MRI appearance of pulmonary Wegener's granulomatosis with concomitant splenic infarction

Eur Radiol. 1998;8(3):367-70. doi: 10.1007/s003300050396.

Abstract

The MRI appearance of pulmonary lesions in a patient with Wegener's granulomatosis is presented. Pulmonary involvement was characterized by multiple solid and cavitated nodules connected to vessels. Transbronchial biopsy demonstrated typical findings of granuloma. The spleen presented diffuse low signal intensity and an enhancing capsule on T1-weighted images, and inhomogeneously high signal intensity on T2-weighted images. This appearance of diffuse infarction could result from the vasculitis caused by Wegener's disease.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy
  • Bronchi
  • Contrast Media
  • Follow-Up Studies
  • Gadolinium DTPA
  • Granulomatosis with Polyangiitis / diagnosis*
  • Granulomatosis with Polyangiitis / diagnostic imaging
  • Granulomatosis with Polyangiitis / pathology
  • Humans
  • Image Enhancement
  • Lung Diseases / diagnosis*
  • Lung Diseases / diagnostic imaging
  • Lung Diseases / pathology
  • Magnetic Resonance Imaging*
  • Male
  • Spleen / blood supply
  • Splenic Infarction / diagnosis*
  • Tomography, X-Ray Computed
  • Vasculitis / diagnosis
  • Vasculitis / pathology

Substances

  • Contrast Media
  • Gadolinium DTPA