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70F-year old female presents with hemoptysis and bilateral lower lobe pulmonary infiltrates. 

70F-year old female presents with hemoptysis and bilateral lower lobe pulmonary infiltrates.  A breast prosthesis overlies the right lower lobe   Ashley Davidoff MD TheCommonVein.net Wegeners-cavitation-002
Wegener’s Cavitation 
70F-year old female presents with hemoptysis and bilateral lower lobe pulmonary infiltrates  CT scan shows a dominant consolidation in the left lower and upper lobe Ashley Davidoff MD TheCommonVein.net Wegeners-cavitation-008

Combination of Ground Glass Infiltrates and Consolidation  with Some Nodules Dominantly Involving the Left Lower and Upper Lobe 

Wegener’s Cavitation 
70F-year old female presents with hemoptysis and bilateral lower lobe pulmonary infiltrates CT scan shows a ground glass opacity in the left lower lobe  and subsegmental consolidations and ground glass nodules in the right lower lobe Ashley Davidoff MD TheCommonVein.net Wegeners-cavitation-012
Wegener’s Cavitation  70F-year old female presents with hemoptysis and bilateral lower lobe pulmonary infiltrates CT scan shows a consolidation  in the left lower lobe  and subsegmental consolidations and  nodules in the right lower lobe Ashley Davidoff MD TheCommonVein.net Wegeners-cavitation-013

Necrosis within the Consolidation

Wegener’s Cavitation 
70F-year old female presents with hemoptysis and bilateral lower lobe pulmonary infiltrates CT scan shows a consolidation  in the left lower lobe  with early cavitation, and segmental airway thickening and ground glass nodules in the right lower lobe
Ashley Davidoff MD TheCommonVein.net Wegeners-cavitation-014
Wegener’s Cavitation
70F-year old female presents with hemoptysis and bilateral lower lobe pulmonary infiltrates CT scan shows a multiple nodules associated with the tracheobronchial tree in the in in the right  lower lobe associated with subtending blood vessels
Ashley Davidoff MD TheCommonVein.net Wegeners-cavitation-019
Wegener’s Cavitation
70F-year old female presents with hemoptysis and bilateral lower lobe pulmonary infiltrates CT scan shows a multiple ground glass nodules in the in the right  lower lobe  associated with blood vessels and dense consolidations in the left upper and left lower lobe
Ashley Davidoff MD TheCommonVein.net Wegeners-cavitation-020
Wegener’s Cavitation 70F-year old female presents with hemoptysis and bilateral lower lobe pulmonary infiltrates CT scan shows a multiple ground glass nodules in the in the right  lower lobe associated with subtending vessels and dense consolidations in the left lower lobe
Ashley Davidoff MD TheCommonVein.net Wegeners-cavitation-021
Wegener’s Cavitation
70F-year old female presents with hemoptysis and bilateral lower lobe pulmonary infiltrates CT scan shows dense consolidations in the left upper lobe
Ashley Davidoff MD TheCommonVein.net Wegeners-cavitation-010
70F-year old female presents with hemoptysis and bilateral lower lobe pulmonary infiltrates CT scan bilaterally small and scarred kidneys
Ashley Davidoff MD TheCommonVein.net Wegeners-cavitation-018

1 year later

70F-Wegeners-cavitation-1 year later
70F-year old female presents 1 year after an episode of severe  hemoptysis and bilateral lower lobe pulmonary infiltrate.  CXR  shows a large cavity in the left upper lobe and a shrunken left hemithorax
Ashley Davidoff MD TheCommonVein.net Wegeners-cavitation-022
70F-Wegeners-cavitation-1 year later
70F-year old female presents 1 year after an episode of severe  hemoptysis and bilateral lower lobe pulmonary infiltrate.  CXR  shows a large cavity in the left upper lobe and a shrunken left hemithorax
Ashley Davidoff MD TheCommonVein.net Wegeners-cavitation-022
70F-Wegeners-cavitation-1 year later 70F-year old female presents 1 year after a severe episode with hemoptysis and bilateral lower lobe pulmonary infiltrates Current  CT scan shows a large cavity in the left upper lobe and a shrunken left hemithorax
Ashley Davidoff MD TheCommonVein.net Wegeners-cavitation-024

 

70F-year old female presents 1 year after a severe episode with hemoptysis and bilateral lower lobe pulmonary infiltrates Current CT scan shows a large cavity in the left upper lobe and a shrunken left hemithorax
Ashley Davidoff MD TheCommonVein.net Wegeners-cavitation-018
70F-year old female presents 1 year after a severe episode with hemoptysis and bilateral lower lobe pulmonary infiltrates Current CT scan shows a large cavity in the left upper lobe and a shrunken left hemithorax
Ashley Davidoff MD TheCommonVein.net Wegeners-cavitation-027
70F-year old female presents 1 year after a severe episode with hemoptysis and bilateral lower lobe pulmonary infiltrates Current CT scan shows a large cavity in the left upper lobe and a shrunken left hemithorax
Ashley Davidoff MD TheCommonVein.net Wegeners-cavitation-028
70F-year old female presents 1 year after a severe episode with hemoptysis and bilateral lower lobe pulmonary infiltrates Current CT scan shows no residual infiltrates in the lower lobes but shrunken left hemithorax

 

Radiographics

Unusual presentations of Wegener’s