A 44-year-old woman with symmetric bilateral hilar adenopathy most likely has which exam finding?

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Prepare for the Rosh Internal Medicine Exam with quizzes, flashcards, and multiple-choice questions, complete with hints and explanations. Get ready to excel on your exam!

Multiple Choice

A 44-year-old woman with symmetric bilateral hilar adenopathy most likely has which exam finding?

Explanation:
Bilateral hilar lymphadenopathy points to sarcoidosis, a multisystem granulomatous disease that often involves lymph nodes beyond the chest. Because sarcoidosis can affect multiple lymph node groups, you would commonly find enlarged peripheral (superficial) lymph nodes on exam. This peripheral lymphadenopathy fits with the systemic nature of the disease. While skin findings like erythema nodosum can occur with sarcoidosis (as in acute presentations), the presence of peripheral lymph node enlargement is a logical accompanying exam finding to the hilar adenopathy.

Bilateral hilar lymphadenopathy points to sarcoidosis, a multisystem granulomatous disease that often involves lymph nodes beyond the chest. Because sarcoidosis can affect multiple lymph node groups, you would commonly find enlarged peripheral (superficial) lymph nodes on exam. This peripheral lymphadenopathy fits with the systemic nature of the disease. While skin findings like erythema nodosum can occur with sarcoidosis (as in acute presentations), the presence of peripheral lymph node enlargement is a logical accompanying exam finding to the hilar adenopathy.

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