38-year-old Woman in Medicine / Internal Medicine — 38yo Woman | Respiratory / Pulmonology | SMLE Q#11347
SMLE Question #11347
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 38-year-old woman has a 3-month intermittent dry cough. A routine chest radiograph shows bilateral hilar enlargement. Chest CT shows symmetric bilateral hilar lymphadenopathy without parenchymal infiltrates. Endobronchial ultrasound-guided lymph node biopsy shows well-formed noncaseating granulomas; acid-fast and fungal stains are negative. She has no visual symptoms, rash, neurologic complaints, chest pain, palpitations, or syncope, and spirometry is normal. What is the most appropriate next step in management?
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