胸部常见CT征象认读教材教学课件.ppt

牵拉性支扩 小叶间质增厚 小叶间隔增厚 Diagnosis: Systemic lupus erythematosus（SLE系统性红斑狼疮肺部表现—肺结缔组织病, with fibrosis and honeycombing. Case 14 a 65-year-old woman with rheumatoid arthritis风湿性关节炎 and mild dyspnea 轻度呼吸困难 小叶间隔增厚 牵拉性支扩 胸膜下蜂窝肺 斜裂扭曲 Can you be confident that lung fibrosis is present? (a) Yes (b) No 你能确定肺纤维化存在？ YesCorrect. The presence of honeycombing is diagnostic of fibrosis. Traction bronchiectasis is also strongly suggestive of fibrosis. Interlobular septal thickening and irregular fissures are nonspecific, and cannot be relied upon to diagnose fibrosis. 蜂窝肺、牵拉性支扩—肺纤维化存在。 小叶间隔增厚、斜裂扭曲对肺纤维化的诊断意义