Case 152: Sarcoidosis
Patient presents with advanced cirrhosis and pulmonary disease
CT: Small granulomatous foci within cirrhosis
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.