ABDOMINAL CT FINDINGS IN SARCOIDOSIS - RADIOLOGIC AND CLINICAL CORRELATION

PURPOSE: To estimate the prevalence of abdominal computed tomographic (CT) findings in sarcoidosis and to correlate these findings with thos e at chest radiography, clinical status, and level of angiotensin conv erting enzyme (ACE). MATERIALS AND METHODS: Abdominal CT examinations in 59 patients with sarcoidosis were evaluated for adenopathy, liver a nd spleen size, and discrete lesions within the liver or spleen. RESUL TS: Extensive adenopathy was seen in 10% of patients. Marked hepatic a nd splenic enlargement was seen in 8% and 6%, respectively. Nodules we re seen in the spleen in eight (15%) patients and in the liver in thre e (5%). Although liver size, spleen size, and adenopathy were directly related (P < .0001), the presence of nodules was not strongly related to organ size. Abdominal CT findings were related to clinical status and elevated ACE levels but not to chest radiographic stage. CONCLUSIO N: Marked abdominal CT findings are uncommon in sarcoidosis and correl ate with disease activity but not chest radiographic stage.