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USMLE · Question #444

A 54-year-old African-American woman undergoes a routine insurance physical examination. Chest x-ray film reveals bilateral hilar masses. Biopsy of the masses shows granulomata, but acid-fast and fung

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Question

A 54-year-old African-American woman undergoes a routine insurance physical examination. Chest x-ray film reveals bilateral hilar masses. Biopsy of the masses shows granulomata, but acid-fast and fungal stains are negative for organisms. Which of the following is the most likely diagnosis?

Options

  • ACaroli disease
  • BRaynaud disease
  • CSarcoidosis
  • DScleroderma
  • ESystemic lupus erythematosus

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Topics

#sarcoidosis#bilateral hilar lymphadenopathy#non-caseating granuloma#negative stains
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