This 49 y/o male presented with cough and chest pain. He was afebrile and WBC count was normal, however his chest x-ray was abnormal. Cultures for bacteria, fungi and TB were negative. The abnormality on the chest x-ray worsened despite 2 weeks of empiric antibiotic therapy. A CT was performed. Focal areas of air space disease were noted, no adenopathy or adrenal lesions were seen. Selected prone CT images performed as scout slices prior to percutaneous biopsy are shown above as are two images from the biopsy. Noncaseating granulomas consistent with sarcoid were found pathologically.
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