This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Membranous Glomerulopathy and Membranoproliferative Glomerulopathy, Subject name: Pathology
[{'content': "All of the following are seen in Goodpasture's syndrome, except: \nSelect and explain. \nA. Crescentic glomerulonephritis, B. Hemorrhagic inflammation, C. Anti-GBM antibody, D. Diffuse alveolar involvement", 'role': 'user'}, {'content': 'Answer: D \nExplanation: Goodpasture syndrome Type II hypersensitivity reaction) Presence of antibodies against non-collagenous domain of a3 chain of collagen IV causing destruction of basement membrane in renal glomeruli and pulmonary alveoli. Histologically, the alveoli show focal necrosis (not diffuse involvement), intra-alveolar hemorrhage, presence of hemosiderin laden macrophages and hyperophy of type II Pneumocytes.', 'role': 'assistant'}]