Sarcoidosis Radiographic Staging & Prognosis (Belperio et al., JAMA 2022): The Scadding Staging System mapping progression against spontaneous remission rates. Stages correlate findings to outcomes: Stage I (BHL, 60-90% remission), Stage II (BHL infiltrates, 40-70%), Stage III (infiltrates alone, 10-20%), and Stage IV (permanent fibrosis, ~0%).

What a way to start any new #AQUABION week on a monday 😎🧢💧 Thanks to Brandon Scadding to „making my day“ today and start the week with the necessary 🚀 power. #brandonscadding #water ##watertreatment #experts #plumber #plumbing

Scadding 😂👍

📸🧵NEWCASTLE PHOTO MEGATHREAD! I went to town this early on this morning. Scadding hot, but Bank Holiday quiet. As usual I look loads of photos, trying to capture things from a different perspective. Let's go! 1 / The Central Station water tower, and @nclcathedral

Absolutely it is essential for animal health &welfare the shepherd also checks sheep as he shears he check the feet for foot rot & scadding , gives medication for parasites and paints keel mark & tag to mark the animal as his own As the Good shepherd marks His children as His own

🏆| 𝙎𝙘𝙖𝙙𝙙𝙞𝙣𝙜 at the double! A standout season for Riley as he wins the plaudits from both his management team and the boys around him! Solid all season long and plenty more to come!👏 #UTF

#DYK that during Doors Open weekend, you can unlock the doors to some of Toronto's hidden gems? ✨ 👀 Peer into sites typically closed to the public, like Scadding Cabin, Toronto's oldest surviving building. Built in 1794!

📢The Doors Are OPEN once again!🚪 Join us May 23 & 24 from 10AM to 5PM at Scadding Cabin for @Doors_OpenTO! Experience an exhibition of world foods in early York, spinning demonstrations, and children's games! Details: bit.ly/4nCqnvh & bit.ly/3R6siwa #DOT26

Chris Bosh foundation was usually at Scadding Court , no way he performed there 😭

Have you seen "Loops, Swoops & Curlicues: A Legacy of Handwritten History" at the Reference Library? There are beautiful items in recognition of Rev. Dr. Henry Scadding & the York Pioneers! The exhibit is on until May 10 at the TD Gallery! @torontolibrary 📸 : Victoria Moorshead

🎥 PEARL in motion, a powerful day in Brussels with EUFOREA Last Friday’s Patient Experts in Airways and Respiratory Leadership Patient Course brought together individuals living with airway diseases and leading experts for a day focused on clarity, confidence, and community. Through open discussions and practical insights, participants explored how to understand their condition better and take an active role in their care. 👉 Step back into the experience and catch the highlights in our aftermovie! A big thank you to everyone who made this day so meaningful 👏 This course received unrestricted educational grants from @sanofi regeneron and @EliLillyandCo Course Co-Directors: Dr. Xander Bertels | Dr. Sophie Scheire | Dr. Catherine Shire Faculty: Mrs Tonya Winders | Mrs Ellen Bonne | Prof Philippe Gevaert | Dr Sven Schneider | Prof Gert-Jan Braunstahl | Mrs Lana Hannant | Dr Sebastian Riemann | Prof Glenis Scadding

Leave @ExPlaceTO alone @fordnation it is jewel on the waterfront of Toronto & an historic site, so of course @fordnation wants it. The Rose Garden, Fort Rouile, Scadding cabin & the Peace Memorial are some of the meaningful parts of the site. There is history in every step.

🚨 GOOOOAAALLL! 59' – Jordan Scadding Newquay 1-1 Brislington Let’s go 🔴⚫️ #UpTheBriz

Been like that since Scadding Court days @yu5ali

Diagnosis: Stage II Sarcoidosis Clinical Presentation Analysis The patient is a young male in his 20s with a 5-month history of progressive respiratory symptoms: ➜ Chronic Dry Cough & Exertional Dyspnea: These symptoms, combined with the lack of response to antibiotics and bronchodilators, point toward a granulomatous or interstitial lung disease rather than an infectious or reactive airway etiology. ➜ Palpitations and Chest Tightness: In the context of suspected sarcoidosis, these are clinical "red flags" that may indicate Cardiac Sarcoidosis (conduction blocks or arrhythmias) or secondary pulmonary hypertension. ➜ Demographic Factor: Sarcoidosis frequently affects young adults (20–40 years) and typically presents with this indolent, non-productive cough. Radiological Findings (CXR Analysis) The provided chest radiograph shows classic signs of a systemic granulomatous process: ➜ Bilateral Hilar Lymphadenopathy: Symmetrical, well-defined enlargement of the hilar nodes (the "potato nodes" sign). ➜ Right Paratracheal Lymphadenopathy: Prominent widening of the right paratracheal stripe, completing the "Garland Triad." ➜ Interstitial Opacities: Presence of subtle reticulonodular infiltrates in the mid-to-upper lung zones, which classifies this as Scadding Stage II (Lymphadenopathy Parenchymal involvement). ➜ Normal Cardiac Silhouette: Suggests that the reported palpitations are likely due to electrical conduction issues or pulmonary pressure rather than overt congestive heart failure. Differential Diagnosis ➜ Sarcoidosis: Most likely given the symmetry of lymphadenopathy and the patient's age. ➜ Lymphoma: Usually presents with asymmetrical mediastinal widening and constitutional "B-symptoms" (fever, weight loss). ➜ Tuberculosis (TB): Typically presents with unilateral lymphadenopathy and apical infiltrates or cavitation in adults. ➜ Hypersensitivity Pneumonitis: Possible, but less likely to cause such discrete, bulky hilar lymphadenopathy. Recommended Management Plan ➜ Cardiac Evaluation: Immediate ECG and Echocardiogram are mandatory to investigate the palpitations and rule out cardiac sarcoidosis. ➜ High-Resolution CT (HRCT): To confirm the perilymphatic distribution of nodules. ➜ Biopsy: The gold standard for diagnosis is identifying non-caseating granulomas via EBUS-TBNA (Endobronchial Ultrasound-guided biopsy). ➜ Laboratory Workup: Serum Calcium (to check for hypercalcemia) and Pulmonary Function Tests (PFTs) with DLCO.

Diagnosis: Stage II Sarcoidosis Clinical Presentation Analysis The patient is a young male in his 20s with a 5-month history of progressive respiratory symptoms: ➜ Chronic Dry Cough & Exertional Dyspnea: These symptoms, combined with the lack of response to antibiotics and bronchodilators, point toward a granulomatous or interstitial lung disease rather than an infectious or reactive airway etiology. ➜ Palpitations and Chest Tightness: In the context of suspected sarcoidosis, these are clinical "red flags" that may indicate Cardiac Sarcoidosis (conduction blocks or arrhythmias) or secondary pulmonary hypertension. ➜ Demographic Factor: Sarcoidosis frequently affects young adults (20–40 years) and typically presents with this indolent, non-productive cough. Radiological Findings (CXR Analysis) The provided chest radiograph shows classic signs of a systemic granulomatous process: ➜ Bilateral Hilar Lymphadenopathy: Symmetrical, well-defined enlargement of the hilar nodes (the "potato nodes" sign). ➜ Right Paratracheal Lymphadenopathy: Prominent widening of the right paratracheal stripe, completing the "Garland Triad." ➜ Interstitial Opacities: Presence of subtle reticulonodular infiltrates in the mid-to-upper lung zones, which classifies this as Scadding Stage II (Lymphadenopathy Parenchymal involvement). ➜ Normal Cardiac Silhouette: Suggests that the reported palpitations are likely due to electrical conduction issues or pulmonary pressure rather than overt congestive heart failure. Differential Diagnosis ➜ Sarcoidosis: Most likely given the symmetry of lymphadenopathy and the patient's age. ➜ Lymphoma: Usually presents with asymmetrical mediastinal widening and constitutional "B-symptoms" (fever, weight loss). ➜ Tuberculosis (TB): Typically presents with unilateral lymphadenopathy and apical infiltrates or cavitation in adults. ➜ Hypersensitivity Pneumonitis: Possible, but less likely to cause such discrete, bulky hilar lymphadenopathy. Recommended Management Plan ➜ Cardiac Evaluation: Immediate ECG and Echocardiogram are mandatory to investigate the palpitations and rule out cardiac sarcoidosis. ➜ High-Resolution CT (HRCT): To confirm the perilymphatic distribution of nodules. ➜ Biopsy: The gold standard for diagnosis is identifying non-caseating granulomas via EBUS-TBNA (Endobronchial Ultrasound-guided biopsy). ➜ Laboratory Workup: Serum Calcium (to check for hypercalcemia) and Pulmonary Function Tests (PFTs) with DLCO.

Jordan Scadding is awarded Man of the Match following a strong all-round performance. Jordan Scadding is sponsored by AngieH Driving Academy. #UpTheBriz #BrislingtonFC