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Granulomatosis with polyangiitis

Case contributed by Angela Byrne
Diagnosis almost certain

Patient Data

Age: 15 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

x-ray

There is a number of ill-defined nodules the largest of which projects over the dome of the right hemidiaphragm. This nodule appears to have a central lucency suggesting cavitation. 

Single slice from a CT through the chest confirms the presence of at least 2 nodules, the larger of the two having a large central cavity and air-fluid level.

Case Discussion

The patient was confirmed to have granulomatosis with polyangiitis (previously known as Wegener's granulomatosis).

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