支气管扩张误诊为肺囊肿1例
发布时间：2019-03-09 14:34
【摘要】：正患者女,30岁,主因"间断咳嗽、咳痰1年,进行性加重1个月伴咳红黑色痰,胸痛20余天"入院。11年前曾患肺结核。查体:左肺下叶呼吸音减弱。胸部CT:平扫示左肺下叶分叶状团块,约9.4cm×8.5cm,边缘清晰,其内可见分隔,囊内低密度影CT值约25HU,增强扫描病灶内分隔及边缘强化,囊壁可见强化的血管影(图1A、1B);MIP图像示左肺下叶血管走行未见明显异常(图1C)。影像学提示:左肺下叶肺囊肿可能性大。遂
[Abstract]:The patient, 30 years old, was admitted to hospital for more than 20 days because of "intermittent cough, expectoration for 1 year, progressive aggravation for 1 month with cough red and black sputum, chest pain for more than 20 days". 11 years ago, she suffered from pulmonary tuberculosis. Check-up: the breathing sound of the lower lobe of the left lung is weakened. Chest CT: plain scan showed lobular mass of the lower lobe of the left lung, about 9.4cm 脳 8.5 cm, with clear edges with a septum in it, CT value of low density in the capsule about 25 Hu, enhanced enhancement of the inner septum and edge of the lesion, and enhanced angiogram on the wall of the capsule (fig. 1A, P < 0.05), and enhanced angiogram was seen in the wall of the cyst (figure 1A, P < 0.01). 1B); MIP images showed no significant abnormalities in the course of the left inferior lobe (Fig. 1C). Imaging findings showed that pulmonary cysts in the lower lobe of the left lung were more likely. So
【作者单位】： 吉林大学第二医院放射科;
【分类号】：R562.22;R816.4
[Abstract]:The patient, 30 years old, was admitted to hospital for more than 20 days because of "intermittent cough, expectoration for 1 year, progressive aggravation for 1 month with cough red and black sputum, chest pain for more than 20 days". 11 years ago, she suffered from pulmonary tuberculosis. Check-up: the breathing sound of the lower lobe of the left lung is weakened. Chest CT: plain scan showed lobular mass of the lower lobe of the left lung, about 9.4cm 脳 8.5 cm, with clear edges with a septum in it, CT value of low density in the capsule about 25 Hu, enhanced enhancement of the inner septum and edge of the lesion, and enhanced angiogram on the wall of the capsule (fig. 1A, P < 0.05), and enhanced angiogram was seen in the wall of the cyst (figure 1A, P < 0.01). 1B); MIP images showed no significant abnormalities in the course of the left inferior lobe (Fig. 1C). Imaging findings showed that pulmonary cysts in the lower lobe of the left lung were more likely. So
【作者单位】： 吉林大学第二医院放射科;
【分类号】：R562.22;R816.4
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