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