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临床资料患者,男,67岁。因胸闷伴咳嗽1个月余入院。既往体健,无吸烟史。查体:浅表淋巴结未肿大,气管居中,右下肺呼吸音稍低,未闻及明显的干湿性啰音。胸部CT示:右下肺条索高密度影(图1),伴有部分肺不张可能。纤维支气管镜示:右肺下叶基底段支气管开口有新生物(图2),右肺下叶背段开口外压性狭窄,病理活检为支气管黏膜慢性炎症。入院诊断:右肺下叶不张,肺癌?入院后复查胸部增强
Clinical data, male, 67 years old. Due to chest tightness with cough for more than 1 month admitted to the hospital. Past health, no history of smoking. Physical examination revealed that superficial lymph nodes were not swollen and the trachea was centered. The right lower lung had a slightly lower breath sound and no obvious dry and wet voices were heard. Chest CT showed high-density shadow of the right lower lung (Figure 1), with some atelectasis may be. Fiberoptic bronchoscopy showed that there were new organisms in the bronchial opening of the basement segment of the right lower lobe (Figure 2). The pressure in the dorsal segment of the lower lobe of the right lung was narrow, and the pathological biopsy was chronic inflammation of the bronchial mucosa. Admission diagnosis: Right lower lobe atelectasis, lung cancer? Review chest enhancement after admission