Sarcoidosis is a multi-system inflammatory disorder of unknown etiology that is manifested by the presence ofnon-caseating granulomas. Multiple pulmonary nodules are rare presentations of sarcoidosis. We report a case ofnodular sarcoidosis in a young male of Middle-East origin who had initially presented with bilateral painful ankleedema. His chest X-ray showed multiple bilateral pulmonary nodules. A high resolution computed tomographyscan of the chest demonstrated multiple pulmonary nodular lesions and also mediastinal and hilarlymphadenopathy. Subsequent biopsies revealed non-necrotizing granuloma with multi-nucleated giant cellsindicative of sarcoidosis. An appropriate work-up was done to confirm the true nature of the nodules andfacilitate treatment.
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