Medicine

A 45 year old man presents with hematuria. Renal biopsy demonstrates a focal necrotizing glomerulonephritis with crescent formation. The patient gives history of intermittent hemoptysis and intermittent chest pain of moderate intensity. A previous chest X-ray had demonstrated 90 multiple opacities, some of which were cavitated. The patient also has chronic cold like nasal symptoms. What is the most probable diagnosis?