🩺 Case Study: When Enlarged Chest Glands Reveal the Real 🌎📞 online consultation available 9910319688 скачать в хорошем качестве

🩺 Case Study: When Enlarged Chest Glands Reveal the Real 🌎📞 online consultation available 9910319688

For World 🌎 online consultation available 📞 9910319688 🩺 Case Study: When Enlarged Chest Glands Reveal the Real Diagnosis A patient presented with enlarged mediastinal lymph nodes near the airway where the windpipe divides into right and left bronchi. To identify the exact cause, we performed Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) — a minimally invasive procedure that allows ultrasound-guided sampling of chest lymph nodes. During the procedure, multiple enlarged glands were visualized. To ensure diagnostic accuracy, 6 needle passes were taken from different areas, collecting 24–26 tissue samples. Initial tests showed negative TB markers, while Angiotensin-converting enzyme (ACE) levels were elevated (115), suggesting a granulomatous inflammatory condition. The biopsy report confirmed chronic granuloma. Importantly, there was no caseation necrosis, a feature commonly seen in Tuberculosis. Absence of necrosis favors Sarcoidosis, which presents with non-caseating granulomas. ✅ Final Diagnosis: Sarcoidosis 💊 Plan: Appropriate sarcoidosis management with regular follow-up and monitoring. Key Message: Not every enlarged chest gland is TB or cancer. Accurate tissue diagnosis ensures the right treatment. 📞 For Physical Consultation (India): 9899988653 | 9716415790 | 9971000634 🌍 For International Online Consultations: WhatsApp/Call: +91 9910319688 #DrMSKanwar #Sarcoidosis #EBUS #CaseStudy #Pulmonology #AccurateDiagnosis #RespiratoryMedicine 🩺🔬