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患者男,45岁。因体检发现左肺尖胸膜下肿块2周而入院。体检:神志清楚,心、肺、腹未见异常,双侧颈部锁骨上区未触及明显肿大淋巴结。胸部CT示:左肺尖胸膜下可见不规则软组织密度影,边界清晰,边缘光整未见毛刺,最大断面约5.1 cm×3.1 cm,病灶内侧密度较低,CT值约-10~-8 HU,前外侧密度较高呈软组织密度影;冠状位重建显示病灶广基底贴于肺尖胸膜下,邻近骨质未见破坏,增强扫描病灶实质部分呈渐进中度上均匀强化,CT值最高达72 HU,
Male patient, 45 years old. Due to physical examination found left subpleural tumor 2 weeks and admitted to hospital. Physical examination: Consciousness, heart, lung, abdomen no exception, bilateral cervical supraclavicular area did not touch the obvious enlarged lymph nodes. Chest CT showed that there was irregular soft tissue density in the left pleura under the pleura, clear boundary and no burr on the edge, the maximum cross section was about 5.1 cm × 3.1 cm, and the inside density of the lesion was lower. The CT value was about -10 ~ -8 HU , Anteroposterior density was higher soft tissue density; Coronal reconstruction showed the wide base of the lesion attached to the apical pleura, adjacent to the bone was not damaged, enhance the substantive part of the lesion was gradually moderately homogeneous, CT values up to 72 HU,