树芽征-省放傻匿年会.ppt

肺部CT 树芽征的诊断价值;树芽征(Tree-in-Bud Pattern) ;The tree-in-bud pattern is commonly seen at thin-section computed tomography (CT) of the lungs. It consists of small centrilobular nodules of soft-tissue attenuation connected to multiple branching linear structures of similar caliber that originate from a single stalk ;树芽征;病因;病因;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;(一) 感染（Infection）;1、细菌性感染(Bacterial Infection);HRCT表现;?Postprimary active tuberculosis in a 66-year-old woman with a chronic cough. High-resolution CT scans of the right lung show peripheral, poorly defined, small (2–4-mm-diameter) centrilobular nodules and branching linear opacities of similar caliber originating from a single stalk (the tree-in-bud pattern) in the lower lobe (arrow). These findings represent endobronchial spread of tuberculosis. ;?Postprimary active tuberculosis in a 34-year-old man with weight loss and a chronic cough. (a) High-resolution CT scan of the left lung shows a thick-walled cavity and multiple peripheral small nodules and branching linear structures (arrows). Note the thickening of the bronchial walls (arrowhead). ;Photomicrograph (original magnification, x400; hematoxylin-eosin stain) shows impacted caseous material (*) in small peripheral airways (arrow). ;男性，33岁。咳嗽、咳痰2月。;女性，35岁，咳嗽咳痰午后低热 1月;→;男性，34岁，咳嗽发热2周。;肺部非结核性分支杆菌（nontuberculous mycobacteria）;CT表现;Infection with M avium-intracellulare complex in a 44-year-old woman with malaise and a chronic cough. High-resolution CT scans of the right lung show multiple peripheral small nodules connected to branching linear opacities and a thick-walled cavity in the superior segment of the lower lobe. Note the thickening of the bronchial walls, bronchial dilatation, and mucus impaction. The diagnosis was confirmed with bronchoalveolar lavage. ;细支气管其他细菌感染;S aureus bronchiolitis in a 32-year-old man with acquired immunodeficiency syndrome (AIDS). (a) High-resolution CT