患者男,29岁。反复咳嗽.咳痰2个月,胸片发现双下肺片状阴影入院。体检及实验室检查未见异常。影像检查:胸片两肺下野多发片状密度增高阴影,边缘欠清晰。诊断两肺慢性感染可能,其他待除外。CT扫描:两肺多发不规则高密度影,内可见充气支气管影;增强扫描见病变强化不明显,两肺门及纵膈内未见肿大淋巴结。诊断为两肺肉芽肿,肿瘤待除外。纤维支气管镜检查:右肺中叶支气管粘膜肿胀。CT定位下行经皮穿 Patient male, 29 years old. Cough repeatedly .2 months sputum, chest X-ray film found double lower shadow hospitalization. Physical examination and laboratory tests showed no abnormalities. Image examination: multiple lower chest radiographs flake density increased shadow, the edge is not clear. Diagnosis of chronic lung infection may be the other to be excluded. CT scan: multiple irregular high-density lungs, inflatable bronchial shadow can be seen; enhanced scan enhancement was not obvious, two hilar and mediastinal no swollen lymph nodes. Two lung granulomas were diagnosed, except for the tumor. Fiberoptic bronchoscopy: right middle lung bronchial mucosa swelling. CT positioning down through the skin