Cannonball opacities in a pregnant woman

A 26-year-old woman presented at week 20 of pregnancy with a 3-month history of fever, cough, and breathlessness. She had hearing loss, epistaxis, nasal crusting, haemoptysis, and a purpuric rash over her legs. No significant weight loss was reported. Chest x-ray (with abdominal shield) showed bilateral cannonball opacities, and contrast-enhanced chest CT (with abdominal shield) revealed multiple nodules, without pleural effusion or...