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Figure 17: (a) (1) (CXR) of 49 years old man with known sarcoidosis performed in 2007 shows a right-sided pleural effusion. (2) CXR 5 years later showed a persistent effusion. (b) (3) Axial CT images confirms the right basal effusion. (4) HRCT scans show lung parenchymal changes suggestive of sarcoidosis. (c) (5 and 6) Oblique ultrasound images, the thick walled right pleural cavity with almost solid/necrotic contents suggestive of blood. Images through the liver show periportal echogenicity characteristically described for hepatic sarcoidosis. Ultrasound guided-biopsy revealed periportal non caseating granulomas. (d) (7-9) confirms the pleural effusion and small pericardial effusion. Note the pleural effusion is insinuating through the intercostal space (arrow). (e) (10) Axial HRCT images show features of stage 4 disease

Figure 17: (a) (1) (CXR) of 49 years old man with known sarcoidosis performed in 2007 shows a right-sided pleural effusion. (2) CXR 5 years later showed a persistent effusion. (b) (3) Axial CT images confirms the right basal effusion. (4) HRCT scans show lung parenchymal changes suggestive of sarcoidosis. (c) (5 and 6) Oblique ultrasound images, the thick walled right pleural cavity with almost solid/necrotic contents suggestive of blood. Images through the liver show periportal echogenicity characteristically described for hepatic sarcoidosis. Ultrasound guided-biopsy revealed periportal non caseating granulomas. (d) (7-9) confirms the pleural effusion and small pericardial effusion. Note the pleural effusion is insinuating through the intercostal space (arrow). (e) (10) Axial HRCT images show features of stage 4 disease