Granulomatosis with polyangiitis chest x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]

Overview

An x-ray may be helpful in the diagnosis of granulomatosis with polyangiitis. Findings on an x-ray suggestive of granulomatosis with polyangiitis include 4 patterns as multiple nodules with or without cavitation; Pulmonary hemorrhage as airspace opacities; reticulations and nodules and wedge-like consolidation in periphery.

Chest X Ray

  • An x-ray may be helpful in the diagnosis of granulomatosis with polyangiitis. Findings on an x-ray suggestive of granulomatosis with polyangiitis include 4 patterns:[1][2]
    • Multiple nodules with or without cavitation
    • Pulmonary hemorrhage as airspace opacities
    • Reticulations and nodules
    • Wedge-like consolidation in periphery
  • Other disease features can also be seen in granulomatosis with polyangiitis which are related to:[3][4][5]

Gallery

  • Granulomatosis with polyangiitis- X ray PA view showing air opacities Source:Radiopaedia.org[6]

    Granulomatosis with polyangiitis- X ray PA view showing air opacities Source:Radiopaedia.org[6]

  • Granulomatosis with polyangiitis- X ray PA view showing nodules and reticular pattern: Source- Wikimedia commons[7]

    Granulomatosis with polyangiitis- X ray PA view showing nodules and reticular pattern: Source- Wikimedia commons[7]

  • Granulomatosis with polyangiitis- X ray Lateral view showing evidence of consolidation Source:Radiopaedia.org[8]

    Granulomatosis with polyangiitis- X ray Lateral view showing evidence of consolidation Source:Radiopaedia.org[8]

References

  1. ↑ Collins, Jannette (2008). Chest radiology : the essentials. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 978-0781763141.
  2. ↑ Aberle DR, Gamsu G, Lynch D (1990). "Thoracic manifestations of Wegener granulomatosis: diagnosis and course". Radiology. 174 (3 Pt 1): 703–9. doi:10.1148/radiology.174.3.2305053. PMID 2305053.
  3. ↑ Samara KD, Papadogiannis G, Nicholson AG, Magkanas E, Stylianou K, Siafakas N; et al. (2013). "A patient presenting with bilateral lung lesions, pleural effusion, and proteinuria". Case Rep Med. 2013: 489362. doi:10.1155/2013/489362. PMC 3665212. PMID 23762073.
  4. ↑ Audemard A, Bienvenu B, Magnier R, Fournier L, Galateau-Salle F, Silva NM (2013). "Clinical images: Bronchial stenosis in granulomatosis with polyangiitis (Wegener's)". Arthritis Rheum. 65 (12): 3303. doi:10.1002/art.38120. PMID 23983058.
  5. ↑ Girard C, Charles P, Terrier B, Bussonne G, Cohen P, Pagnoux C; et al. (2015). "Tracheobronchial Stenoses in Granulomatosis With Polyangiitis (Wegener's): A Report on 26 Cases". Medicine (Baltimore). 94 (32): e1088. doi:10.1097/MD.0000000000001088. PMC 4616693. PMID 26266344.
  6. ↑ Case courtesy of Dr Angela Byrne,="https://radiopaedia.org/cases/8123">rID: 8123, Accessed on April 5, 2018
  7. ↑ ;By Tom Buur (Own work) [CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0)]https://commons.wikimedia.org/wiki/File:Wegeners_Granulomatosis_CXR.jpg, Accessed on April 5, 2018
  8. ↑ Case courtesy of Dr Angela Byrne,="https://radiopaedia.org/cases/8123">rID: 8123, Accessed on April 5, 2018
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