Sarcoidosis is uncommonbut rare disease in western nations. But in Korea there is no case report of this disease yet. Diagosis of sarcoidosis is considered established when typical radiological finding and consistent clinical features are present with biopsy evidence of noncaseating epithelioid tubercles or a positive Kveim test. The patient is 40 year old Korean female with complaint of visual disturbance. Chest radiograms show bilateral hilar and paratracheal lymphadenopathy and pulmonary parenchymal involvement. Biopsy of nodule at left knee shows non-caseating tuberculoma. Tuberculin skin-test with PPD of 1:2000 is negative. Sputum smear for A.F.B. are negative for 4 times. Kveim test is positive. We think that more cases will be found in Korea, if wer consider the possibility of sarcoidosis when see a chest radiogram with lymphadenopathy with or without parenchymal change.