Pulmonary sarcoidosis: Presentation as bilateral spontaneous hydropneumothorax and pulmonary infiltrates

Pulmonary manifestations in sarcoidosis vary, ranging from asymptomatic che st radiographic abnormalities to progressive destruction of lung parenchyma with respiratory insufficiency. We describe a case of sarcoidosis in a pat ient with bilateral hydropneumothorax, parenchyma infiltrates, and respirat ory insufficiency. Hydropneumothorax is extremely rare, acid to our knowled ge only two cases have been reported.