Mediastinal Lymphadenopathy

• 45 year old male, farmer by occupation, non - smoker
• H/O fever for 10 months, high grade , intermittent nature, with no diurnal variation.
• H/O weight loss 4 kg over 8 months
• There is no H/O cough, hemoptysis, wheeze, chest pain.
• Patient was initially evaluated outside.
• CT scan showed multiple enlarged homogenous discrete lymph nodes in pre tracheal,bilateral para tracheal , aorto pulmonary and subcarinal region.

DIFFERENTIAL DIAGNOSIS

• TUBERCULOSIS
• SARCOIDOSIS
• LYMPHOMA
• METASTASIS FROM A PRIMARY TUMOUR.
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