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患者,女,47岁。间歇性咳嗽,夹杂少量血痰2周入院。当地医院胸片及CT示右上肺占位性病变。入院时一般情况可。查体:皮肤、巩膜无黄染、浅表淋巴结未触及,左上肺呼吸音稍弱,余肺清晰,未闻及干湿性罗音。心脏、腹部、四肢正常。肺内球形病灶穿刺活检细胞学检查:红细胞为主少数中性粒细胞、上皮细胞,未见癌细胞。 X线表现:左上肺尖部可见6.0×4.0cm大小类圆形状阴影,边缘尚清,余肺清晰。 CT表现:胸部平扫示左肺上叶可见一5×4cm软
Patient, female, 47 years old. Intermittent cough, mixed with a small amount of bloody sputum admitted to hospital for 2 weeks. Local hospital chest CT and CT showed the right upper lung lesions. The general situation on admission can be. Physical examination: skin, sclera no yellow dye, superficial lymph nodes not touched, left lung breath sounds weaker, more than clear lungs, no smell and wet and dry rales. Heart, abdomen, limbs normal. Spherical lesions in the lung biopsy biopsy: a small number of red blood cells neutrophils, epithelial cells, no cancer cells. X-ray findings: the left upper lung tip visible 6.0 × 4.0cm size class round shape shadow, the edge is still clear, more than clear lungs. CT performance: chest plain scan showed a left lung lobe a 5 × 4cm soft