Imaging Pearls ❯ Chest ❯ Pulmonary Hemorrhage
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- Pulmonary Hemorrhage: CT Findings
- Bilateral patchy perihilar infiltrates
- Ground glass centrilobular nodules
- Filling defect in major airways (clot) - Pulmonary Hemorrhage: Causes in Patients with Renal Disease
- Polyarteritis nodosa
- Churg-Strauss syndrome
- Goodpasture syndrome SLE (lupus)
- Henoch Schonlein purpura
- Rheumatoid artritis - Pulmonary Hemorrhage: Causes
- Bleeding diathesis (leukemia, hemophilia)
- Trauma
- Wegeners granulomatosis
- Drugs like amphotericin B and mitomycin
- Infectious disease
- Idiopathic pulmonary hemosiderosis - Wegener Granulomatosis: Facts
- Necrotizing vasculitis that involves small to medium vessels
- May involve ear, nose, throat, lung or kidneys
- Clinical presentation ranges from sinusitis to cough, fever, wheezing to hematuria - Wegener Granulomatosis: Facts
- Upper airways involved in up to 92% of cases, renal in 80% and joints in 67%
- Age at dx usually 40-55 yrs
- M=F but females have airway problems more commonly
- Treatment with steroids and cyclophosphamide - Wegener Granulomatosis: Chest
- Cavitary nodules
- Large airway stenosis
- Nodules 1-10 cm in size
- Consolidation with or w/o hemorrhage
- Subglottic stenosis
- Adenopathy uncommon