case_images: PMC7644318_01
case_images: MRI of the brain with and without contrast:small region of focal water restriction at the left mammillary body consistent with a subtle infarct in this area.
case_images: CRIRH2020-8844951.001.jpg
case_images: PMC7644318_01_CRIRH2020-8844951.001.jpg
case_images: fig1
case_images: An MRI of the brain with and without contrast showed a small region of acute infarction in the left mammillary body (Figure 1).
case_images: Focal necrotizing crescentic glomerulonephritis on kidney biopsy.
case_images: CRIRH2020-8844951.002.jpg
case_images: PMC7644318_01_CRIRH2020-8844951.002.jpg
case_images: fig2
case_images: His kidney biopsy reported focal necrotizing pauci-immune crescentic glomerulonephritis confirming the diagnosis of granulomatosis with polyangiitis (Figure 2).
case_images: Extensive patchy airspace disease on CT scan of the chest with contrast.
case_images: CRIRH2020-8844951.003.jpg
case_images: PMC7644318_01_CRIRH2020-8844951.003.jpg
case_images: fig3
case_images: A CT scan of the chest showed extensive patchy airspace disease throughout the lungs concerning for diffuse alveolar hemorrhage (Figure 3) which was confirmed with a bedside bronchoscopy.