A Case of Scarcoidosis with Bilateral Cavitary Shadows on Chest Roentgenogram

Abstract

A rare case of sarcoidosis with primary pulmonary cavities was reported and a review of the literature was made. A 28-year-old male was admitted to our hospital because of bilateral hilar lymphadenopathy and multiple cavitary shadows on chest roentogenogram. The value of angiotensin converting enzyme (ACE) was high. Bronchofiberscopic findings showed capillary vessel dilatation of the bronchial mucosa, and the specimens of transbronchial lung biopsy showed non-caseous epithelioid cell granulomas. Because fibrotic lesion and infectious findings were not demonstrated histologically and clinically, this case was diagnosed as sarcoidosis with primary cavities. These cavities disappeared about a year later without therapy.