脑脓肿酷似肺癌转移；病例报告。
Brain abscess mimicking lung cancer metastases; a case report.
机构信息
Department of Respiratory Medicine, Okayama Rosai Hospital, Okayama, 1-10-25 Chikkomidorimachi, Minamiku, Okayama 7028055, Japan.
出版信息
Clin Imaging. 2013 Jan-Feb;37(1):147-50. doi: 10.1016/j.clinimag.2012.04.020. Epub 2012 Jun 8.
A 76-year-old woman came to us because of staggering, fever, dysarthria, and appetite loss. Magnetic resonance imaging (MRI) of the brain revealed multiple masses with surrounding edema. Chest X-ray and computed tomography demonstrated a mass-like lesion in the left lung and left pleural effusion. Lung cancer and multiple brain metastases were suspected. However, the brain lesions demonstrated a high intensity through diffusion-weighted MRI. The finding was an important key to differentiate brain abscesses from lung cancer metastases.
一位 76 岁女性因蹒跚、发热、构音障碍和食欲减退来我院就诊。脑部磁共振成像（MRI）显示存在多个伴周围水肿的肿块。胸部 X 光和计算机断层扫描显示左肺和左侧胸腔积液中有块状病变。怀疑患有肺癌和多发性脑转移。然而，弥散加权 MRI 显示脑部病变呈高信号。这一发现是将脑脓肿与肺癌转移区分开来的重要关键。
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