How would you approach asymptomatic hepatic sarcoid?

Hepatic involvement in sarcoidosis is very common. In old autopsy series, as many as 70% of unselected cases of sarcoidosis were found to have granulomatous inflammation in the liver. Today, many possible cases are identified incidentally by more advanced diagnostic testing techniques such as PET scanning, obtained either for staging of patients known to have sarcoidosis or for other indications.

Most patients with hepatic sarcoidosis remain asymptomatic and are without physical or somatic compla...