Abstract
Cavitary sarcoidosis is a rare form and represents non-caseating granulomatous diseases of the lungs exhibiting a narrow range of differential diagnoses. The peculiarity of this case lies in the difficulty of distinguishing atypical manifestations of pulmonary sarcoidosis, such as cystic lesions, from cavernous tuberculosis. Both possess similar clinical and radiological features. We report a case of a 36-year-old male, who has been under observation since 2019 without active complaints. Chest computed tomography revealed bilateral reticulo-nodular changes with the formation of extensive consolidation areas and cavities, аs well as mediastinal lymphadenopathy. This article represents clinical case of patient with recurrent cavitary sarcoidosis and underscores the necessity for monitoring and adjusting of the treatment of this complex condition because their course may be punctuated by several complications including pleural effusion, hemoptysis, aspergilloma, and pneumothorax.