患者,女,19岁。2010年9月14日入学体检时,X线胸透发现两肺呈粟粒样改变。患者无发热、咳嗽、胸痛、胸闷等症状。体检:T36.5℃,P80次/min,R18次/min,发育正常,营养中等,全身浅表淋巴结不大,双肺叩诊呈清音,呼吸音清,未闻及干、湿性口罗音,心脏未见异常,腹部检查阴性。在南京 Patient, female, 19 years old. September 14, 2010 when entering the medical examination, chest X-ray found miliary-like changes in both lungs. Patients without fever, cough, chest pain, chest tightness and other symptoms. Physical examination: T36.5 ℃, P80 beats / min, R18 beats / min, normal development, moderate nutrition, systemic superficial lymph nodes is not large, percussion lung was clear voice, clear breath sounds, no smell and dry, wet oral rales, No abnormal heart, negative abdominal examination. In Nanjing