PMC4043539_01
Plain chest radiograph: bilateral diffuse prominence of bronchovascular markings.
amjcaserep-15-235-g001.jpg
PMC4043539_01_amjcaserep-15-235-g001.jpg
f1-amjcaserep-15-235
Chest radiograph (Figure 1) on admission showed bilateral diffuse prominence of bronchovascular markings.
CT chest: Bilateral diffuse centrilobular nodules with associated intralobular septal thickening.
amjcaserep-15-235-g002.jpg
PMC4043539_01_amjcaserep-15-235-g002.jpg
f2-amjcaserep-15-235
Computed tomography (CT) of the chest (Figure 2) revealed bilateral diffuse centrilobular nodules with associated intralobular septal thickening.
Transbronchial lung biopsy: Noncaseating granulomas.
amjcaserep-15-235-g003.jpg
PMC4043539_01_amjcaserep-15-235-g003.jpg
f3-amjcaserep-15-235
The pathology of the mediastinal lymph node biopsy revealed noncaseating granulomatous inflammation consistent with the diagnosis of pulmonary sarcoidosis (Figure 3).
Skin biopsy of right forearm lesion: Giant-cell granulomatous inflammation without necrosis.
amjcaserep-15-235-g004.jpg
PMC4043539_01_amjcaserep-15-235-g004.jpg
f4-amjcaserep-15-235
AFB and fungus were negative. A skin punch biopsy (Figure 4) of the maculopapular rash on the right forearm was performed on the 10th hospital day. Pathology findings revealed giant cell granulomatous inflammation without necrosis (Figure 4).