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患者女,67岁。偶有乏力,盗汗年余。1995年11月6日本院X线平片及CT平扫诊断为左肺下叶后基底段结核球,CT提示多个卫星灶,建议治疗后随访观察。1997年2月17日再次来院做CT检查。影像学检查:胸片见左下肺球形病灶,边缘光整,有分叶。前后两次胸片对比病灶无明显变化。CT平扫显示左肺下叶后基底段不规则团块状影,直径约3cm,有分叶,并见一S状血管样影与病灶相连,病灶近肺门侧可见数个圆形结节,直径4～7mm,其中之一见于10个连续扫描层面(层厚、间距均为
Female patient, 67 years old. Occasional weakness, night sweats more than. November 6, 1995 in our hospital X-ray and CT plain scan diagnosis of basal tuberculosis after the lower left lung lobes, CT prompted a number of satellite lesions, the proposed follow-up observation after treatment. February 17, 1997 again to do hospital CT examination. Imaging examination: chest X-ray see the left lung lesions, edge finishing, lobulation. Before and after two chest X-ray contrast lesions no significant change. CT plain scan shows the left lower lobe of the basal segment after the irregular mass-like shadow, a diameter of about 3cm, lobulated, and see a S-like vascular sample connected with the lesion, near the hilar lesions can be seen several circular nodules , Diameter 4 ~ 7mm, one of which is found in 10 consecutive scanning planes (layer thickness, spacing are