论文部分内容阅读
患者,男,43岁。因“间断咳嗽、咳痰、咳血3个月”入院。入院后胸部CT检查提示:双肺纹理增粗,肺野内见多发大小不等结节状及团块状高密度影,较大者位于左肺下叶,截面大小约为4.0cm×3.2 cm(纵隔窗),其内密度不均,内见斑片状钙化影,气管通畅,纵隔内见多发稍大淋巴结,双侧胸腔无积液(图1)。患者行全身PET—CT检查提示:双肺内多发结节、块状及斑片状高密度影,代谢增高,考虑感染性病变,结核可能性大,建议治疗后复查;双肺门及纵隔内见多个
Patient, male, 43 years old. Because of “intermittent cough, expectoration, hemoptysis 3 months ” admission. Thoracic CT examination after admission suggested that the lungs had thickening and multiple nodules and mass-like high-density images in the lung fields. The larger ones were located in the lower left lung and the cross-sectional area was about 4.0 cm × 3.2 cm Mediastinum window), its uneven density, see the patchy calcification, tracheal patency, mediastinal see multiple multiple lymph nodes, bilateral pleural effusion (Figure 1). The patients underwent whole-body PET-CT examination showed multiple nodules, massive and patchy hyperbilirubinemia in the lungs and increased metabolism. Considering infectious diseases, the possibility of tuberculosis was high and it was suggested to be reviewed after treatment. Both hilar and mediastinum See more