患者,男性,26岁,因刺激性咳嗽、胸闷5个月,加重伴气短2个月于1997年10月6日入院。5月前无明显诱因出现刺激性干咳,右胸痛伴午后低热、消瘦,当地CT、MRI检查后拟诊“右纵隔淋巴瘤”。取右锁骨上淋巴结活检示“淋巴干酪型结核”,抗结核3个月后症状减轻。8月份右胸部有“皮疹”以“抗痨药过敏”停药,后症状加重。查右锁骨上可扪及1.0×1.5cm、1.5×2.5cm淋巴结,质中、光滑、活动度好,无压疼;右中肺闻及干鸣;X线正位片纵隔影增宽,可见弧形块影突入肺内,右肺门角可见结节 Patient, male, 26 years old, admitted to hospital on October 6, 1997 due to irritating cough, chest tightness for 5 months, and aggravating with shortness of breath for 2 months. There was no obvious incentive before May irritating dry cough, right chest pain with afternoon fever, weight loss, local CT, MRI diagnosis of “right mediastinal lymphoma.” Take the right supraclavicular lymph node biopsy showed “lymphobactic tuberculosis”, anti-TB symptoms after 3 months to reduce. Right chest in August there is a “rash” to “anti-drug allergy” withdrawal, after the symptoms worsened. Check the right clavicle palpable and 1.0 × 1.5cm, 1.5 × 2.5cm lymph nodes, quality, smooth, good activity, no pressure pain; right lung smell and dry Ming; X-ray anomalies mediastinal broadening can be seen Arc block shadow broke into the lungs, right hilar angle visible nodules