患者男性,58岁。因反复咳嗽、痰中带血20天入院。患者于当地医院行胸部CT检查发现右上肺结节影,考虑肺癌可能。为求进一步治疗,来我院就诊。查体:双侧语颤对称,未触及胸膜摩擦感,双肺叩诊清音,呼吸音清,未闻及明显干湿啰音及胸膜摩擦音。胸部增强CT示右肺上叶结节, Male patient, 58 years old. Due to repeated cough, sputum blood 20 days admitted. Patients at the local hospital chest CT examination found that the right upper lung nodules, lung cancer may be considered. For further treatment, come to our hospital. Physical examination: bilateral fibrillation symmetry, did not touch the friction of the pleura, lungs percussion voiceless, breath sound clear, unobstructed and obvious wet and dry rales and pleural friction sound. Chest enhanced CT showed right upper lobe nodules,