患者男性,52岁,因发热、咯血丝痰2月,于1998年1月16日入院。既往无结核病史。查体:体温39.0℃。浅表淋巴结未触及肿大。肺ＣＴ示左肺门一软组织影,未见明显钙化影,4ｃｍ×5ｃｍ×4ｃｍ,边缘不规则;左主支气管变窄,呈鼠尾征,病灶远端可见斑片影及气肿征;纵隔窗示隆突下肿大淋巴 The patient, male, 52 years old, was admitted to hospital on January 16, 1998 for fever and hemoptysis in February. No history of tuberculosis. Physical examination: Body temperature 39.0°C. Superficial lymph nodes did not touch swelling. Lung CT showed a soft tissue shadow of the left hilum, no obvious calcification, 4cm × 5cm × 4cm, irregular edges; left main bronchus narrowed, showed a tail tail sign, the lesion can be seen in the distal patch and emphysema sign; mediastinum The window shows the swelling of the carina