case_images: PMC9948513_01
case_images: Chest X-ray . The image is demonstrating severe mediastinal and bilateral lymphadenopathy.
case_images: cureus-0015-00000034135-i01.jpg
case_images: PMC9948513_01_cureus-0015-00000034135-i01.jpg
case_images: FIG1
case_images: Further diagnostics included a chest X-ray (Figure 1) which demonstrated significant bilateral hilar and mediastinal lymphadenopathy.
case_images: Graph demonstrating platelet count throughout the hospital course
case_images: cureus-0015-00000034135-i02.jpg
case_images: PMC9948513_01_cureus-0015-00000034135-i02.jpg
case_images: FIG2
case_images: A graph of platelet levels is presented in Figure 2. 
case_images: Chest positron emission tomography (PET) scan. The image is demonstrating multiple hypermetabolic adenopathies of the hilar and mediastinal lymph nodes.
case_images: cureus-0015-00000034135-i03.jpg
case_images: PMC9948513_01_cureus-0015-00000034135-i03.jpg
case_images: FIG3
case_images: Pathology images (5x). Pathology images show non-necrotizing granulomatous inflammation. The lymphoid tissue population was identified, consistent with a lymph node sampling. No cells diagnostic of malignancy were identified.
case_images: cureus-0015-00000034135-i05.jpg
case_images: PMC9948513_01_cureus-0015-00000034135-i05.jpg
case_images: FIG5
case_images: Histopathological examination of lymph node biopsy demonstrated non-caseating granulomatous inflammation, and cells diagnostic of malignancy were not identified (Figures 5, 6).
case_images: Pathology images (20x). Pathology images show multiple non-necrotizing granulomas composed of aggregates of epithelioid histiocytes with multinucleate giant cells of the Langhans type (yellow arrows) and foreign-body type (red arrow), and lymphocytes. Grocott methenamine silver (GMS) and acid-fast bacilli (AFB) stains are negative.
case_images: cureus-0015-00000034135-i06.jpg
case_images: PMC9948513_01_cureus-0015-00000034135-i06.jpg
case_images: FIG6
case_images: Histopathological examination of lymph node biopsy demonstrated non-caseating granulomatous inflammation, and cells diagnostic of malignancy were not identified (Figures 5, 6).