在患有先前慢性血栓栓塞性疾病的患者中,辅助性肺部疾病
Gianni Giancaspro1, Seth J Kligerman1
1From the Department of Radiology, Jewish General Hospital, 3755 ch de la Côte-Sainte-Catherine, Montreal, QC, Canada H3T 1E2 (G.G.); and Department of Radiology, National Jewish Health, Denver, Colo (S.J.K.).
Radiology. Cardiothoracic imaging
|September 11, 2023
概括
由注射粉碎片引起的辅助性肺病可以导致肺高血压. 在患有慢性血栓栓塞性疾病的患者中,一种独特的成像模式有助于诊断这种罕见的疾病.
科学领域:
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 辅助性肺部疾病是一种罕见的疾病,是由于静脉注射粉碎的口服药片而引起的.
- 它可以导致肺高血压,并且需要高度的临床怀疑才能诊断.
- 图像特征的发现对于识别这个实体至关重要.
研究的目的:
- 在患有辅助性肺病和先前存在的慢性血栓栓塞性疾病的患者中报告一种不寻常的成像发现组合.
- 突出特定成像模式在辅助性肺病中的诊断实用性.
- 为了将成像发现与病理学确认相关联.
主要方法:
- 一个疑似辅助性肺病患者的案例介绍.
- 详细分析成像检测结果,包括CT扫描.
- 在肺血栓内切除术期间获得的病理样本的审查.
主要成果:
- 观察到一个独特的分散的中心球结节的模式.
- 肺部细分段与慢性堵塞的肺动脉的节约被注意到.
- 病理学检查证实了外来物质的存在,与辅助性肺部疾病一致.
结论:
- 带有血管节约的中枢球结的特定模式表明了辅助性肺部疾病.
- 识别这种模式有助于诊断,特别是在患有同时存在肺血管疾病的患者中.
- 病理学确认加强了临床和成像诊断.
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