PMC3420076_01
CT scan shows hypodense renal mass with ring enhancement.
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fig1
The patient underwent abdominopelvic spiral CT scanning with IV contrast which revealed a hypodense mass at the left kidney suggesting of a renal abscess, tumors or less likely infiltrative lesions like lymphomas (Figure 1).
Photomicrograph (Jones staining x40) showing a normal glomerulus.
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fig2
The ANCA test was positive and pathologic study of the tissue sample with H&E, Masson, and Jones revealed sclerosis, granulomatosis inflammation, multinucleated giant cells, vasculitis, and severe fibrinoid necrosis without any malignant cell suggestive of Wagener's granulomatosis (Figures 2, 3, and 4).
Photomicrograph (Jones staining x400) showing granuloma and necrosis.
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fig3
The ANCA test was positive and pathologic study of the tissue sample with H&E, Masson, and Jones revealed sclerosis, granulomatosis inflammation, multinucleated giant cells, vasculitis, and severe fibrinoid necrosis without any malignant cell suggestive of Wagener's granulomatosis (Figures 2, 3, and 4).
Photomicrograph (Jones staining x400) showing sclerosis of a glomerulus.
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fig4
The ANCA test was positive and pathologic study of the tissue sample with H&E, Masson, and Jones revealed sclerosis, granulomatosis inflammation, multinucleated giant cells, vasculitis, and severe fibrinoid necrosis without any malignant cell suggestive of Wagener's granulomatosis (Figures 2, 3, and 4).