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Results MRI appearances of painful ophthalmoplegia syndrome included patch or small nodule abnormal signal at the region of fissura orbitalis superior. The ipsilateral cavernous sinus was enlarged.

结果 痛性眼肌麻痹综合征MRI表现为眶上裂区斑片状或小结节状异常信号,患侧海绵窦增大、增宽,眶上裂和海绵窦邻近的颞叶脑膜局限性受累。

The serial examinations showed possible hypertrophic pulmonary osteoarthropathy throughout the bilateral pelvic bones and the long bones of both lower limbs, with a lobulated nodule in the right middle lung and multiple small nodules in both lung fields. The CT-guided biopsy pathologic study of this pulmonary nodule was adenocarcinoma.

经详细检查,发现骨骼扫描呈现两边骨盆以及下肢长骨骨增生性病变,並且在胸部X光以及断层扫描发现右上胸肺叶有一小叶状肿瘤与数个小结节遍布两边肺叶。

The HRCT findings in patients with BOOP include: 1 patchy consolidation (seen in 80% of cases) or ground-glass opacity (in 60% of cases), often with a subpleural and/or peribronchial distribution; and 2 small ill-defined nodules (30-50% of cases) which may be peribronchial or peribronchiolar.

HRCT上BOOP的表现包括:1、斑片状实变(见于80%的病例)或毛玻璃样影(见于60%的病例),通常位于胸膜下和/或支气管旁;和2、边界不清的小结节(见于30~50%的病例),可于支气管旁或细支气管旁。

Methods:Under the guidance of computer stereotactic equipment, the biopsy needle was introduced into the lesion in question which was impalpable but recognizable roentgenologically .

它是在常规乳腺X线片观察分析的基础上,对临床触不到,而X线片显示的乳腺小结节,微小钙化,局限致密浸润,通过电子计算机立体定位仪指导,将乳腺穿刺针直接刺入可疑病变区,取得活体组织标本,进行组织病理学检查的方法。

A small subpleural nodule about 1 cm in size was noted in rll ......

在右下叶,发现一颗位於肋膜下,大约一公分大小之小结节。。。。。。

Results The CT features included:(1)multiple lobar or segmental consolidation with air-bronchogram which extends to subpleural or irregular wall.

结果 特征性CT表现包括:(1)双肺多发实变伴支气管气相,充气支气管延伸至胸膜下或壁不规则、僵直;附近伴有成堆小结节影。

Pulmonary function tests showed restrictive ventilation disturbance and/or a decreased diffusing capacity in 12 patients and normal condition in 4 patients. Chest X-ray films showed multiple patchy consolidation in 12 patients and thickening of lung markings in 4 patients. HRCT scans demonstrated patchy consolidation and/or ground-glass opacity in 16 patients and fine nodular consolidation in 4 patients. The lesions were diffuse in 1 patients and had a predominantiy subpleural and/or peribron chovascular distrbution in 15 patients.

结果:14例患者主要表现为干咳和气短,2例主要表现为发热伴咳嗽。12例患者肺功能检查表现为限制性通气功能障碍和弥散功能减低,4例肺功能正常。12例患者X线胸片呈多发斑片实变影,4例表现为纹理增粗。16例患者HRCT扫描表现为多发斑片实变影和磨玻璃影,4例伴小结节。1例病变弥漫分布于双肺,15例病变位于胸膜下和沿支气管血管鼠分布。

Methods Sixty cases were confirmed by operation and pathology, 38 of the total were small lung cancer, 12 were tuberculoma, and 10 were inflammatory nodules.

目的:探讨动态增强CT 扫描对肺内孤立性小结节的鉴别诊断意义。

Results CT and HRCT had more sensitivity and specificity than X-ray chest film.There were more image manifestations in HRCT such as grand grass,net,line,nodular,honeycombing,bronchiectasis,honeycombing cyst,peribronchovascular interstitial thickening and irregularity.There were significant difference between them (P.05).These patients who were suspected IIP had better control and remission after being treated with hormone and immuno-suppressive drug.

结果 胸部CT在诊断方面比常规胸片有较大的优越性,HRCT则有更高的敏感性和特异性,HRCT表现出磨玻璃影、网状、线条、小结节、蜂窝影,支气管扩张、细支气管扩张、支气管壁和血管壁增厚及不规则等征象,12例临床疑诊为间质性肺炎的患者,经胸部HRCT诊断的12例,而胸部平片诊断的仅有2例,二者比较差异有显著性(P.05),HRCT疑诊的IIP患者,经临床激素及免疫抑制剂治疗,病情均得到控制或缓解。

objective to compare image manifestations values between high resolution computerized tomography and x-ray chest film in idiopathic interstitial pneumonia in the elderly.methods we analysed and compared image manifestations between hrct and x-ray chest film with 12 cases of clinically suspected iip in the elderly.results ct and hrct had more sensitivity and specificity than x-ray chest film.there were more image manifestations in hrct such as grand grass,net,line,nodular,honeycombing,bronchiectasis,honeycombing cyst,peribronchovascular interstitial thickening and irregularity.there were significant difference between them (p.05).these patients who were suspected iip had better control and remission after being treated with hormone and immuno-suppressive drug.conclusion it have more significant virtues in hrct to manifest iip in the elderly than x-ray chest film,and it also may manifest iip curative effect.

目的 比较高分辨断层摄影术、x线胸片检查对老年特发性间质性肺炎的诊断价值。方法对12例临床疑诊为间质性肺炎的老年患者,进行胸部hrct与胸部平片检查,并对照分析。结果胸部ct在诊断方面比常规胸片有较大的优越性,hrct则有更高的敏感性和特异性,hrct表现出磨玻璃影、网状、线条、小结节、蜂窝影,支气管扩张、细支气管扩张、支气管壁和血管壁增厚及不规则等征象,12例临床疑诊为间质性肺炎的患者,经胸部hrct诊断的12例,而胸部平片诊断的仅有2例,二者比较差异有显著性(p.05),hrct疑诊的iip患者,经临床激素及免疫抑制剂治疗,病情均得到控制或缓解。结论 hrct表现老年间质性肺炎的特点明显高于胸部平片,且hrct可以反映间质性肺炎的疗效。

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