Atypical radiological findings of Wegener’s granulomatosis

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Wegener's Granulomatosis is a rare and invariably fatal form of systemic vasculitis, but early diagnosis and management have significant positive impact on future outcome and prognosis. Wegener’s granulomatosis (WG) is characterized by necrotizing granulomatous lesions of the respiratory tract lower and upper, along with necrotizing glomerulonephritis and widespread disseminated vasculitis. In India, two forms of wegener's granulomatosis have been increasingly reported namely a limited WG (LWG) involving only upper and lower respiratory tract involvement; and the classical WG (CWG) with both respiratory and renal involvement. Study of this case emphasizes the need for careful consideration and systematic analysis of patient's along with diagnostic investigations.