Abstract

A 32-year-old woman with biopsy proven sarcoidosis was referred for Ga-67 imaging. In addition to systemic manifestations of sarcoidosis, the patient also had multiple skin nodules. Ga-67 imaging showed bilateral, symmetric increased uptake in the parotid glands. Increased tracer uptake was also noted in both supraclavicular, right paratracheal, and bilateral hilar regions consistent with lymphadenopathy. In addition, multiple foci of increased uptake were noted diffusely throughout all four extremities involving the subcutaneous tissues. Punch biopsy of one of the skin nodules demonstrated non-caseating granulomatous dermatitis and panniculitis consistent with sarcoidosis.

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