呼吸系统放射学诊疗空洞与空腔.ppt

squamous cell carcinoma A left lower lobe cavity with irregular thick wall 细支气管肺泡癌 孤立结节型 弥漫结节型 大片实变型 The diffuse type some opaque mottled shadows The sizes of the shadows are various The individual shadows varying from barely visible to lobar consolidation, and may contain air bronchograms 细支气管肺泡癌 孤立结节型 弥漫型 肺癌转移 Spread of tumor Hilar and mediastinal lymph node Mediastinal invasion Pleural involvement Chest wall invasion 肺转移瘤 secondary(metastatic) lung cancer Lymphangitic spread of breast cancer. CT reveals interstitial linear opacities and tiny nodules in both lungs 纵隔肿瘤mediastinal tumor 淋巴瘤治疗前后 甲状腺瘤胸内延伸 胸腺瘤 支气管囊肿 Pleural tumor 间皮瘤弥漫型 再见 干酪性肺炎caseous pneumonia The caseous pneumonia occurs in poor health patient The patient is usually with high fever 病理： 大叶性：大片渗出性结核性炎变 干酪样坏死而形成 小叶性：干酪空洞或干酪样化的 淋巴 结破溃经支气管播 散形成 caseous pneumonia X-ray features multiple cavities usually seen usually with bronchogenic disseminated focus in both low fields infiltrative pulmonary tuberculosis The tuberculoma is formed by fibrous tissue encysted caseous lesion The size is larger than 1.5cm in diameter 多见于上叶尖、后段、下叶背段 Infiltrative pulmonary tuberculosis—结核瘤 结核瘤X-ray features a round or oval opaque shadow with well-defined margin and high density typically in the upper lobes There may be calcific lesion “Satellite” lesions These lesions are stable for long periods of time Cavitation is extremely rare with tuberculoma infiltrative pulmonary tuberculosis infiltrative pulmonary tuberculosis infiltrative pulmonary tuberculosis 慢性纤维空洞型肺结核 chronic fibro-cavitative pulmonary TB 属继发性肺结核，晚期类型 由于好坏交替，多种病理改变并存 Symptoms : repeated low pyrexia, cough productive of mucoid sputum and haemoptysis Some pa