case_images: PMC10905200_01
case_images: The glomerulus displays a crescent-shaped zone characterized by hypercellularity and accompanied by an inflammatory infiltrate (macrophages indicated by arrow).
case_images: cureus-0016-00000053272-i01.jpg
case_images: PMC10905200_01_cureus-0016-00000053272-i01.jpg
case_images: FIG1
case_images: Notably, the renal biopsy introduced an entirely new dimension to the case, with findings suggestive of glomerulonephritis (Figure 1).
case_images: The CT scan of the chest revealed hilar lymphadenopathy, indicating the enlargement of lymph nodes in the pulmonary hilum. Lymph nodes were observed in the right upper lobe, interlobar region, middle lobe, and lower lobe, as well as in the left upper lobe, interlobar region, and lower lobe.
case_images: cureus-0016-00000053272-i02.jpg
case_images: PMC10905200_01_cureus-0016-00000053272-i02.jpg
case_images: FIG2
case_images: While the examination of the airways revealed normal findings, the discovery of bilateral hilar lymphadenopathy raised questions regarding the potential extent of lung involvement (Figure 2).