Correct!
3. Sarcoidosis

All are causes of a perilymphatic distribution of nodules. However, sarcoidosis would be the most common cause. In our asymptomatic patient this cause of a perilymphatic pattern would be the most likely diagnosis.

What is the next step in the diagnostic work-up of our patient? (Click on the correct answer to proceed to the fifth of six panels)

  1. Bronchoscopy with biopsy
  2. Observation
  3. Serum ACE level
  4. Video-assisted thorascopic biopsy (VATS)

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