病例1(图1.2)〔病历简介〕患者男性,40岁。胸闷憋气两个月余,拍胸片发现两肺门阴影增大,体检未发现阳性体征,考虑结节病,用激素治疗50天后自觉症状减轻,拍片复查示两肺门阴影缩小。〔胸片〕1987年10月21日胸部正位像示两肺门阴影对称性增大,呈土豆块状,边缘清楚(图1)。1987年12月10日拍片复查可见两肺门阴影仍较大,但较前片肺门阴影有缩小(图2)。其他未见异常。 Case 1 (Figure 1.2) [Medical History] Male patient, 40 years old. Chest tightness, suffocation for more than two months, chest X-ray film found that the hilar shadow increased, physical examination did not find positive signs, consider sarcoidosis, 50 days after treatment with hormonal subjective symptoms, film review revealed reduced hilar shadow. 〔Chest radiograph〕 October 21, 1987 chest anteroposterior as the hilar shadow symmetry increased, was potato block, clear edge (Figure 1). December 10, 1987 film review showed two hilar shadow is still large, but the former hilar shadow has reduced (Figure 2). No other abnormalities.