Hilar Adenopathy: Causes & Reasons

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Possible Causes for Hilar Adenopathy

Erythema Nodosum

Hilar adenopathy is associated with the above signs in some cases but has not been recognized generally as an accompaniment of the condition. [annals.org]

Hilar lymph nodes Hilar adenopathy may develop as part of the hypersensitivity reaction of erythema nodosum. [emedicine.medscape.com]

Three cases of erythema nodosum in which hilar adenopathy was a feature were encountered at the Mayo Clinic in a period of four months, and in each FULL TEXT [annals.org]

Sarcoidosis

adenopathy. [ncbi.nlm.nih.gov]

You order a CXR which shows b ilateral hilar adenopathy To watch this and all of Joe-Gilboy PA-C's video lessons you must be a member. [smartypance.com]

adenopathy Dry cough Dyspnoe A combination of the first four symptoms is often described as Löfgren syndrome. [flexikon.doccheck.com]

Pulmonary Sarcoidosis

Results of radiographs and a computed tomography scan of the chest revealed multiple pulmonary nodules with mediastinal and hilar adenopathy. [ncbi.nlm.nih.gov]

There is bilateral hilar (white arrows) and right paratracheal (yellow arrow) adenopathy, the classical triad of adenopathy in pulmonary sarcoid. [learningradiology.com]

Löfgren syndrome Löfgren syndrome manifests as a triad of acute polyarthritis, erythema nodosum, and hilar adenopathy. [merckmanuals.com]

Pulmonary Cavitary Tuberculosis

[…] or mediastinal adenopathy at any age should strongly suggest TB Lymph node § Mostly unilateral hilar and/or paratracheal, usually right sided, rarely bilateral § Differentiates [learningradiology.com]

Chest x-ray showing bilateral hilar adenopathy of primary pulmonary TB 6. [en.wikipedia.org]

Mediastinal or hilar adenopathy can also be the sole manifestation of tuberculosis, particularly in patients with compromised immune systems. [clinicaladvisor.com]

Pulmonary Lymphoma

Diagnostic criteria were: (1) histologically proven lymphomatous pulmonary involvement; (2) absence of mediastinal and/or hilar adenopathy on chest radiography; (3) absence [ncbi.nlm.nih.gov]

[…] or mediastinal adenopathy Most common manifestation Present in 90-99% Commonly multiple lymph node groups involved Anterior mediastinal and retrosternal nodes commonly involved [learningradiology.com]

adenopathy 1 4 5 (20.8%) Chest wall invasion 0 1 1 (4.2%) Diagnostic procedures Percutaneous biopsy 1 1 2 (8.3%) Bronchoscopy 10 10 20 Biopsy 1 3 4 (16.7%) TBLB 1 1 2 (8.3% [academic.oup.com]

Berylliosis

Hilar adenopathy, linear scars, lung distortion, bullae, and pleural thickening were found less commonly. [doi.org]

Acute Berylliosis

Findings in chronic berylliosis include reticulonodular infiltrates, hilar adenopathy, and large coalescent infiltrates in both lungs. [medical-clinic.org]

CXR: - Stage 0 Clear - Stage I Bilateral hilar adenopathy - Stage II Hilar adenopathy and parenchymal infiltrates - Stage III Parenchymal infiltrates only - State IV Extensive [lumen.luc.edu]

Hilar adenopathy, noted in 30% to 40% of patients, is usually mild, bilateral, and associated with parenchymal infiltrates. [nap.edu]

Chronic Pulmonary Coccidioidomycosis

Hilar adenopathy Hilar adenopathy is seen in approximately 20-25% of patients with coccidioidomycosis. It is usually unilateral and concomitant with parenchymal lesions. [emedicine.medscape.com]

Diagnostic Test Results-Imaging Chest X-ray shows bilateral diffuse infiltrates, nodules, mediastinal or hilar adenopathy, or pleural effusion. [quizlet.com]

Hilar and mediastinal adenopathy may be present in 20% of cases, usually with parenchymal findings. A small pleural effusion may occur in 20% of cases. [journals.lww.com]

Pulmonary Histoplasmosis

Cough, fever and malaise with chest radiological findings of hilar adenopathy are typical features. Sometimes erythema nodosum or erythema multiforme may occur. [ayubmed.edu.pk]

adenopathy with diffuse nodular infiltrates in about 50% of patients Bronchoalveolar lavage or tissue biopsy may be necessary to obtain histology specimens; serologic testing [merckmanuals.com]

[…] and mediastinal adenopathy o Multiple nodules which heal with numerous calcified granulomas § TB granulomas are usually 1 or 2 in number o Upper lobe cavitation, healing [learningradiology.com]

Coccidioidomycosis

Joaquin Valley) Primary Coccidioidomycosis  Most are asymptomatic  Clinically, may have arthralgias, skin rash  X-ray  Patchy infiltrates mainly in lower lobes (80%)  Hilar [learningradiology.com]

Joaquin Valley) • Primary coccidioidomycosis • Most are asymptomatic • Clinically, may have arthralgias, skin rash Imaging • Patchy infiltrates mainly in lower lobes (80%) • Hilar [learningradiology.com]

adenopathy Racial African or Filipino descent Others Infections during the 3rd trimester of pregnancy or early post-partum Adapted from [795] Amphotericin B has often been [drfungus.org]

Histoplasmosis

adenopathy with diffuse nodular infiltrates in about 50% of patients Bronchoalveolar lavage or tissue biopsy may be necessary to obtain histology specimens; serologic testing [merckmanuals.com]

[…] following: In acute infection: Normal or a diffuse nodular or miliary pattern In chronic pulmonary histoplasmosis: Cavitary lesions in most patients In progressive disease: Hilar [merckmanuals.com]

Pulmonary Fungal Infection

Hilar or mediastinal adenopathy also develop in those with fungal infection. [symptoma.com]

• Massive inhalation of organisms: – May show fairly discrete, nodular opacities 3-4 mm in diameter with hilar adenopathy 11. [slideshare.net]

Radiographic findings may be unremarkable in up to 1/2 of patients or show lobar infiltrate and ipsilateral hilar adenopathy. [clinicaladvisor.com]

Mycoplasma Pneumonia

A chest X-ray was negative for pneumonia and hilar adenopathy. [hindawi.com]

Radiographic findings Most frequently: interstitial infiltrates with predilection for lower lobes, commonly with hilar adenopathy Occasionally presents with a lobar pneumonia [pedclerk.bsd.uchicago.edu]

Consolidated pneumonia, large effusions, and hilar adenopathy are uncommonly reported, and severe disease has been described in certain patient populations, including those [mdedge.com]

Chronic Pulmonary Blastomycosis

Pleural effusions and hilar adenopathy are uncommon. [encyclopedia.lubopitko-bg.com]

Radiographic findings may be unremarkable in up to 1/2 of patients or show lobar infiltrate and ipsilateral hilar adenopathy. [clinicaladvisor.com]

Tularemia

suggesting oral ingestion of bacteria Pneumonic † Uncommon Infiltrates with asymmetric hilar adenopathy, with or without bloody pleural effusion Oropharyngeal Rare Sore [msdmanuals.com]

Chest radiographs may be normal or may show peribronchial patchy infiltrates, effusions, and hilar adenopathy. Apprehension and toxicity are marked and shock is common. [atsu.edu]

suggesting oral ingestion of bacteria Pneumonic† Uncommon Infiltrates with asymmetric hilar adenopathy, with or without bloody pleural effusion Oropharyngeal Rare Sore throat [msdmanuals.com]

Pulmonary Tuberculosis

For example, they may present with hilar adenopathy or lower-lobe infiltrates. 5 Are there clinical prediction rules for tuberculosis? [mdedge.com]

In primary tuberculosis the process is generally seen as a middle or lower lung zone infiltrate, often with associated ipsilateral hilar adenopathy. [southsudanmedicaljournal.com]

Silicosis

adenopathy and, later, early massive fibrosis. [ncbi.nlm.nih.gov]

Hilar and mediastinal adenopathy (hi) can develop associated in some cases with eggshell calcifications (eg). This can precede the development of micronodules. [web.archive.org]

[…] together in an environment with high concentrations of quartz pursued very different clinical courses; one died of rapidly progressive silicosis and the other developed hilar [ncbi.nlm.nih.gov]

Pulmonary Tularemia

Frank lobar pneumonia may also develop, and bilateral hilar adenopathy may be present. [emedicine.medscape.com]

Bronchogenic Carcinoma

§ Hilar mass § Small or invisible lung nodule o High metastatic potential o Rapid growth o May be associated with § Hypoglycemia § Cushing's syndrome § Inappropriate secretion [learningradiology.com]

Imaging studies Nearly all patients have abnormal findings on CXR or CT SCAN Pleural effusion Peripheral circular opacity Hilar adenopathy and mediastinal thickening (( squamous [slideshare.net]

[…] peripheral nodule o Found in scars o Solitary pulmonary nodule (52%) o Upper lobe distribution (69%) · Small cell undifferentiated=Oat Cell Carcinoma o Appearances § Mediastinal adenopathy [learningradiology.com]

Hodgkin Lymphoma

adenopathy is usually bilateral but asymmetric Anterior mediastinal nodes commonly involved They may calcify after radiation therapy Staging (Ann Arbor) Stage I is adenopathy [learningradiology.com]

Hodgkin lymphoma Rarely, hemoptysis Rarely, back or bone pain Imaging Findings Parenchymal lung involvement occurs in 1/3 of patients with Hodgkin Almost all have associated hilar [learningradiology.com]

Pneumoconiosis

Radiographs revealed multiple bilateral pulmonary nodules associated with hilar and mediastinal adenopathy. [ncbi.nlm.nih.gov]

Silicotuberculosis

Hilar and mediastinal adenopathy (hi) can develop associated in some cases with eggshell calcifications (eg). This can precede the development of micronodules. [web.archive.org]

This entity is associated with medial upper lung zone consolidated opacities, some with air bronchograms, can have symmetric hilar and mediastinal adenopathy, volume loss [web.archive.org]

Cystic Fibrosis

Subsequent changes include areas of infiltrate, atelectasis, and hilar adenopathy. [merckmanuals.com]

Recurrent Small-Cell Carcinoma of the Lung

Radiograph and computed tomography (CT) images of SCLC typically show a large hilar mass with mediastinal adenopathy. [breathe.ersjournals.com]

Small-Cell Carcinoma of the Lung

Radiograph and computed tomography (CT) images of SCLC typically show a large hilar mass with mediastinal adenopathy. [breathe.ersjournals.com]

Non-Hodgkin Lymphoma

Homepage Rare diseases Search Search for a rare disease Non-Hodgkin lymphoma Disease definition Non-Hodgkin malignant lymphomas(NHL) is a heterogeneous group of malignant tumors of the lymphoid system. ORPHA:547 Synonym(s): NHL Prevalence: 1-5 / 10 000 Inheritance: - Age of onset: Adult ICD-10: - OMIM: 605027[…] [orpha.net]

Transient Sarcoidosis

Kviem-Siltzbach test (90% with hilar adenopathy). 41. [slideshare.net]

Stage 1 is hilar adenopathy alone (Fig. 13-2), often with right paratracheal involvement. [what-when-how.com]

Löfgren's syndrome (especially in Caucasians): erythema nodosum, fever, arthralgias, and radiographic evidence of bilateral hilar adenopathy - likely Sarcoidosis (ref Parrish [medicine.uiowa.edu]

Acute Sarcoidosis

hilar adenopathy and parenchymal involvement (reticular opacities) Stage III - Parenchymal involvement (reticular opacities) with shrinking adenopathy Stage IV - Parenchymal [emedicine.medscape.com]

Stages of sarcoidosis, as identified through imaging, are as follows (see also the images below): Stage O - No findings Stage I - Bilateral hilar adenopathy Stage II - Bilateral [emedicine.medscape.com]

[…] or paratracheal adenopathy and joint involvement (EN is associated with a good prognosis) Subcutaneous nodules Ocular lesions Ocular involvement is the presenting symptom [emedicine.medscape.com]

Mediastinal Neoplasm

A case of giant cell tumor of the thoracic spine simulating mediastinal neoplasm was identified on plain films, CT scans, MR images, and with scintigraphy. CT showed a hypervascular soft-tissue mass with shell-like calcification in the right upper mediastinum. MR imaging showed a collapse of the T1 vertebral body and a[…] [ncbi.nlm.nih.gov]

Uveoparotid Fever

A chest radiograph suggested bilateral hilar adenopathy and possible right paratracheal adenopathy but was otherwise unremarkable. [nejm.org]

adenopathy paratracheal adenopathy may be noted CT of the head Management glucocorticoid prednisone 60 mg QD (case report) [3] enlargement with uniform contrast enhancement [anvita.info]

Other clinical features may include hilar adenopathy, generalized lymphadenopathy, visceral lesion and skin rash. [whonamedit.com]