Pulmonary hemorrhage secondary to granulomatosis with polyangiitis (GPA)

Case contributed by Stefan Tigges

Presentation

One month of cough, dyspnea and hemoptysis in a patient with granulomatosis with polyangiitis.

Patient Data

Age: 60 years.
Gender: Male

Diffuse bilateral consolidation, otherwise normal. 

Diffuse bilateral ground-glass opacity and consolidation. Trace bilateral pleural effusions.

Case Discussion

Unfortunately, the CT findings of diffuse ground-glass opacity and consolidation are non-specific: infection, hemorrhage due to other causes and diffuse adenocarcinoma could have a similar appearance. Given the patient's history, pulmonary hemorrhage is by far the most likely cause of the imaging findings.

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