Adenopathy and fibrosis in thoracic sarcoidosis occurring concurrently-A rare presentation

Abstract

Sarcoidosis is a common multisystem disorder affecting the thoracic region. A well-defined, clinical staging system already exists for thoracic sarcoidosis. Rarely, combinations of signs / symptoms or imaging features may occur that may challenge the staging system as seen in our case and may force us to realize that our understanding of the disease pattern is still in the stage of evolution. In this article, we are describing a rare combination of adenopathy with pulmonary fibrosis (first and final stage features) in thoracic sarcoidosis at presentation.