Correct!
1. Bronchoscopy with biopsy
None of the answers are absolutely incorrect. There is some controversy regarding how to proceed with a patient with fairly typical sarcoidosis such as our patient. Most would perform a biopsy to exclude other diseases and confirm the diagnosis.
At bronchoscopy some nodularity in the bronchial mucosa was noted and biopsied (Figure 5).
Figure 5. Views from the bronchoscopy showing bronchial nodularity.
The histology confirmed the presence of noncaseating granulomas (Figure 6).
Figure 6. Low (panel A), medium (panel B) and high power (panel C) of the bronchial biopsies showing noncaseating granulomas.
What should be done next? (Click on the correct answer to proceed to the sixth and last panel)