PMC8529303_01
(a) CT scan revealed mediastinal multiple lymphadenopathy. (b) Multiple small
nodules in the upper right lobe.
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Six months later, without pharmacotherapy, she had an enhanced chest CT scan which revealed multiple mediastinal lymphadenopathy, the largest one being 17 mm x 14 mm (Figure 1(a)). However, multiple small nodules were found in the right upper lobe (Figure 1(b)).
Histopathological picture of specimen taken from the enlarged lymph node
using EBUS-TBNA. HE, x10.
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Furthermore, the biopsy result (Figure 2) revealed the enlarged lymph node was benign but contained non-caseating granulomas.
Pathology of enlarged lymph nodes which revealed sarcoidosis. HE, x10.
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Mediastinoscopy was ordered to fetch biopsy of enlarged lymph nodes, and she was finally diagnosed with sarcoidosis by pathology (Figure 3).