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患者女,50岁。咳嗽、咳少量痰,伴发热,无胸闷、气促,无肢体乏力及夜间盗汗。实验室检查:CK-MB 46.4 U/L,嗜酸性粒细胞计数0.73×109/L。X线胸片示纵隔肿物。CT(图1～4):示中纵隔不规则形稍低密度肿物,平扫CT值约14～19 HU,边界清楚,密度不均,大小约11 cm×9 cm×11 cm,增强后轻度不均匀强化,CT值约20～28 HU,肿物内见低密度无强化区,肿物与邻近血管分界清楚,血管推压移位;两肺实质未见异常,心包少量积液,左侧少量胸腔积液。
Female patient, 50 years old. Cough, cough, phlegm, with fever, no chest tightness, shortness of breath, no physical weakness and night sweats. Laboratory tests: CK-MB 46.4 U / L, eosinophil count 0.73 × 109 / L. X-ray showed mediastinal tumor. CT (Figure 1 ~ 4): shows the mediastinal irregular shaped slightly low density tumor, CT scan value of about 14 ~ 19 HU, clear boundaries, uneven density, size of about 11 cm × 9 cm × 11 cm, enhanced Mild heterogeneous enhancement, CT value of about 20 ~ 28 HU, see the low density of the tumor without enhancement zone, the clear boundary between the tumor and adjacent blood vessels, vascular pressure shift; no abnormal lung essence, a small amount of pericardial effusion, Left a small amount of pleural effusion.