患者女,35岁。因发热、咳嗽、咳痰7天,在门诊静脉应用青霉素钠和阿米卡星抗感染1周,症状无好转入院。查体温38.3℃,右上肺呼吸音稍减弱,未闻及干湿性音。血常规正常,血结素纯蛋白衍生物(PPD)IgG(-),痰涂片未找到抗酸杆菌;胸部正侧位X线片报告相当于右上肺尖段及后段可见小片 Female patient, 35 years old. Due to fever, cough, phlegm for 7 days, intravenous penicillin sodium and amikacin anti-infection in the clinic for 1 week, no improvement in symptoms. Check body temperature 38.3 ℃, right lung breath sounds slightly weakened, no smell and wet and dry  sound. Blood routine normal, plasma protein derivative (PPD) IgG (-), sputum smear did not find acid-fast bacilli; posterior chest X-ray report is equivalent to the right upper lung segment and the latter can be seen in small pieces