Granulomatosis with polyangiitis
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Multiple pulmonary nodules. The nodules demonstrate central low density. There is also surrounding ground-glass density associated with some of these nodules.
Incidental right breast lesion.
Initial blood tests revealed a strongly positive c-ANCA.
A subsequent renal biopsy demonstrated necrotising glomerulonephritis, with features consistent with granulomatosis with polyangiitis (previously known as Wegener's disease).