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边缘密度

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Results: The most common locations of PIP were at the margin of both lower lobes and associated with local pleural thickening and adhesion. The density of nodule in which CT attenuation value was 15~60 HU (26.9±13.5HU) was lower than that of PLC. Most of them were round/round-like and irregular in shape. The interior density of lesion was inhomogeneous. The presence of calcification or multiple cavitations, straight margin sign, hole sign and without hilar and mediastinal adenopathy were of great significance in the diagnosis of such kind of disease.

结果:炎性假瘤多位于两肺下叶,邻近胸膜增厚、粘连,病灶密度偏低(平扫CT值15~60HU,平均26.9±13.5HU),与周围型肺癌比较有统计学差异,其形态以圆形/类圆形和不规则形多见,病灶内密度多不均匀,可见钙化及多发空洞,边缘呈平直状、周围见毛玻璃样改变及肺门纵隔无淋巴结肿大等征象对本病的CT诊断有意义。

Results: In the 23 cases of disease group, 16 cases were unilateral and 7 cases were bilateral. X-ray examination showed local prominence between ischium and pubis in all cases. Lamellar changes of the bone inhomogeneous in density with round translucence were found in 8 cases accompanied with intact cortex. Mild osseous hyperplasia was found in 8 cases without changes of periosteum and soft tissues. CT examination of 8 cases presented with local prominence between iscbium and pubis, translucence, cataclasm, discontiguous osteal cortex with irregular ends, sclerotic medullary cavity of honey surroundings, but no sequestration and changes of periosteum and soft tissues. The above-mentiooed X-ray features appeared in 14 cases among normal group, bilateral in 3 cases.

结果:病变组23例中,16例为单侧,7例为双侧。X线表现为坐骨耻骨结合处局限性骨膨隆,8例有层状改变,病变区内密度不均,有类圆形低密度透光影,骨皮质完整,8例周围骨质轻度增生,未见骨膜反应和软组织改变。8例CT表现为坐骨耻骨结合处局部膨大,其内有低密度透光区,有碎裂,骨皮质连续性中断,断端边缘欠整齐,邻近的髓腔轻度硬化,无明显的死骨和骨膜反应,邻近的软组织正常;正常组中14例出现上述X线改变,其中3例为双侧性。

By CT scanning,it is light density mostly with,but only small department has no average density;Its border is sharp with outer plate deletion mostly,inner plate changes gracile,and it is found partition and high density blotch in expansion on bone matrix defect area.

结果 6例患者,均单发;X线为圆形或类圆形软组织密度骨质缺损区,边界清晰;CT表现为病灶密度不均匀,以等密度为主,膨胀性颅骨破坏区边缘锐利,外板部缺失,内板变薄,内有高密度斑点及分隔。

Results:The mammographic features of 13 cases included:small tumours with smooth and sharp border in 4 cases,mean size 3.75cm×2.9cm;large tumours with phyllode border in 4 cases,mean size 8.25cm×7.12cm;Small tumours with rough border in 2 cases,mean size 2.25×2.25cm;tumour not found but with homoge...

结果 :13例X线征象:①肿物较小、边缘光滑锐利 4例,大小约 3 。75cm× 2 。9cm ;②肿物较大、边缘呈分叶状 4例,大小约 8.2 5cm× 7.12cm ;③肿物较小、边缘粗糙 2例,大小约 2 。2 5cm× 2 。2 5cm ;④腺体密度均匀未见肿物 1例;⑤腺体结构不良 2例。

Results The tumors were divided into three types according to the CT findings. Type I: regular, homogeneous density and well-defined,there were 30 patients, included benign mixed tumor(n=29) and adenolymphomas(n=1); Type II:irregular, heterogeneous dentsity, poordefined, there were 15 patients, included benign mixed tumor(n=7), malignant mixed tumor (n=2),adenolymphomas(n=3), hemagioma(n=2),mucoepidermoid carcinoma(n=1). Type III: irregular and could not definded, there were 7 patients, included malignant mixed tumor(n=2), mucoepidermoid carcinoma(n=2), adenoid cystic carcinoma(n=1), malignant lymphoma(n=1), acinic cell carcinoma(n=1). Conclusion CT have important values in location and qualitative analyses of parotid gland.

结果 肿瘤按CT表现分三类:52例患者中,I类30例,形态规则呈类圆形,密度均匀,边缘清楚,除1例腺淋巴瘤外,29例均为良性混合瘤;II类15例,形态不规则,呈分叶状,密度欠均,边界较清或模糊,其中7例良性混合瘤,2例恶性混合瘤,3例腺淋巴瘤,2例血管瘤,1例黏液表皮样癌;III类7例,形态不规则,边缘无法确定,其中恶性混合瘤2例,黏液表皮样癌2例,囊腺癌1例,恶性淋巴瘤1例,腺泡细胞癌1例。

Results: 24 cases of SAHLC produced the following CT manifestations: widening of anterior longitudinal cistern, sometime SAH visible in callosal sulcus or/and cingulate sulcus, so-called "callosal sulcus sign"; feather's configuration of longtitudinal cistern, partial disappearance of contiguous sulcus; widening of posterior longitudinal cistern with a coarse borderline.

结果:24例少量蛛网膜下腔出血表现为前纵裂池高密度影长度增加,8例伴有胼胝体沟征;纵裂池呈局限性羽毛状高密度影,邻近脑沟消失;后纵裂池密度增高增粗,边缘毛糙;复查显示上述征象均消失。

Results The findings of CT were: on plain scan, there was mix density inside the liver with obscure boundary, the liver and spleen were surrounded by liquid in five cases. Inhomogeneous enhanced tumor tissues were demonstrated at arterial phase. Capsula and cleft were seen in one case, and five with mix density. Embolus in portal vein was noted in two.

结果 平扫肝内呈混杂密度影,边界欠清晰,5例肝、脾周见液体密度影;增强扫描动脉期边缘可见不均匀强化,1例肿瘤可见包膜及裂口,5例密度不均匀,内可见多条裂隙;静脉期2例可见门静脉癌栓;造影剂渗漏均不明显。

The attenuation values at unenhanced and enhanced CT of the tumor were also recorded. Results The 32 cases adrenal neoplasms included 9 cases with aldosterone-producing adenoma, 5 hydrocortisone-producing adenomas, 1non-functional adenoma, 5 cortical hyperplasies,4 pheochromocytomas,2 adenocarcinomas, 3 metastases, 1 fibroneuroma, 1 ganglioneuroma and 1 myelolipomas. Conclusion The characteristics on CT images are associated with the pathological feature in adrenal neoplasms.

结果 醛固酮腺瘤9例,体积较小且密度低,增强后轻度增强;皮质醇腺瘤5例,瘤体较大,边界清,密度略低于正常肾上腺组织;无功腺瘤1例;结节增生5例,为等或稍低密度影,增强后强化较明显;嗜铬细胞瘤4例,体积较大,密度不均,可见多个囊变坏死区;皮质腺癌2例,肿块形态不规则,边缘模糊,密度不均匀,易发生大片坏死及点状钙化;转移瘤3例;神经纤维瘤、神经节瘤及髓性脂肪瘤各1例。

Results CT showed a intrapelvic mass of rectal wall or surrounding soft tissue with inequality of size, relation closeness with intestinal wall; rectall wall different degree compression and narrowing,and extruding surrounding tissue.Below 5cm tumor density were slightly reduced,but symmetrical. Exceed 5cm tumor moderately enhanced, but asymmetrical. CT value of major mass were 25-35Hu, with boundary zone nodule enhancement, contrast-enhanced CT value 50-60Hu, and centricity necrosis.

结果 (1)盆腔内直肠壁或直肠周围软组织肿块,大小不等,肿块与直肠壁关系密切;(2)直肠不同程度的受压、变窄,肿块主要向直肠腔外生长,对周围组织产生推挤压迫;(3)径线在5cm以下肿瘤平扫时密度稍低,但均匀,增强时表现为中等度均匀强化,无坏死;径线在5cm以上10例肿块密度平扫时呈稍低密度且不均匀,CT值25-35Hu,增强时较大的肿瘤边缘带中等度结节样强化,CT值50-60Hu,肿块中心部分无强化,呈坏死样改变。

The appearances of nonvascular lesions were as the following : solitary, huge cystic lesions with wall and septa obvious enhancement were found in malignant enbryonal sarcoma; mixed density mass with necrotic cystic change and solid portion enhanced obviously in carcinosarcoma; intrahepatic huge low density, cystic changes, calcification and margin enhancement were found in leiomyosarcoma.

血管源性表现为肝内多发低密度灶,强化明显,非血管源性表现为肝内巨大单发囊性病灶,增强囊壁和分隔明显强化;癌肉瘤表现为混杂密度肿块伴有坏死囊变,增强实质部分强化;平滑肌肉瘤表现为肝内巨大低密度病灶,可伴有囊变及钙化,增强见边缘强化。

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