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临床资料患者,女,60岁,哈萨克族,既往身体健康,因“进行进咽下困难4周”来院就诊。胸部CT示:右肺上叶前段可见类圆形高密度影,边缘尚光整,可见浅分叶,所见气管、支气管走行通畅(肺窗,图1)。右肺上叶前段病灶大小约12.9 mm×14.3 mm,CT值55 Hu;食管中下段管壁不均匀增厚(纵隔窗);胸部诸构成骨未见明显骨质破坏;增强CT示:右肺上叶病灶呈不均匀强化(骨窗,图2),
Clinical data Patients, female, 60 years old, Kazakh, past physical health, because of “into the swallowing difficulties 4 weeks ” to the hospital. Chest CT showed: the upper right lobe of the upper lobe can be seen round high-density shadow, the edge is still smooth, visible shallow lobes, see the trachea, bronchus smooth (lung window, Figure 1). The size of the anterior segment of the upper lobe of right lung was about 12.9 mm × 14.3 mm and the value of CT was 55 Hu. The wall of the middle and lower esophagus was unevenly thickened (mediastinal window). No obvious bone destruction was found in all the components of the chest. Enhanced CT showed that the right lung Upper lobe lesions were unevenly strengthened (bone window, Figure 2),