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支氣管擴張誤診為肺囊腫1例

發(fā)布時間:2019-03-09 14:34
【摘要】:正患者女,30歲,主因"間斷咳嗽、咳痰1年,進行性加重1個月伴咳紅黑色痰,胸痛20余天"入院。11年前曾患肺結(jié)核。查體:左肺下葉呼吸音減弱。胸部CT:平掃示左肺下葉分葉狀團塊,約9.4cm×8.5cm,邊緣清晰,其內(nèi)可見分隔,囊內(nèi)低密度影CT值約25HU,增強掃描病灶內(nèi)分隔及邊緣強化,囊壁可見強化的血管影(圖1A、1B);MIP圖像示左肺下葉血管走行未見明顯異常(圖1C)。影像學提示:左肺下葉肺囊腫可能性大。遂
[Abstract]:The patient, 30 years old, was admitted to hospital for more than 20 days because of "intermittent cough, expectoration for 1 year, progressive aggravation for 1 month with cough red and black sputum, chest pain for more than 20 days". 11 years ago, she suffered from pulmonary tuberculosis. Check-up: the breathing sound of the lower lobe of the left lung is weakened. Chest CT: plain scan showed lobular mass of the lower lobe of the left lung, about 9.4cm 脳 8.5 cm, with clear edges with a septum in it, CT value of low density in the capsule about 25 Hu, enhanced enhancement of the inner septum and edge of the lesion, and enhanced angiogram on the wall of the capsule (fig. 1A, P < 0.05), and enhanced angiogram was seen in the wall of the cyst (figure 1A, P < 0.01). 1B); MIP images showed no significant abnormalities in the course of the left inferior lobe (Fig. 1C). Imaging findings showed that pulmonary cysts in the lower lobe of the left lung were more likely. So
【作者單位】: 吉林大學第二醫(yī)院放射科;
【分類號】:R562.22;R816.4

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