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结节病是一种原因未明的多系统疾病,其中90％累及肺部。胸部CT检查可以发现胸片及体层片不能显示的肺内病变和肺门、纵隔淋巴结增大,常规X线检查对此病诊断不够准确。同时胸部CT还可以在治疗过程中观察增大的淋巴结和肺内病灶的动态变化。 1 病历介绍 1.1 病例1 女,53岁,因咳嗽、胸闷伴发热两个月入院。X光片表现为右肺上叶前段及右肺中叶模糊片状影,内部密度不均。左心缘旁也见模糊片状影,左心缘显示不清。消炎治疗后一个月复查,左肺病灶消失,右肺上叶前段仍见模糊片状
Sarcoidosis is a multi-system disease of unknown etiology, of which 90% involve the lungs. Chest CT examination can be found in the chest and slice can not show the lung lesions and hilar and mediastinal lymph nodes increased, routine X-ray diagnosis of the disease is not accurate enough. At the same time, chest CT can also observe the dynamic changes of enlarged lymph nodes and intrapulmonary lesions during the treatment. 1 medical records introduced 1.1 cases 1 female, 53 years old, due to cough, chest tightness with fever two months admitted. X-ray showed the right upper lobe and right middle lobe fuzzy patchy, uneven internal density. See also fuzzy left side of the flank shadow, left heart edge unclear. Anti-inflammatory treatment a month after the review, the disappearance of the left lung lesions, the upper right upper lobe still see fuzzy flake