Skip to main content
Fig. 1 | Pediatric Rheumatology

Fig. 1

From: ANCA-associated vasculitis with cardiac valve vegetations in two teenage males: two case reports and a literature review

Fig. 1

CT scan findings for patient 1 (A-C) and patient 2 (D-F). A, B, C: CT chest of Patient 1. Final read: Ill-defined, confluent groundglass attenuation is present bilaterally in the lungs, roughly following the bronchovascular bundles. No dense consolidation is seen. No pleural effusions are identified. D, E, F: CT Chest of Patient 2. Final read: Subtle diffuse symmetric ground glass opacities throughout both lungs. Findings may represent pulmonary hemosiderosis related to sequela of prior diffuse bilateral pulmonary hemorrhage. Two well defined solid appearing soft tissue density nodules within the right middle lobe with surrounding tiny parenchymal cysts are present. Another similar appearing well defined nodule centered in the upper aspect of the major fissure of the left lung where it contacts the mediastinum is present. These nodular opacities are without cavitation or calcification and were not clearly seen on prior portable chest radiographs. Evaluation is limited due to the lack of IV contrast and their etiology is unclear. The tiny parenchymal cysts adjacent to the nodules in the right middle lobe could represent sequela of a necrotizing lung process. These nodules could represent organized parenchymal or pleural hematomas. The appearance is not highly suggestive of infection due to lack of surrounding inflammation. Neoplasm seems unlikely given the history

Back to article page