呼吸系统放射影像学.ppt

98,6,17 12*8mm ,Lobular resection,8 yrs alive Lung cancer:solid nodules * * * * * * * * * Heart failure Pneumothorax Emphysema Cavitating lesion Thin-walled Cavitating lesion Thick-walled Cavitating lesion 3mm Bronchiectasis Miliary shadowing Benign Patterns of Calcification Within a Solitary Pulmonary Nodule Chest Tube, NG Tube, Pulm. artery cath Clinical Factors Growth Pattern Size Margin (Border) Characteristics Density Contrast-Enhanced CT Other findings airspace opacification air bronchograms dense multifocal segmental pneumonia lung abscess cavitation Lobar/segmental consolidation Pneumonia finding infiltrates Miliary shadowing Tuberculoma Chronic fibro-cavitary TB Neoplastic: MalignantBronchogenic carcinomaSolitary metastasisLymphomaCarcinoid tumorNeoplastic: BenignHamartomaBenign connective tissue and neural tumors (e.g., lipoma, fibroma, neurofibroma)InflammatoryGranulomaLung abscessRheumatoid noduleInflammatory pseudotumor (plasma cell granuloma)CongenitalArteriovenous malformationLung cystBronchial atresia with mucoid impactionMiscellaneousPulmonary infarctIntrapulmonary lymph nodeMucoid impactionHematomaAmyloidosisNormal confluence of pulmonary veinsMimics of SPNNipple shadowCutaneous lesion (e.g., wart, mole)Rib fracture or other bone lesion loculated pleural effusion Hamartoma Bronchogenic carcinoma Bronchogenic carcinoma Granuloma chest radiograph shows a small, well-circumscribed, round opacity at the right lung base (arrows). Lateral view shows that the opacity is within the lung on two views (posterior segment of the right lower lobe) and thus represents a pulmonary nodule (arrow). Contrast CT in Malignant Solitary Pulmonary Nodule. Thin-collimation (3-mm) CT scans through left upper lobe nodule in a 62-year-old woman with biopsy-proven lung cancer shows a lobulated contour with positive enhancement of 50 H after contrast administration Malignant SPN Age at diagnosis: 55-60 years (range 40-80