Peribronchial region with adjacent epithelioid granulomas with some surrounding fibrosis are seen, and often present along lymphatic routes. Granulomas are non-necrotizing. Image

Multinucleated giant cells are also frequent Image

Similar image with granulomas abruptly transitioning to normal alveoli to the left Image

Lamellated calcification may be seen in the giant cells, known as Schaumann's bodies or conboidal bodies. Image

A different case - nicely well demarcated large epithelioid granulomas with an occasional multinucleated giant cell Image

This second case did have a necrotizing granuloma, which is rare but recognized in sarcoidosis. Image

• : Cutaneous Sarcoidosis

• Lymph Nodes : Sarcoidosis

From VA box.