局灶性机化性肺炎+CT+表现.docxVIP

1 6 20·201 5103 110 J Pract Radiol Oct.201 5Vol.31No.10实用放射学杂志年月第卷第期,,,局灶性机化性肺炎 CT 表现聂 晓1 ,李海军1 ,聂 思1 ,戴西件1 ,涂露霞2 ,彭德昌1(南昌大学第一附属医院 1 影像科;2 病理科,江西 南昌 330006 )　　摘要:目的 探讨局灶性机化性肺炎(FOP)的 CT 表现。方法 回顾性分析 1 7 例经手术或穿刺病理证实的 FOP 的 CT 表现, 所有患者均行 1 28 层螺旋 CT 平扫,13 例行多期增强扫描检查。结果 5 例位于左肺,1 2 例位于右肺,1 1 例位于下肺,5 例位于上肺,1 例位于中肺。14 例位于胸膜下。9 例病灶呈楔形团块影,5 例呈结节影,3 例呈球形肿块影。边界清楚 5 例,模糊 8 例,边界清 楚或模糊 4 例。毛刺 1 1 例,弓形凹陷征 2 例,彗星尾征 1 例。病灶内可见坏死 1 2 例,空泡 5 例。胸膜肥厚 10 例,胸膜牵拉 1 2 例。 增强扫描 1 3 例,其中 8 例病变内见肺血管影,延时强化 1 1 例,12 例强化不均匀。合并肺门或纵隔淋巴结肿大 4 例。结论 FOP 的CT 表现多样,缺乏特征性表现。影像表现为楔形团块合并一定张力的坏死区,相邻胸膜肥厚时需考虑本病。关键词:局灶性机化性肺炎;肺癌;计算机体层成像　　DOI:10 .39 6 9/j.issn.1002 -1 67 1 .201 5 .10 .01 1 中图分类号:R5 63 .1;R734.2;R814.42 　　文献标志码:A　　文章编号:1002 -1 67 1 (201 5 )10 -1 620 -04CT features of focal organizing pneumoniaN IE Xiao ,LI Haij un ,N IE Si ,DAI Xij ian ,TU Luxia ,PENG Dechang(De partment o f Radiology ,the First Affiliated Hos pital o f Nanchang University ,Nangchang 330006 ,China )　　Abstract:Objective To explore the CT findings of focal organizing pneumonia (FOP).Methods CT findings of 1 7 patients with FOP confirmed by pathology were retrospective reciewed,All patients underwent CT plain scan and 1 3 patients underwent contrast-enhanced CT scan.Results The lesions were located in the left lung in 5 cases and the right lung in 1 2 cases;and in the lower lobe in 1 1 cases,the upper lobe in 5 cases and in the middle lobe 1 case;and in the peripheral lungs in 14 lesions.The lessions showed ir-regular mass in 9 cases,nodule mass in 5 cases,and spherical lumps in 3 cases.The lesions showed well-defined boundary in 5 ca-ses ,fuzzy boundary in 8 cases,and well-defined or fuzzy boundary in 4 casese.The lesions had speculation in 1 1 cases,bow indenta-tion sign in 2 cases,and comet tailartifact in 1 case.Lessions showed necrosis in 1 2 cases and vacuoles in 5 cases.Pleural thickening was showed in 10 cases and pleural stretch in 1 2 cases.In 1 3 cases with contrast-enhanced CT scan,pulmonary vessels penetrated through the