substantial right-sided pleural effusion with left-sided mediastinal shift. Chest CT images showed a solitary lobulated soft-tissue mass in the anterior mediastinum without additional lesions in the mediastinum or pulmonary parenchyma (figure 2A). Given these imaging findings, it was important to consider a malignant diagnosis including …

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    Footnotes

    • Contributors WT-T collected the clinical data and wrote the manuscript. H-YH collected the clinical data. W-CT provided the pathological interpretation and critically revised the manuscript. K-H K critically revised the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.