Sarcoidosis: A Diagnosis of Exclusion

AJR Am J Roentgenol. 2020 Jan;214(1):50-58. doi: 10.2214/AJR.19.21436. Epub 2019 Oct 31.

Abstract

OBJECTIVE. This article will review the typical and atypical imaging features of sarcoidosis, identify entities that may be mistaken for sarcoidosis, and discuss patterns and clinical scenarios that suggest an alternative diagnosis. CONCLUSION. Radiologists must be familiar with the characteristic findings in sarcoidosis and be attentive to situations that suggest alternative diagnoses. The radiologist plays a major role in prompt diagnosis and one that may help reduce patient morbidity and mortality.

Keywords: IgG4-related sclerosing disease; granuloma; lymphadenopathy; perilymphatic micronodules; pneumoconiosis; pulmonary fibrosis; sarcoidosis.

Publication types

  • Review

MeSH terms

  • Diagnosis, Differential
  • Humans
  • Radiology
  • Sarcoidosis, Pulmonary / diagnostic imaging*
  • Tomography, X-Ray Computed