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临床资料患者,女,47岁。右侧胸痛伴咳嗽1个月入院。入院查体:右上肺呼吸音减弱,余未见明显异常。胸部X线片示:右肺门有不规则肿块影,边缘模糊,密度不均匀(图1)。胸部CT示:右肺上叶类圆形块状密度不均匀增高影,边界清楚,最大截面积约7.5 cm×6.0 cm,病灶内可见囊状低密度区,有脂肪成分及钙化,增强扫描后边缘不均质轻度强化(图2)。考虑右肺上叶占位病变,畸胎瘤可能性大。
Clinical data, female, 47 years old. Right chest pain with cough 1 month admitted. Admission examination: right lung breath sounds weakened, I did not see significant abnormalities. Chest X-ray showed: irregular right hilar mass tumor, blurred edges, uneven density (Figure 1). Chest CT showed: the right upper lobe circular mass density unevenly increased shadow, clear boundary, the maximum cross-sectional area of about 7.5 cm × 6.0 cm, the lesion can be seen within the cystic low density area, fat composition and calcification, enhanced scan Edge heterogeneity mild enhancement (Figure 2). Consider the upper right lung lesions, teratoma possibility.