A 62-year-old African American woman presents with a persistent cough and shortness of breath. Bronchoscopy is performed and the report includes the following description: "2 x 2 cm non-necrotizing granuloma in the left upper lung field and a 1 x 1 cm non-necrotizing granuloma in the right middle lung field." Question What is the most likely diagnosis? 1 Hypersensitivity pneumonitis 2 Lung cancer 3 Mononucleosis 4 Sarcoidosis 5 Sickle cell disease