Galaxy sign (lungs)
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/0/9/9/5/4/2e1aa1967fa9ef50cda8a453c45542_big_gallery_thumb.jpg)
Galaxy sign
(lungs) • Globular cluster M92 in Hercules: photograph - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/0/9/9/5/5/10ae3b852f47503bb8ec23807982f1_big_gallery_thumb.jpg)
Galaxy sign
(lungs) • Galaxy sign of sarcoidosis - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/0/9/9/5/7/31613d856c92cd2e8dc94032d8909c_big_gallery_thumb.jpg)
Galaxy sign
(lungs) • Tuberculosis - multisystem involvement - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/0/9/9/5/9/Lung_00120_big_gallery_thumb.jpg)
Galaxy sign
(lungs) • Thoracic sarcoidosis - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/0/9/9/6/0/PHAM__VAN_DUY.Seq4.Ser4.Img37_big_gallery_thumb.jpg)
Galaxy sign
(lungs) • Miliary tuberculosis with spondylitis - Ganzer Fall bei Radiopaedia
The so-called galaxy sign, initially described as the sarcoid galaxy, represents a coalescent granuloma seen in a minority of patients with pulmonary sarcoidosis . The same appearance can be seen in tuberculosis . In other words, it represents a mass-like region composed of numerous smaller granulomas. The appearance of a central core with peripheral nodules is reminiscent of a globular cluster or galaxy.
Central cavitation does occur and the lesions may be surrounded by ground-glass opacity . The latter is thought to represent extensive interstitial sarcoid granulomas below the resolution of HRCT rather than alveolitis or hemorrhage .
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