PMC7644318_01
MRI of the brain with and without contrast:small region of focal water restriction at the left mammillary body consistent with a subtle infarct in this area.
CRIRH2020-8844951.001.jpg
PMC7644318_01_CRIRH2020-8844951.001.jpg
fig1
An MRI of the brain with and without contrast showed a small region of acute infarction in the left mammillary body (Figure 1).
Focal necrotizing crescentic glomerulonephritis on kidney biopsy.
CRIRH2020-8844951.002.jpg
PMC7644318_01_CRIRH2020-8844951.002.jpg
fig2
His kidney biopsy reported focal necrotizing pauci-immune crescentic glomerulonephritis confirming the diagnosis of granulomatosis with polyangiitis (Figure 2).
Extensive patchy airspace disease on CT scan of the chest with contrast.
CRIRH2020-8844951.003.jpg
PMC7644318_01_CRIRH2020-8844951.003.jpg
fig3
A CT scan of the chest showed extensive patchy airspace disease throughout the lungs concerning for diffuse alveolar hemorrhage (Figure 3) which was confirmed with a bedside bronchoscopy.