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British Journal of Radiology (2007) 80, e173-e175
© 2007 British Institute of Radiology
doi: 10.1259/bjr/57686881
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Atypical bronchial thickening and ulceration: a rare radiological finding in Wegener's granulomatosis

S Pauls, MD 1 S Krüger, MD 2 T F E Barth, MD 3 H-J Brambs, MD 1 and M S Juchems, MD 1

1 Department of Diagnostic and Interventional Radiology, 2 Department of Internal Medicine II, 3 Institute of Pathology, University of Ulm, D-89081 Ulm, Germany


Figure 1
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  		Figure 1. Chest radiography on admission: bilateral disseminated, hazy nodules (arrows).

 

Figure 2
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  		Figure 2. Uncommon thickening of the bronchial walls(arrow). In addition, there are scattered peribronchiolar consolidations (arrow).

 

Figure 3
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  		Figure 3. Irregular outer shape of the thickened bronchial walls(arrow) with multifocal peribronchiolar consolidations.

 

Figure 4
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  		Figure 4. Histology of bronchoscopic biopsies.(a) Histology (haematoxylin-eosin staining) reveals an ulcerative bronchitis with squamous metaplasia of the respiratory epithelium (arrows) and ulceration of the epithelium (stars). Large part of the biopsy (upper part) shows a granulomatous inflammation with extensive necrotic changes (bar = 200 µm). (b) Insert shows a high power view of the granulomatous inflammation with necrosis, fibrin deposition with intermingled granulocytes, and a single giant cell (arrow; bar = 100 µm).

 




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