26th February 2025

A 36-year-old male is referred to rheumatology clinic.

A 36-year-old male is referred to rheumatology clinic. He has had some pain in his joints and has felt increasingly short of breath recently. 

He has a chest XR, which shows bilateral hilar lymphadenopathy.

He undergoes an endoscopic ultrasound-guided needle aspiration. Histopathology reveals non-caseating granulomas.

What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.