sarcoidosis in mrcp

They would usually show show you a CXR in MRCP
Remember that 90% of CXRs have bilateral hilar LN enlargement. More advanced case may have diffuse fibrosis!



Tips for MRCP

1) If you are asked about a patient with painful skin lesions over shin area with dry cough, always think of sarcoidosis.

2) A patient with high calcium level and dry cough , think of sarcoidosis although there is possibility of lung cancer with bone metastasis!

• Stage 0 is a normal chest x-ray.
• Stage 1 is a chest x-ray with enlarged lymph nodes but otherwise clear lungs.
• Stage 2 is a chest x-ray with enlarged lymph nodes plus
  infiltrates (shadows) in the lungs.
• Stage 3 is a chest x-ray that shows the infiltrates (shadows) are present but the lymph nodes are no longer seen.
• Stage 4 shows scar tissue in the lung tissue.