Ali Gohar, Aemin Tariq, Arham Saif, Asma Farooq, Esha Aziz, Muhammad Husnain Ahmad
Pulmonary sarcoidosis is a systemic inflammatory disease characterized by the formation of non-caseating granulomas; it typically presents with bilateral hilar lymphadenopathy and upper-lobe predominant interstitial infiltrates. However, atypical radiological presentations can mimic fibrotic interstitial lung diseases, posing a significant diagnostic challenge. We present a case of pulmonary sarcoidosis in a young female who had a confounding basal-peripheral phenotype, eventually diagnosed through endobronchial biopsy showing non-necrotizing granulomas with asteroid bodies.