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Irith Hadas-Halpern, MD," and Shoshana Gottschalk-Sabag, MDI Sarcoidosis is a systemic disease that usually affects the lungs as well as the hilar and mediastinal lymph nodes.' In 90% of patients there are typical findings in chest radiographs.' Abdominal lymphadenopathy is less common, and when present, it usually accompanies the more common manifestations in the chest. We report a case of sarcoidosis with a normal chest radiograph, in whom the only radiographic finding was periportal and retroperitoneal lymph nodes enlargement demonstrated by ultrasonography. The diagnosis was made by sonographiFrom the Departments of *Radiology and tPathology, Shaare Zedek Medical Center, Jerusalem, Israel. For reprints contact Irith Hadas-Halpern, MD, Radiology Department, Shaare Zedek Medical Center, P.O.B. 293, 91000 Jerusalem, Israel. cally guided fine needle aspiration of a periportal lymph node. CASE REPORT A 72-year-old woman was admitted to the hospital for abdominal pains existing for three months. She complained of nausea, fatigue, and loss of weight. The physical examination was unremarkable. Routine laboratory studies demonstrated an elevated sedimentation rate (58/h) without hypercalcemia. Chest X-ray was normal. Ultrasonography showed several periportal, enlarged lymph nodes, the largest of which measured 3.0 ern X 2.5 cm x 2.0 ern (Figure l).A few small lymph
Journal of Clinical Ultrasound – Wiley
Published: May 1, 1993
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