(A) CXR showing bilateral hilar lymphadenopathy. (B) HRCT with micronodules with a perilymphatic distribution, resulting of discrete, confluent, or cluster distribution. (C) Triple IR (oedema) imaging demonstrating multiple areas of increased myocardial signal. (D) Gadolinium study demonstrating multiple subepicardial and mid-myocardial areas of LGE (E) FDG-PET CT with apical pulmonary infiltrates and hilar lymph node involvement and extensive lymphadenopathy from the cervical area to the retroperitoneum. Markedly increased uptake in myocardium and nodular moderate uptake in the splenic parenchyma indicative of extensive active sarcoidosis with cardiac involvement. CXR, Chest radiography; HRCT, High-resolution computed tomography; LGE, Late gadolinium enhancement; FDG-PET CT, Fluorodeoxyglucose-positron emission tomography.