| Summary points: | A 60-year-old lady with mild and well controlled rheumatoid arthritis presents with a productive cough and right-sided pleuritic chest pain. This case report describes the imaging results, biopsy, serological tests, stains, and cultures, the treatment, and outcome, and includes some images. The authors discuss the differential diagnosis of lung nodules, current treatments for Wegener's granulomatosis, and possible complications of the disease. |