case_images: PMC11790262_01
case_images: Thoracic computed tomography revealing multiple mediastinal and peribronchial adenopathies and diffuse interstitial densification pattern at the lung bases (see arrows).
case_images: pjg-2025-0032-0001-539226_F01.jpg
case_images: PMC11790262_01_pjg-2025-0032-0001-539226_F01.jpg
case_images: F1
case_images: In this context, a chest radiological study was performed, revealing mediastinal and peribronchial adenopathies and a diffuse interstitial densification pattern in lung bases on computed tomography (shown in Fig. 1). Fig. 1 at https://doi.org/10.1159/000539226).
case_images: Liver biopsy revealing multiple epithelioid granulomas located periportally and in the lobular areas, without necrosis (see arrows) immunohistochemical study revealing rare bile ducts, and periportal hepatocytes with an intermediate cell phenotype, suggesting chronic cholestasis.
case_images: pjg-2025-0032-0001-539226_F02.jpg
case_images: PMC11790262_01_pjg-2025-0032-0001-539226_F02.jpg
case_images: F2
case_images: A liver biopsy was then performed (shown in Fig. 2), revealing multiple epithelioid granulomas located periportally and in the lobular areas, without necrosis.