Foggy vision

A 53-year-old man with history of “foggy vision” was referred for neuro-ophthalmic consultation. His examination showed a right homonymous hemianopia detected with automated perimetry. Brain magnetic resonance imaging showed extensive enhancement of the structures in the sellar region and patchy meningeal enhancement. Blood workup was unremarkable. He eventually had bronchoscopy, which confirmed the diagnosis of sarcoidosis.