Granulomatosis with polyangitis - pulmonary cavities

Case contributed by Dr Bruno Di Muzio

Presentation

Cough and fever. Recurrence of symptoms three months after her last hospitalisation.

Patient Data

Age: 34-year-old
Gender: Female

Chest X-ray

Modality: X-ray

Large bilateral pulmonary cavities.

CT Chest

Modality: CT

Large bilateral pulmonary cavities, the largest ones containing liquid forming fluid level.

Case Discussion

Granulomatosis with polyangitis (Wegener granulomatosis), is a multi-system systemic necrotizing non-caseating granulomatous vasculitis affecting small to medium-sized arteries, capillaries and veins, and the lungs are the most frequently involved organ, seen in 95% of cases.

The most common radiological presentation is with multiple nodules randomly distributed. In approximately half of cases, some of the nodules demonstrate cavitation, which is best seen with CT.

This case shows multiple cavities and the patient has recurrent pulmonary infections (caused by usual bacteria). On the last hospitalization she was submitted to thoracic drainage and subsequent surgical intervention.

Patient was confirmed to have Granulomatosis with polyangiitis (Wegener granulomatosis).

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Case Information

rID: 26659
Case created: 1st Jan 2014
Last edited: 6th Nov 2016
System: Chest
Inclusion in quiz mode: Included

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