case_images: PMC4748756_01
case_images: Chest X-ray (a) and CT scan (b) on admission. a Chest X-ray revealed thickened lung marking in both lower lung fields. b Chest CT scan showed honeycombing, reticular and ground glass opacities in the lower lung fields (arrows).
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case_images: PMC4748756_01_cnd-0006-0001-g01.jpg
case_images: F1
case_images: Chest X-ray revealed thickened lung marking in both lower lung fields (fig. 1a). Chest CT scan showed honeycombing, reticular and ground glass opacities in the lower lung fields (fig. 1b).
case_images: Lung biopsy showed eosinophilia (arrows), lymphocyte and plasma cell infiltration and multiple eosinophil inflammation without granuloma formation.
case_images: cnd-0006-0001-g02.jpg
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case_images: F2
case_images: Lung biopsy showed eosinophilia with vasculitis changes and granuloma formation (fig. 2).
case_images: Light microscopy and immunofluorescent findings on renal biopsy. The biopsy specimen contained 6 glomeruli, 2 of which with gomerulosclerosis. Another 2 showed segmental necrosis (arrows). Two granuloma-like structures were seen in situ. Diffuse chronic inflammatory cell infiltration with predominant lymphocytes and plasma cells was observed in mesenchyma.
case_images: cnd-0006-0001-g03.jpg
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case_images: F3
case_images: Percutaneous renal biopsy was performed and immunofluorescence microscopy disclosed linear staining of glomerular capillary basement membrane for IgG and C3, diagnostic for anti-GBM disease (fig. 3).
case_images: Chest CT scan showing anterosuperior mediastinal mass before (a; arrow) and after (b; arrow) treatment. a The size of the anterosuperior mediastinal mass was 3.5 x 1.9 cm with CT 5 HU. b The same mass was diminished to 1.2 x 1.0 cm with CT 16 HU.
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case_images: PMC4748756_01_cnd-0006-0001-g04.jpg
case_images: F4
case_images: Meanwhile, the anterosuperior mediastinal mass was remarkably diminished without thymectomy intervention (fig. 4).