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患者女性,34岁,医院职工。体检发现左上肺有一结节,无自觉症状。查血沉35mm/h,PPD阳性。胸部平片(图1)左上肺结节性质待查。胸部CT平扫(图2—3)及增强扫描(图4)显示左上叶前段结节病灶增强后有明显强化。考虑:肺癌、球型肺炎、结核瘤,建议行穿刺活检或支纤镜检助诊。后转湖南医学院湘雅医院胸外科会诊。复查血沉25mm/h,综合所有资料后意
Patient female, 34 years old, hospital worker. Physical examination found a nodule in the left upper lung, no symptoms. Check erythrocyte sedimentation rate 35mm / h, PPD positive. Chest plain film (Figure 1) left upper pulmonary nodule nature to be investigated. Chest CT scan (Figure 2-3) and enhanced scan (Figure 4) showed that the anterior superior left nodule lesions enhanced significantly after enhancement. Consider: lung cancer, ball pneumonia, tuberculosis, it is recommended to line biopsy or fibromyalgia inspection. Hunan Medical College Xiangya Hospital thoracic surgery consultation. Review erythrocyte sedimentation rate 25mm / h, after all the information Italian