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Granulomatosis with Polyangiitis (GPA) Presenting as Mass-Like Consolidation

Granulomatosis with Polyangiitis (GPA) Presenting as Mass-Like Consolidation▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

An 18-year-old female presented with cough, fever, and hemoptysis. Initial imaging showed cavitary consolidation, treated as a lung abscess. CT revealed a large consolidation with cavitation, a few nodules, and patchy consolidation in other lung areas. Follow-up imaging showed the cavitary component initially increasing in size before resolving, with other nodules diminishing, leaving a faint hint of the prior cavity.

Key takeaways

This case illustrates an interesting presentation of Granulomatosis with Polyangiitis (GPA) manifesting as mass-like consolidation with cavitation. The patient had a history of recurrent sinusitis and developed renal failure. The cavitary component initially enlarged before responding to steroids and rituximab.

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