Fig. 1

Patient 1. Multiple soft tissue nodules on the a wrist (arrows) and b forearm (arrows). c Ultrasound of wrist with a nodular plaque. d Biopsy of nodule with non-caseating granulomata in the dermis and subcutis composed of a collection of epithelioid histiocytes (hematoxylin and eosin [H&E] original magnification × 40). e Granulomata with multinucleated giant cells (H&E original magnification × 400). f PET/CET with FDG avid bilateral hilar and mediastinal lymph nodes