@cawolfwitch I'm so sorry to hear that, but not terribly surprised. I have been told I have mild apical scarring in the lungs, supposedly from a prior (unknown) granulomatous disease. A pulmonologist was adamant that it couldn't be sarcoid due to the location. I have wondered about the skin involvement, I can feel small granule like spots in my skin, particularly the abdomen, but nothing shows up in an MRI. Was the skin biopsy done after scans failed? Thank you for your response, hoping the diagnostics will provide the answers you need.