Miliary sarcoidosis: A diagnosis which should not be missed

Abstract

Pulmonary and mediastinal involvement in sarcoidosis is common with variable radiographic features depending on the stage of the disease. It is randomly detected on chest radiography of asymptomatic or minimally symptomatic patients, revealing bilateral hilar lymph node enlargement. High resolution computed tomography (HRCT) of the chest is most sensitive and has typical findings like micronodules with a perilymphatic distribution, fibrotic changes, and bilateral perihilar opacities. Miliary pattern is a rare, non-typical thoracic manifestation of pulmonary sarcoidosis. We describe two cases of female patients with miliary sarcoidosis who were referred to our department and treated successfully in the previous year.