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病例资料患者,女,70岁。因咳嗽、咳痰、痰中带血丝1月余,伴右侧胸痛入院。查体:无发热,听诊示右下肺呼吸音弱,无杵状指。实验室检查无异常。 CT检查:平扫纵隔窗图像示右肺下叶背段近胸膜处可见一2．6 cm×2．3 cm大小类圆形肿块,CT值为2 7．6 HU,边界清楚、光楚,无明显分叶及毛刺,邻近胸膜无增厚(图1);肺窗图像示肿块周围可见磨玻璃密影,呈晕圈征,肿块肺门侧可见引流血管影(图2)。CT增强扫描示肿块明显强化,CT值为90 HU,纵隔内未见肿大淋巴结(图3)。
Case information patients, female, 70 years old. Due to cough, sputum, bloody sputum more than 1 month, with right chest pain hospitalization. Physical examination: no fever, auscultation lower right lung breath sounds weak, no clubbing means. No abnormal laboratory tests. CT examination: The images of plain mediastinum window showed a 2.6 cm × 2.3 cm circular tumor with a CT value of 2 7.6 HU, a clear border, clear and clear Clear lobe and burr, adjacent to the pleural thickening (Figure 1); lung window images showed glabrous glass around the mass, was halo sign, mass hilar drainage tube can be seen (Figure 2). CT enhanced scan showed significantly enhanced mass, CT value of 90 HU, mediastinal no enlarged lymph nodes (Figure 3).