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患者男,57岁,因“咳嗽、胸闷3周”入院。无发热、咳痰及咯血,抗炎治疗无效。体检:未见明显异常。外院纤维支气管镜提示右主支气管及中间支气管外压性隆起。心电图提示窦性心动过缓、左室高电压。腹部B超未提示异常。肺功能基本正常,轻度肺气肿。血尿常规、肝肾功能基本正常,HBsAb(+),HbcAb(+)。胸腔冲洗液瑞氏染色未见癌细胞。CT检查(图1、2):后下纵隔软组织肿块影,密度欠均匀,与右肺下叶分界不清,右中叶支气
Male patient, 57 years old, because of “cough, chest tightness 3 weeks ” admission. No fever, sputum and hemoptysis, anti-inflammatory treatment is invalid. Physical examination: no obvious abnormalities. Outside the hospital fiberoptic bronchoscopy prompted the right main bronchus and middle bronchial pressure bulge. Electrocardiogram prompted sinus bradycardia, left ventricular high voltage. Abdominal B did not prompt abnormalities. Pulmonary function was normal, mild emphysema. Hematuria, liver and kidney function was normal, HBsAb (+), HbcAb (+). There was no cancer cells in the pleural fluid Wright’s stain. CT examination (Figure 1, 2): posterior inferior mediastinum soft tissue mass, the density is less uniform, and the right lower lobe leaf boundaries are unclear, right middle lobe