A 45 year old patient presented with bloody nasal discharge and recurrent upper respiratory symptoms. He suddenly developed palpable purpuric lesions and hemoptysis following which a CT Thorax was performed. It revealed multiple cavitatory lesions as displayed here. The most likely diagnosis is ?

A 45 year old patient presented with bloody nasal discharge and recurrent upper respiratory symptoms. He suddenly developed palpable purpuric lesions and hemoptysis following which a CT Thorax was performed. It revealed multiple cavitatory lesions as displayed here. The most likely diagnosis is ?

1. Wegeners granulomatosis
2. Kawasaki disease
3. Tuberculosis
4. Cavitatory metastasis

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