EURORAD ESR

Case 2243

A nodular mass as the only presentation of Wegener's granulomatosis

Author(s)
Crevits J, De Wever W, Verschakelen JA
 
Patient
male, 52 year(s)
 
 
  • Published 16.09.2003
  • DOI 10.1594/EURORAD/CASE.2243
  • Section Chest Imaging
  • Case Type Clinical Cases
  • Difficulty Resident
  • Views 3671
  • Language(s)
  • Figure 1
    Chest X-ray
     

    Two nodular thick-walled cavities in the right middle and upper lobe. The lesions are well-defined with an irregular inner wall, rather suggesting a lung tumour with central excavation.

     
    Area of Interest: unknown; Imaging Technique: Chest X-ray;

    Two nodular thick-walled cavities in the right middle and upper lobe. The lesions are well-defined with an irregular inner wall, rather suggesting a lung tumour with central excavation.

     
    Area of Interest: unknown; Imaging Technique: Chest X-ray;
     
     
  • Figure 2
    CT of the chest
     

    CT showed two nodular masses with thick walls and irregular cavitation in the right lung: posterior middle lobe (7cm) and anterior upper lobe (4cm). The lesions are surrounded by ground-glass opacities.

     
    Area of Interest: unknown; Imaging Technique: CT of the chest;

    CT showed two nodular masses with thick walls and irregular cavitation in the right lung: posterior middle lobe (7cm) and anterior upper lobe (4cm). The lesions are surrounded by ground-glass opacities.

     
    Area of Interest: unknown; Imaging Technique: CT of the chest;

    CT showed two nodular masses with thick walls and irregular cavitation in the right lung: posterior middle lobe (7cm) and anterior upper lobe (4cm). The lesions are surrounded by ground-glass opacities.

     
    Area of Interest: unknown; Imaging Technique: CT of the chest;

    CT showed two nodular masses with thick walls and irregular cavitation in the right lung: posterior middle lobe (7cm) and anterior upper lobe (4cm). The lesions are surrounded by ground-glass opacities.

     
    Area of Interest: unknown; Imaging Technique: CT of the chest;

    CT showed two nodular masses with thick walls and irregular cavitation in the right lung: posterior middle lobe (7cm) and anterior upper lobe (4cm). The lesions are surrounded by ground-glass opacities.

     
    Area of Interest: unknown; Imaging Technique: CT of the chest;
     
     
  • Figure 3
    Histopathological specimen

    Pallisaded rim of histiocytes with dying neutrophilic granulocytes; this lesion is most characteristic of M. Wegener.

     
    Area of Interest: unknown; Imaging Technique: Histopathological specimen;
     
     
Two nodular thick-walled cavities in the right middle and upper lobe. The lesions are well-defined with an irregular inner wall, rather suggesting a lung tumour with central excavation.
 
Two nodular thick-walled cavities in the right middle and upper lobe. The lesions are well-defined with an irregular inner wall, rather suggesting a lung tumour with central excavation.
 
CT showed two nodular masses with thick walls and irregular cavitation in the right lung: posterior middle lobe (7cm) and anterior upper lobe (4cm). The lesions are surrounded by ground-glass opacities.
 
CT showed two nodular masses with thick walls and irregular cavitation in the right lung: posterior middle lobe (7cm) and anterior upper lobe (4cm). The lesions are surrounded by ground-glass opacities.
 
CT showed two nodular masses with thick walls and irregular cavitation in the right lung: posterior middle lobe (7cm) and anterior upper lobe (4cm). The lesions are surrounded by ground-glass opacities.
 
CT showed two nodular masses with thick walls and irregular cavitation in the right lung: posterior middle lobe (7cm) and anterior upper lobe (4cm). The lesions are surrounded by ground-glass opacities.
 
CT showed two nodular masses with thick walls and irregular cavitation in the right lung: posterior middle lobe (7cm) and anterior upper lobe (4cm). The lesions are surrounded by ground-glass opacities.
 
Pallisaded rim of histiocytes with dying neutrophilic granulocytes; this lesion is most characteristic of M. Wegener.
 
 
 
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