Case 152: Sarcoidosis

Diagnostic Categories:

Clinical Presentation:

Patient presents with advanced cirrhosis and pulmonary disease

CT: Small granulomatous foci within cirrhosis

Imaging Findings:

Multiphase CT reveals multiple small hepatic granulomata.  These are hypodense in the portal venous phase, and iso- to hypodense in all other phases. Liver shows contour deformities, representing cirrhotic transformation.

Note also the splenic hypodense foci and the pulmonary nodules, suggesting sarcoidosis in these organs as well.