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患者女性,75岁。查体发现右肺下叶占位2天。查体:右肺呼吸音略减弱,双肺未闻及干湿罗音;全身表浅淋巴结无肿大,全身皮肤、眼部、肛周及外生殖器未见痣、痔及色素沉着区。X线胸片示右肺下叶后基底段不规则肿块,密度不均,边缘毛糙。CT示右肺下叶见3.5 cm×3.5 cm×3 cm大小实性肿块,轻度浅分叶,密度中等均匀(图1),CH值34HU,病灶周围血管纹理显示清楚;增强扫描病灶呈中等不均匀强化,CT值39HU~
Patient female, 75 years old. Physical examination found that the right lung lower leaves occupy 2 days. Physical examination: Right lung breath sounds slightly weakened, both lungs did not smell and wet and dry rales; systemic superficial lymph nodes without swelling, body skin, eyes, perianal and external genital no moles, hemorrhoids and pigmentation area. X-ray showed right lower lobe of the basal segment after the irregular mass, uneven density, rough edges. CT showed lower right lobe 3.5 cm × 3.5 cm × 3 cm size of solid mass, mild shallow lobe, uniform density (Figure 1), CH value 34HU, showed clear vascular texture around the lesion; enhanced lesion was moderate not Even strengthen, CT value 39HU ~