Hi Alaskatom, I am not going back to that ENT with his, as you so aptly called it, "bundling" offer. No way am I going through any surgery I don't need. So my immunologist said my pANCA was high, but C-ANCA is normal and MPO is normal. He recommended a lung biopsy, as he felt the results pointed to WG. What is the ESR and CRP readings you were high in? I don't know what that means. My chest CT scan showed some scarring and patchy infiltrates--perhaps from the pneumonia I had in December. I don't know who to see first.