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患者女,57岁。间歇热13天(最高温度达38.6°),伴寒颤,无咳嗽咳痰。当地医院CT提示右肺下叶结节及右下肺支气管扩张伴感染。服用感冒药及抗生素后,来我院复查CT。CT表现:轴位CT图像示右肺下叶内基底段一个边缘光滑、境界清楚的结节,结节密度稍不均匀,大小约1.5 cm×1.4 cm。测量结节内的CT值,平均值为-46 HU(-30~-68 HU)。结节毗邻于右肺下静脉分支。结节无钙化或骨化密度影(图1,2)。邻近的肺组织见囊状支气管扩张改变(图3)。临床行胸腔镜下右下肺部分切除。
Female patient, 57 years old. Intermittent heat for 13 days (maximum temperature of 38.6 °), with chills, no cough and sputum. Local hospital CT tips lower right lung nodule and right lower lung bronchiectasis with infection. Taking cold medicine and antibiotics, to our hospital review CT. CT findings: Axial CT images showed a smooth edge of the basal segment of the right lower lobe, clear nodules, nodules slightly uneven density, size of about 1.5 cm × 1.4 cm. The CT values in the nodules were measured, with an average of -46 HU (-30 to -68 HU). Nodules are adjacent to the branch of the right pulmonary vein. Nodules without calcification or ossification density shadow (Figure 1,2). Adjacent lung tissue see cystic bronchiectasis changes (Figure 3). Clinical thoracoscopic right lower lung partial resection.