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目的 探讨肾移植术后继发卡氏肺囊虫肺炎的影像表现。资料与方法 搜集经病理证实的肾移植术后继发卡氏肺囊虫肺炎 5例 ,均摄胸部X线片 ,其中 2例行胸部CT扫描。结果 胸片示病变呈双侧性网状结节影、浓密的斑片状影和云团状影及全肺实变影。CT扫描示肺内毛玻璃样、片状影以及正常肺与病变肺交织嵌合构成马赛克图形。结论 卡氏肺囊虫肺炎的影像表现呈多样性 ,X线胸片对本病的诊断有重要价值 ,最终确诊有赖于病理检查。
Objective To investigate the imaging manifestations of pneumocystis carinii pneumonia after renal transplantation. Materials and Methods Collecting pathologically confirmed 5 cases of Pneumocystis carinii pneumonia secondary to renal transplantation, chest radiographs were taken, of which 2 cases underwent chest CT scan. Results chest X-ray showed bilateral mesh nodular lesions, dense patchy shadow and cloud-like shadow and whole lung consolidation shadow. CT scans showed intraglular glass-like, flaky, and intercostal mosaic of normal and diseased lungs to create a mosaic pattern. Conclusion The manifestations of Pneumocystis carinii pneumonia are diversified. X - ray diagnosis of the disease is of great value. The final diagnosis depends on the pathological examination.