bilateral hilar lymphadenopathy

bilateral hilar lymphadenopathy

A radiologic term for symmetrically enlarged mediastinal lymph nodes. It is easily and most commonly identified by a chest X-ray.

Bilateral lymphadenopathy, aetiology
Sarcoidosis.
Infection—tuberculosis, mycoplasma.
Neoplasia—lymphoma, carcinoma, thymoma and other mediastinal tumours.
Fibrogenic dusts:
• Organic dusts—e.g., extrinsic allergic alveolitis/hypersensitivity pneumonitis;
• Inorganic dusts—e.g., silicosis, berylliosis, pneumoconiosis.
Churg-Strauss syndrome.
HIV disease.
Adult Still's disease.
References in periodicals archive ?
Sarcoidosis involves the bronchi or lung in more than 90 percent of patients and intrathoracic manifestations are protean, ranging from asymptomatic bilateral hilar lymphadenopathy to chronic, progressive, (ultimately fatal), respiratory insufficiency.
It is generally observed in young adults (20-40 years old), and it often presents with bilateral hilar lymphadenopathy, pulmonary infiltration, and skin and ocular involvement.
X-ray chest (PA) view showed bilateral hilar lymphadenopathy (fig-2).
X-rays showed bilateral hilar lymphadenopathy, which was consistent with pulmonary sarcoidosis, and the lace-like appearance of the middle and distal phalanges was consistent with skeletal sarcoidosis.
Followup computed tomography (CT) (Figure 2) of the chest with contrast revealed multiple pulmonary nodules with a dominant right middle lobe mass (5x4x3cm), as well as abnormal mediastinal and bilateral hilar lymphadenopathy, concerning for a neoplastic process.
On chest X-ray examination, bilateral hilar lymphadenopathy (BHL) is common, as are nodules, which predominantly affect the upper lobes.
2) In most cases, arthritis occurs as a part of Lofgren's syndrome, which is characterized by bilateral hilar lymphadenopathy and erythema nodosum.
Bilateral hilar lymphadenopathy, pulmonary infiltrates, and skin and ocular lesions are the most frequently detected manifestations.
Chest imaging showed bilateral hilar lymphadenopathy, consistent with lymphoma or infection (Fig.
Diagnosis is based on radiographic findings of bilateral hilar lymphadenopathy, with or without parenchymal infiltrates, and is supported by the presence of non-caseating granulomas on pathologic evaluation.
A chest x-ray showed bilateral hilar lymphadenopathy consistent with pulmonary sarcoidosis.
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