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Case Reports
. 2022 Jul 28;17(10):3535-3538.
doi: 10.1016/j.radcr.2022.06.074. eCollection 2022 Oct.

Migrant cavitation as primary involvement in a particular case of granulomatosis with polyangiitis

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Case Reports

Migrant cavitation as primary involvement in a particular case of granulomatosis with polyangiitis

Francesco Manti et al. Radiol Case Rep. .

Abstract

Granulomatosis with polyangiitis (GPA), previously known as Wegener's granulomatosis, is a necrotizing granulomatous vasculitis of the small and medium vessels involving the upper respiratory tract, lungs, and kidneys. In this case report, we will describe the case of a 60-year-old man who presented to our observation with recurrent episodes of hemoptoe, fever, and mucopurulent sputum. The diagnosis was made by radiological and laboratory tests.

Keywords: Cavitation; Granulomatosis with polyangiitis; Vasculitis.

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Figures

Fig 1
Fig. 1
PA (A) and lateral (B) chest radiographs showed cavitation on the left and a focal nodular opacity on the right.
Fig 2
Fig. 2
CT of the chest axial images: lung (A) and soft tissue (B) reconstruction algorithm showed the cavitated area in correspondence with the apical segment of the lower left lobe.
Fig 3
Fig. 3
CT of the coronal chest images: lung (A) and soft tissue (B) reconstruction algorithm showed the cavitated area in correspondence of the apical segment of the lower left lobe.
Fig 4
Fig. 4
Normal sonogram of the right (A) and left (B) kidney.
Fig 5
Fig. 5
PA (A) and lateral (B) chest radiographs showed the resolution of the radiographic panel.

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