Department of Research, St. Mary Mercy Hospital, Livonia, MI 48154, USA.
Clin Appl Thromb Hemost. 2012 Mar-Apr;18(2):201-5. doi: 10.1177/1076029611416640. Epub 2011 Aug 25.
To determine whether chest radiographs identify some abnormalities not shown as ancillary findings on computed tomography(CT) pulmonary angiograms of patients in whom pulmonary embolism (PE) was excluded. This was a retrospective study of reports of negative 64-detector CT pulmonary angiograms and chest radiographs. Among 332 patients with no PE, pulmonary parenchymal disease was shown in 60 (18%) only on standard chest radiographs, and pleural or pericardial disease was shown in 17 (5%) only on chest radiographs. Skeletal abnormalities were reported more frequently on standard chest radiographs, lymph nodes more frequently on CT angiograms. Some abnormalities on chest radiographs of patients in whom PE is excluded may not be described as ancillary findings on CT pulmonary angiograms. This suggests a need for ancillary findings on CT pulmonary angiograms to be described systematically. At present, however, plain chest radiographs in some patients show ancillary findings not reported on CT angiograms. [corrected].
为了确定胸部 X 光片是否能识别出某些异常，这些异常在排除肺栓塞（PE）的患者的计算机断层扫描（CT）肺动脉造影的辅助发现中未显示出来。这是一项对阴性 64 排 CT 肺动脉造影和胸部 X 光片报告的回顾性研究。在 332 名无 PE 的患者中，只有 60 名（18%）患者的标准胸部 X 光片显示肺实质疾病，只有 17 名（5%）患者的胸部 X 光片显示胸膜或心包疾病。骨骼异常在标准胸部 X 光片上报告得更频繁，淋巴结在 CT 血管造影上报告得更频繁。在排除 PE 的患者的胸部 X 光片中，一些异常可能不会被描述为 CT 肺动脉造影的辅助发现。这表明需要对 CT 肺动脉造影的辅助发现进行系统描述。然而，目前在某些患者中，普通胸部 X 光片显示出 CT 血管造影未报告的辅助发现。[更正]。
