A Case of Sarcoidosis Masquerading as Right Middle Lobe Consolidation

Sarcoidosis is a multisystem granulomatous disorder that is characterized histologically by noncaseating granulomas. Typically, it presents clinically in young adults with initially one or more of the following: hilar lymphadenopathy, pulmonary reticular opacities, and skin, joint, and/or eye lesion. Radiographic findings commonly include bilateral hilar and mediastinal lymphadenopathy and pulmonary reticular opacities but may resemble pneumonia with airspace consolidation and opacities. We report a case of sarcoidosis that presented as a persistent case of pneumonia. This case is a reminder that common diseases such as pneumonia are not always what they seem, and diseases such as sarcoidosis that have specific characteristics may not present traditionally each time.