树芽标志 - 省辐射年会.pptVIP

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;影乓硼忿怠吝疥踪埔棒书亥乒辫剿钒倘桂陨候甸卸偶毒麓挤碘阔酉趾腥洁树芽标志 - 省辐射年会树芽标志 - 省辐射年会;(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 scan shows small peripheral centrilobular nodules and branc