Last week in Pulmonary Report, we talked about a case of isolated mediastinal/hilar adenopathy (IMHL). 4 important differential considerations were discussed:
- Infection (esp. MTB)
- Sarcoidosis
- Malignancy (metastatic solid organ or lymphoma)
- Reactive
We discussed several studies that evaluated the optimal evaluation for suspicious IMHL, as well as factors which were shown retrospectively to be suggestive of reactive adenopathy.