Chief Cmplaint: Fatigue
a. History: African descent
b. Further History: Dyspnea, nonproductive cough, and chest pain
Differential Diagnosis
Sarcoidosis
Next Pivotal Assessment | Finding | |||
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Chest X-Ray
|
Bilateral hilar lymphadenopathy and diffuse reticular densities in the interstitium of the lung |
A 25-year-old African American woman presents with fatigue, dyspnea, nonproductive cough, and chest pain. She does not smoke. A chest radiograph reveals prominent bilateral hilar lymphadenopathy (“potato nodules”) and diffuse reticular densities in the interstitium of the lung. Laboratory studies reveal polyclonal hypergammaglobulinemia, hypercalcemia, and increased serum angiotensin-converting enzyme. Which of the following is the most likely diagnosis?
A. ARDS
B. Adenocarcinoma of the lung
C. Eosinophilic granuloma
D. Idiopathic pulmonary fibrosis
E. Sarcoidosis