文档介绍：肺脓肿影像诊断  The imaging diagnosis of lung abscess
福建医科大学附属第一医院
李忠明
2018/3/3
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主要内容
病例回顾
肺脓肿临床及病理
肺脓肿影像诊断
鉴别诊断
小结
(A) An X-ray shows an abnormal shadow in the right upper lobe.
(B) Chest CT with contrast enhancement shows a ring-enhancing solid mass measuring 53×43 mm in size in the right upper lobe with significant mediastinal lymphadenopathy.
(C) A PET/CT scan reveals a high uptake in the mass, with a maximum SUV of , and the mediastional lymph node, with a maximum SUV of
… Am J Case Rep. 2014; 15: 243–245.
Lung cancer mimicking lung abscess formation on CT
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A follow-up CT scan shows an increase in the size of the mass 59×49 mm( 53×43 mm)
The final results of the pathologic examination showed a pleomorphic carcinoma
follow-up
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Figure 1. Chest radiograph shows a large cavity with air fluid level in left lung.
Figure 2. CECT Thorax at the level of carina showing a large cavity with air fluid level in left lung. Wall of the cavity is irregular.
The Clinical Respiratory Journal. 2009 : 116–117
Carcinoma lung masquerading as lung abscess
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Figure 1: Chest X-ray at presentation plete opacification of the right hemithorax.
Figure 2: CT scan chest plete replacement of the right lung with multiple abscesses.
Bronchial Carcinoid Presenting as Multiple Lung Abscesses
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male,
24 years old, cough, fever
Secondary pulmonary tuberculosis with cavity
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D
follow-up
文献
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周震,吕岩,谢汝明,[J].临床放射学杂志,2014,33(1):29-33.
[J]. 临床肺科杂志 2007, 12(7) : 755.
Taira N, Kawabata T, Gabe cancer mimicking lung abscess formation on CT J Case Rep[J]. 2014 Jun 7;15:243-5.
Khurana A, Mohapatra PR, Dhingra lung masquerading as lung abscess[J].Clin Respir J. 2009 Apr;3(2):116-7.
Waheed Z, Irfan M, Fatimi S, Shahid R. Bronchial carcinoid presenting as multiple lung abscesses[J].J Coll Physicians Surg Pak. 2013 Mar;23(3):229-30.
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