患者男,65岁。因咯血一月,咳嗽、胸痛三天入院。查体:桶状胸,双肺呼吸动度减弱。双肺叩呈过清音。听诊双肺呼吸音弱,并闻及局限性细湿罗音,X线胸片示:左肺中上野陈旧性结核(纤维化为主,部分钙化)。右侧胸腔包裹性积液。左侧胸膜广泛钙化。临床诊断左肺陈旧性结核,右胸包裹性积 Male patient, 65 years old. Due to hemoptysis, cough and chest pain were admitted to the hospital for three days. Physical examination: barrel chest, reduced respiratory activity in both lungs. The lungs were too clear. The auscultation lungs had weak breath sounds, and they also heard localized fine wet rales. The X-ray showed: old lung tuberculosis in the left lung (upper fibrosis, partial calcification). Right pleural effusion. The left pleura is extensively calcified. Clinical diagnosis of left lung old tuberculosis, right chest wrapped product