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目的 对照分析普通Ｘ线、ＣＴ在胸部淋巴瘤的改变，以期提高对其影像学表现的认识。方法 对有病理证实的６０ 例常规摄Ｘ线正侧位胸片、肺门和纵隔分层，１６ 例行ＣＴ扫描。结果 表现为纵隔／和肺门淋巴结肿大（以前中纵隔居多）、肺浸润、胸膜和心包病变。肺浸润分间质改变为主型、结节型、肺炎肺泡型和胸膜病变型。结论 同一病例多种影像学表现为其特点，多数病例可由平片及分层确诊，ＣＴ较其更敏感。影像学对胸内淋巴瘤病理分型的确定有待进一步探讨。
Objective To analyze the changes of common X-ray and CT in thoracic lymphomas in order to improve their understanding of imaging findings. Methods Sixty patients with pathologically confirmed X-ray radiographs, hilar and mediastinal stratification, and 16 routine CT scans were performed. The results were mediastinal/hilar lymphadenopathy (previously median mediastinum), pulmonary infiltrates, pleural and pericardial lesions. Pulmonary infiltrative mesenchymal changes were mainly type, nodular type, pneumonia alveolar type, and pleural lesion type. Conclusions Many imaging features of the same case are its features. Most cases can be diagnosed by plain film and stratification. CT is more sensitive. The determination of pathological types of intrathoracic lymphoma by imaging needs to be further explored.