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目的增强对原发性肺非霍奇金淋巴瘤CT影像表现的认识。方法回顾分析经病理及临床随访证实的原发性肺非霍奇金淋巴瘤的CT影像表现。结果CT表现为肿块影3例,结节影2例,边缘模糊、增强后强化明显。片状影4例,呈散在分布,双肺多发。实变影3例,呈大叶性实变,可见明显强化,病变内见支气管气象,间质性改变1例,两肺呈磨破玻璃样改变,呈网格状影。混合型5例,呈多种影像表现共存,胸腔积液1例较为少见。结论原发性肺非霍奇金淋巴瘤CT影像表现形式多种多样,具有一定的特征性,CT检查,结合临床表现有助于对该疾病的诊断。
Objective To enhance the understanding of CT imaging of primary pulmonary non-Hodgkin’s lymphoma. Methods The CT images of primary non-Hodgkin’s lymphoma confirmed by pathology and clinical follow-up were retrospectively analyzed. Results CT showed mass in 3 cases, nodules in 2 cases, the edge of the fuzzy, enhanced significantly enhanced. Flake shadow in 4 cases, scattered distribution, multiple lungs. Solidargeted in 3 cases, showed large real change, we can see significantly enhanced, see the bronchial lesion within the meteorological, interstitial changes in 1 case, both lungs were worn glass-like changes, a grid-like shadow. Mixed 5 cases, showed a variety of imaging coexistence, 1 case of pleural effusion is relatively rare. Conclusions The CT images of primary pulmonary non-Hodgkin’s lymphoma are various and have certain characteristics. CT examination combined with clinical manifestations is helpful for the diagnosis of this disease.