Bergin C J, Wirth R L, Berry G J, Castellino R A
Department of Diagnostic Radiology, Stanford University School of Medicine, CA 94305.
J Comput Assist Tomogr. 1990 Sep-Oct;14(5):756-9. doi: 10.1097/00004728-199009000-00014.
We examined the chest radiography, CT, and high resolution CT (HRCT) of 14 patients with proven Pneumocystis carinii pneumonia. We compared the radiographic and HRCT patterns of abnormal lung parenchyma with histologic sections obtained in those 11 patients who had had transbronchial lung biopsies. Diffuse bilateral perihilar airspace disease was the most common radiographic pattern. Both CT and HRCT showed "ground glass" opacity in the lungs, through which the vessels remained visible in all patients. No enlarged lymph nodes or pleural effusions were seen in patients without associated lymphoproliferative disorders.
我们检查了14例经证实患有卡氏肺孢子虫肺炎患者的胸部X线片、CT和高分辨率CT(HRCT)。我们将11例接受过经支气管肺活检患者的异常肺实质的X线和HRCT表现与组织学切片进行了比较。弥漫性双侧肺门周围气腔病变是最常见的X线表现。CT和HRCT均显示肺部有“磨玻璃”样混浊,所有患者的血管在其中仍清晰可见。在无相关淋巴增殖性疾病的患者中未见淋巴结肿大或胸腔积液。