患者女,24岁。1984年10月起常有畏寒,发热,胸痛及咳嗽。1985年3月行X线断层检查示左肺多个块影(插图1),肺门琳巴结肿大,支气管无明显受压,良性肿块可能性大,不排除结核。支纤镜见左右各支气管粘膜充血、水肿,左上尖后明显,炎性分泌物较多。取该处组织活检,示慢性炎性粘膜组织,附少量肺组织,间质纤维增生,符合间质性肺炎。用异烟肼,链霉素抗痨两月无效。1987年8月起咯黄色豆渣样物,时有毛发。同年12月胸片复查仍左肺多发性肿块(插图2)。体查:胸廓无畸形,左上肺语颤低,叩诊浊,呼吸音弱,余无异常所见。1988 Female patient, 24 years old. Since October 1984, there have been chills, fever, chest pain and cough. In March 1985, a X-ray examination showed multiple segments of the left lung (Illustration 1). The lungs were swollen and the bronchus was not significantly compressed. The possibility of a benign mass was high, and tuberculosis was not excluded. The bronchoscopy showed congestion and edema of the left and right bronchial mucosa, and it was evident after the left upper cusp and more inflammatory secretions. Take the tissue biopsy, showing chronic inflammatory mucosal tissue, with a small amount of lung tissue, interstitial fibrosis, consistent with interstitial pneumonia. With isoniazid, streptomycin is not effective for two months. August 1987 yellow bean dregs-like material, sometimes hair. In the same year in December of the same year, chest radiographs still showed multiple masses in the left lung (Fig. 2). Physical examination: The thorax is not deformed, the left upper lung quiver is low, the sputum is turbid, the breath sounds are weak, and there is no abnormality. 1988