This case shows a possible complication of sarcoidosis affecting the lung and pleura, as well as some typical image findings, such as:

• perilymphatic nodules
• lymphadenopathy: bilateral hilar, paratracheal, aortopulmonary window, subcarinal lymph nodes
• lymph node calcification in chronic disease
• Rupture of subpleural bullae or necrosis of subpleural granulomas are recognized causes of pneumothorax in sarcoidosis, occurring in only 2% of patients. Recurrence is possible, with some authors suggesting this as a manifestation of advanced disease.