Wegener granulomatosis with a large area of consolidation

A 51-year-old woman was admitted to our hospital with general fatigue, fever and cough. Upon examination, sinusitis, papules of the planta, polymorph leucocytosis, hypoalbuminaemia and an elevated level of PR3-antineutrophil cytoplasmic antibodies (ANCAs) were found. Her chest radiograph (figure 1A) and thoracic CT (figures 1B 2A) demonstrated a large area of consolidation with air bronchogram and cavitation in …