Dx: Necrotizing Sarcoid Granulomatosis (NSG) ➡️rare dz entitiy ➡️common features: cough, F, dyspnea, CP, or wt loss ➡️Bx can be necrot or non-necrot granulmoas ➡️Ddx: TB, GPA #ACR23 @RheumNow https://t.co/zBGVriB8ka