Czekajska-Chehab Elzbieta, Kieszko Robert, Drop Andrzej, Milanowski Janusz, Krawczyk Paweł
Department Radiology, Medical University of Lublin, Lublin, Poland.
Ann Univ Mariae Curie Sklodowska Med. 2003;58(1):118-23.
The paper presents rare micronudular lesions found at US and CT in a 54-year-old patient with the stage 2 pulmonary sarcoidosis. The lesions were in the form of numerous nodules, 5-15mm in diameter, quite uniformly distributed in the parenchyma of the enlarged spleen. On the Us examination, the focus echogeneity was reduced, likewise on CT, in which the density at postcontrast scanning was found to be about 30H.U. However, no enlarged lymph nodes of the abdominal cavity and hepatic lesions, which often accompany nodular sarcoidosis of the spleen were detected. During steroid therapy, the condition of the patient improved, the pulmonary lesions subsided and the number and size of splenic foci gradually decreased. The case was compared to the available literature data concerning this uncommon form of sarcoidosis.
本文介绍了一名54岁2期肺结节病患者在美国超声（US）和计算机断层扫描（CT）检查中发现的罕见微小结节性病变。病变表现为大量结节，直径5 - 15毫米，相当均匀地分布在肿大脾脏的实质内。超声检查时，病灶回声性降低，CT检查亦是如此，增强扫描时密度约为30亨氏单位（H.U.）。然而，未检测到腹腔肿大淋巴结以及常伴随脾脏结节病出现的肝脏病变。在类固醇治疗期间，患者病情好转，肺部病变消退，脾脏病灶数量和大小逐渐减少。该病例与有关这种罕见结节病形式的现有文献数据进行了比较。
