Task: Translation
Input (Spanish): Mujer de 69 años que consulta por expectoración hemoptoica. En los dos meses previos presentaba febrícula, astenia, anorexia y pérdida de peso no cuantificada. En el análisis citológico     de    esputo      se    observaron hemosiderófagos y en la radiografía de tórax infiltrados alveolares bilaterales. Analíticamente destacaba Hb 8.2gr/dL, PO2 58mmHg, creatinina 5mg/dL, orina proteinuria +++ microhematuria, cilindros, hemáticos. ANCAp (anticuerpos contra el citoplasma de los neutrofilos perinuclear) positivos anticuerpos antimembrana basal glomerular negativos. Anticuerpos antinucleares negativos. El diagnóstico más probable sería
Output (English): A 69-year-old woman consulted for hemoptotic expectoration. In the two previous months she had low-grade fever, asthenia, anorexia and unquantified weight loss. In the cytological analysis of sputum, hemosiderophages were observed and in the chest radiograph bilateral alveolar infiltrates were observed. Analytically it stood out Hb 8.2gr / dL, PO2 58mmHg, creatinine 5mg / dL, urine proteinuria +++ microhematuria, cylinders, hematics. ANCAp (antibodies against the cytoplasm of perinuclear neutrophils) positive anti-glomerular basement membrane antibodies negative. Antinuclear antibodies negative. The most likely diagnosis would be