晕征与反晕征.pptxVIP

晕征与反晕征 halo sign and reversed halo sign;;是指肺部CT或薄层CT上，肺密度轻度增加，支气管和血管轮廓可见，形似磨玻璃，称磨玻璃密度影。;晕征;分类;晕征病因;免疫功能不全 侵袭性曲霉菌、毛霉菌、念珠菌及隐球菌;一晕征-感染性疾病-真菌;中国CT和磁共振杂志 2014年6月 12卷 3期;免疫功能不全 常见单纯疱疹病毒、巨细胞病毒、 水痘带状疱疹病毒及粘病毒;slow-resolving bacterial pneumonia (吸收延迟性肺炎) 放线菌 结核分枝杆菌;1.64岁男，退休，咳嗽、间断咯血2月来诊。吸烟，既往健康，痰涂片革兰阴性菌，培养：卡他布兰汉菌；2.45岁，既往心梗，吸烟，咳嗽1月间断咯血10天，痰培养：流感嗜血杆菌;立克次体 寄生虫;肾上腺嗜铬细胞瘤 血管肉瘤转移瘤 肾细胞癌 绒毛膜癌 肺血管肉瘤 Kaposi肉瘤;Hemorrhagic metastasis in a patient with choriocarcinoma（???毛膜癌） who presented with massive hemoptysis. A: Computed tomography scan of the chest shows multiple hemorrhagic pulmonary nodules with a halo sign that have coalesced in the posterior segments of the right lung. B: Macroscopic lung slice showing several round hemorrhagic lesions. C: Macroscopic image of nodules containing hemorrhagic areas, fibrin, and tumor cells (hematoxylin-eosin,magnification ×10).;细支气管肺泡癌 消化系、胰腺、肺腺癌 淋巴瘤;Bronchioloalveolar carcinoma in a patient with chronic cough. A: Computed tomography scan of the chest shows nodules with a halo sign in the right lung, with some pseudocavitation (arrow). Also visible is a considerable area of consolidation in the left lung. B: Microscopic image showing thickened alveolar walls (asterisks) due to infiltration by tumor cells (arrows) ematoxylin-eosin ,magnification ×10).;;出血性结节 非出血性结节;三晕征-非感染性疾病-出血性结节;Wegener granulomatosis. A: Computed tomography scan showing 2 pulmonary nodules surrounded by a halo (arrows) and an area of consolidation in the left lower lobe (asterisk), also with a halo sign. The patient, whose first symptom was hemoptysis, also had rapidly progressing glomerulonephritis肾小球肾炎B: Microscopic image showing inflammatory infiltration of the arterial wall with a multinucleated giant cell (arrow) and endothelial destruction (arrowheads)(hematoxylin-eosin, magnification ×20).;结节病 机化性肺炎 闭塞性细支气管炎 嗜酸细胞肺炎 肺淀粉样变;反晕征;反晕征病因;一反晕征-感染性疾病-真菌;;;;一反晕征-感染性疾病-结核;二反晕征-机化性肺炎（19%）;二反晕征-机化性肺炎;三反晕征-非特异性间质性肺炎;四反晕征-结节病;五反晕征-肺栓塞;Multifoca