An Unusual Cause of Widespread Lytic Bone Lesions Caused by Sarcoidosis

Authors

  • Pallavi Mehrotra
  • Michelle Muller
  • Bernard Higgins
  • Ivan Zammit-Maempel

DOI:

https://doi.org/10.3941/jrcr.v5i9.785

Keywords:

Sarcoidosis, Vertebral, Cranial

Abstract

We present a case of a 59 year old asymptomatic lady who was found to have incidental findings of pulmonary, osseous and hepatic involvement with sarcoidosis. The osseous lesions were lytic and involved unusual sites such as the vertebrae and skull base. The initial clinical concern had been of multiple myeloma or disseminated metastases. Biopsy of material obtained following mediastinoscopy revealed chronic, non-necrotising granulomatous lymphadenopathy indicative of sarcoidosis. Cases such as this could greatly benefit from multidisciplinary team discussion particularly when the clinical picture is not typical of malignancy.

Author Biographies

Pallavi Mehrotra

Specialist Registrar Radiology

Michelle Muller

Consultant Radiologist

Bernard Higgins

Respiratory Consultant

Ivan Zammit-Maempel

Consultant Radiologist

Published

2011-09-07

Issue

Section

General Radiology