#DiagnosticDilemma: What's your take on this?
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A 56-year-old woman with no significant past medical history presented to the emergency department with worsening shortness of breath over 8 months. She had no prior history of tobacco use. Physical examination was notable for bronchial breath sounds in both lungs with oxygen saturation of 93% on 3 liters of supplemental oxygen. A computed tomographic angiogram noted innumerable pulmonary nodules in a diffuse pattern.
What is the most likely diagnosis for this presentation?

a. Non–small-cell lung cancer
b. Sarcoidosis
c. Langerhans cell histiocytosis
d. Histoplasmosis
e. Septic embolization

Please write your answer in the comment section below. Correct answer will be posted soon.
P●●●●i P●●●●●n and 4 others like this1 share
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R●●●●●●●●N S●●●H S●●●●●I
R●●●●●●●●N S●●●H S●●●●●I General Medicine
Sarcoidosis
Jun 11, 2020Like
A●●●●a  J●●●●v
A●●●●a J●●●●v General Medicine
According to the description it appears to be sarcoidosis. A test for serum calcium and serum ACE should be performed as calcium and ACE are increased in sarcoidosis. Also increase in inflammatory markers should be noted. Erythema nodosum is usually seen on the shin.
Jun 11, 2020Like1
Dr. S●●●●●m S●●●●y P●●●●●l
Dr. S●●●●●m S●●●●y P●●●●●l General Medicine
Interesting Question.
Jun 14, 2020Like1