Spleen/liver lesions/infiltrates on ct/mri.6 months abdom. pain/fatigue. high ace, rheumatoid factor, iga, ferratin, rbc, protein. borderline high calcium (10.1) normal crp, sed rate, lfts. doc thinks sarcoid. other possibilities? (lungs ok on ct.)

In depth consult: There are many possible causes of abdominal pain, fatigue and lesions on your CT scan. If the cause is not clear after a thorough physical examination and laboratory testing, then a biopsy of one of the liver lesions may reveal the diagnosis.

Mgt.: A biopsy of enlarged lymph nodes may provide additional information and ruling out malignancy should be completed prior to initiation of medication. A virtual consult may be useful, and you can upload the reports and images.