Rapidly progressive glomerulonephritis x-ray findings

Rapidly progressive glomerulonephritis Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]

X Ray

• There are no x-ray findings associated with rapidly progressive glomerulonephritis. However, if it is associated with anti-GBM antibody (Goodpasture syndrome).
• In Goodpasture syndrome, chest x-ray findings include the following:
  • On chest X-ray, Goodpasture syndrome is characterized by parenchymal consolidations.
  • Patients with Goodpasture syndrome have parenchymal consolidations from autoantibody induced inflammatory lesions that are most often present bilaterally in both lungs, the perihilar, and bibasilar regions.
  • Unusual locations for parenchymal consolidations include the apices and the costophrenic angles.
  • Patients with Goodpasture's however, may not show any signs of parenchymal consolidation, during the early stage of disease and in fact 18% of patients may present with no abnormal findings.
  • When pulmonary hemorrhage is recurrent an interstitial pattern is observed.