All that caseate is not T.B

We report a case of parotid swelling, provisionally diagnosed as tuberculous in-flammation in view of granuloma showing caseous necrosis on cytology and started on antituberculosis drugs. However, on detailed clinical examination and investi-gations diagnosis of sarcoidosis was made. She responded well to treatment with steroids. The correlation of caseation necrosis and sarcoidosis has been described.