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295 Possible Causes for Hilar Adenopathy, Pleural Effusion

  • Coccidioidomycosis

    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 and pleural effusions are also seen, usually in association with parenchymal disease. Disseminated disease is rare and occurs in less than 1% of patients.[ncbi.nlm.nih.gov] 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]

  • 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] A chest x-ray showed increased opacities and pleural effusion in the right inferior lobe.[archbronconeumol.org] […] 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]

  • Mycoplasma Pneumonia

    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] The possibility of Mycoplasma pneumonia should not be dismissed merely because of the severity of the illness or the presence of pleural effusions.[ncbi.nlm.nih.gov] adenopathy.[ncbi.nlm.nih.gov]

  • Hodgkin's Disease

    […] 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] Whole lung and heart irradiation was also planned due to bilateral pleural and pericardial effusions.[ncbi.nlm.nih.gov] effusion from lymphatic obstruction About 1/3 have pleural effusions Effusion usually does not contain malignant cells Pneumonic form Diffuse nonsegmental infiltrate (pneumonic[learningradiology.com]

  • Histoplasmosis

    […] 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] In rare instances, acute pericarditis and pleural effusion can develop.[symptoma.com] § Mediastinal or hilar o Hepatosplenomegaly o Lytic lesions in the bones o Broncholithiasis (most common cause) o Fibrosing mediastinitis o Multiple splenic calcifications[learningradiology.com]

  • 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] These consist of nodules, cavities, pneumonia, adenopathy, pleural effusion, fibrosis, bronchiectasis, and calcification.[journals.lww.com] Diagnostic Test Results-Imaging Chest X-ray shows bilateral diffuse infiltrates, nodules, mediastinal or hilar adenopathy, or pleural effusion.[quizlet.com]

  • Pulmonary Tularemia

    Frank lobar pneumonia may also develop, and bilateral hilar adenopathy may be present.[emedicine.medscape.com] effusion Studies Labs culture is hazardous positive titers on serology diagnostic Making the diagnosis based on clinical presentation, risk factors, and serology Differential[step2.medbullets.com] The patient's fever, pneumonia, and pleural effusion were resolved with appropriate antibiotics for tularemia.[ncbi.nlm.nih.gov]

  • Sarcoidosis

    The usual presentation of sarcoidosis is hilar adenopathy, pulmonary reticular opacities, skin, joint, or eye lesions.[ncbi.nlm.nih.gov] Despite overall clinical management with diuretics, pleural effusion persisted and the patient underwent medical thoracoscopy with pleural biopsy.[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]

  • 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] Infection with H capsulatum was confirmed by culture of pleural effusion fluid, DNA probe analysis of the pleural fluid culture isolate, urinary Histoplasma antigen detection[ncbi.nlm.nih.gov] […] 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]

  • Pulmonary Tuberculosis

    For example, they may present with hilar adenopathy or lower-lobe infiltrates. 5 Are there clinical prediction rules for tuberculosis?[mdedge.com] He was admitted for progression of left pleural effusion and consolidation in the left upper lobe.[ncbi.nlm.nih.gov] In primary tuberculosis the process is generally seen as a middle or lower lung zone infiltrate, often with associated ipsilateral hilar adenopathy.[southsudanmedicaljournal.com]

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