Seeds in the Lungs: A Pseudo-Miliary Pattern of Sarcoidosis

Subrat Khanal; Sindhubarathi Murali; Pranita Ghimire; Andrew Chu

doi:10.7759/cureus.21569

Seeds in the Lungs: A Pseudo-Miliary Pattern of Sarcoidosis

Cureus. 2022 Jan 24;14(1):e21569. doi: 10.7759/cureus.21569. eCollection 2022 Jan.

Authors

Subrat Khanal¹, Sindhubarathi Murali², Pranita Ghimire¹, Andrew Chu³

Affiliations

¹ Pulmonary and Critical Care, State University of New York Upstate Medical University, Syracuse, USA.
² Medicine, State University of New York Upstate Medical University, Syracuse, USA.
³ Pulmonary and Critical Care Medicine, State University of New York Upstate Medical University, Syracuse, USA.

Abstract

We present a 26-year-old African-American gentleman with no significant past medical history who presented with a three-day history of dry cough. Computerized tomography of the chest showed scattered infiltrates consistent with a pseudo-miliary pattern. A transbronchial biopsy showed non-caseating granulomas confirming our suspicion for pulmonary sarcoidosis. Miliary sarcoidosis is rare; therefore, health care providers should consider other diagnoses such as tuberculosis, malignancy, and pneumoconiosis.

Keywords: atypical; miliary pattern; pseudo-miliary; radiography; sarcoidosis.

Publication types

Case Reports