Wegener's Granulomatosis

  • Progressive changes
  • RUL anterior segment mass lesion
  • Cavitation
  • Thick walled cavity
Patient is a heavy smoker with a RUL anterior segment lesion. My working diagnosis was lung cancer. Transbronchial biopsy is reported as granuloma. Further studies confirmed the diagnosis of Wegener's Granulomatosis.

Sequential films below.

RUL anterior segment mass lesion 
Thick walled cavitation
Thick walled cavitation