Answer 23

 

There was discrepancy between the clinical findings and the chest X-ray, however high resolution CT scan findings (see the photos) have pushed the radiologist and some of our colleagues towards the sarcoidosis, but as for me I had some reservations regarding this as a final diagnosis before bronchoscopy to rule out endobronchial lesions specially "endobronchial tuberculosis".

 

N.B. click on photo to enlarge