This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
[{'content': "The most likely diagnosis in the case of a patient with multiple pulmonary cavities, hematuria and red cell casts is \nSelect and explain. \nA. Anti-GBM disease, B. Churg-Strauss, C. Systemic lupus erythematousus, D. Wegner's granulomatosis", 'role': 'user'}, {'content': "Answer: D \nExplanation: Ans. is 'd' i.e., Wegner's granulomatosis", 'role': 'assistant'}]