Hilar Lymphadenopathy, a Novel Finding in the Setting of Coronavirus Disease (COVID-19)

A Case Report

Mohsin Sheraz Mughal; Rameez Rehman; Ramy Osman; Nathan Kan; Hasan Mirza; Margaret H. Eng


J Med Case Reports. 2020;14(124) 

In This Article


Chest CT has been used extensively to diagnose and characterize the distinguishing radiological findings associated with viral pneumonia. It has emerged as an integral part of the diagnosis of COVID-19 alongside RT-PCR. Clinicians must be aware of uncommon clinical and radiological findings in order to diagnose this entity. Hilar lymphadenopathy is commonly seen with fungal infections, mycobacterial infections, and sarcoidosis. In an extensive literature review, bilateral hilar lymphadenopathy was not reported in the setting of COVID-19. Recognizing rare imaging findings will help clinicians understand their frequency and association with disease severity. Follow-up imaging should be pursued to evaluate the persistence or resolution of hilar lymphadenopathy in patients with COVID-19.