June Case of the Month

Clinical History: A 36-year-old woman with a history of sarcoidosis diagnosed on skin biopsy presented to the pulmonary clinic. A PET/CT scan performed to evaluate for lung involvement by sarcoidosis showed multiple bilateral well-defined non-PET avid pulmonary nodules lacking lymphangitic spread (Figure 1). No mediastinal lymphadenopathy was noted. Given the unclear nature of the nodules, VATS wedge biopsy was performed. Representative images of the right middle lobe wedge biopsy and nodules are shown in Figures 2 through 5.

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