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CT diagnosis of spherical pneumonia
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CT diagnosis of spherical pneumonia
[Abstract] Objective: To evaluate the CT features of spherical pneumonia and improve CT diagnosis. Methods: 30 patients with clinically confirmed spherical pneumonia CT data were analyzed retrospectively. Results: The main CT showed pleural present near the round-like. Edges irregular, fuzzy, shallow sub-leaf; central density than the peripheral high, we can see ‘halo sign’, enhanced scan see clearly within the non-uniform slightly enhanced low-density areas; lesions with pleural contact with a wide range, we can see the more obvious bronchial inflatable Zheng, cavity slightly expanding; wall rules: non-inflammatory pleural effusion associated with side burner; lesions surrounded by increased swelling and distortion of congestive blood vessels; anti-inflammatory lesions after treatment review to absorb narrow and disappear. Conclusion: The CT signs of a certain characteristic, combined with clinical data will help with the diagnosis of spherical pneumonia and peripheral lung cancer identification.
[Keywords:] lung; pneumonia; Image
Spherical pneumonia, sometimes with the clinical and imaging the lungs to other spherical lesions, especially lung cancer, very similar and easy to misdiagnosis, the CT features of spherical pneumonia, foreign literature was no elaboration of the country will also rarely reported. This paper collected through the CT examination, data integrity, and clinically proven to do an analysis of 20 cases concluded in order to enhance the CT diagnosis of this disease.
1 Materials and methods
A total of 30 cases, male 24 cases and 6 females, aged 31 years old to 81 years, with an average age of 57.5 years. Course of 7 d ~ 3 months, an average of 30 d. Major clinical symptoms: 5 cases of fever, cough in 13 cases, sputum in 10 cases, 5 cases of hemoptysis, chest pain in 10 cases. Laboratory examination: two cases of elevated blood white fine: in 8 cases do fiberoptic bronchos
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