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铺路石样改变及纵隔淋巴结肿大的罕见病因:充血性心力衰竭。

A rare cause of crazy-paving and mediastinal lymphadenopathy: congestive heart failure.

作者信息

Senturk Aysegul, Karalezli Aysegul, Soyturk Ayse Nur, Hasanoglu H Canan

机构信息

Department of Pulmonary Diseases, Ataturk Educational and Research Hospital, Bilkent/Ankara, Turkey.

出版信息

J Clin Imaging Sci. 2013 Jul 29;3:30. doi: 10.4103/2156-7514.115762. eCollection 2013.

DOI:10.4103/2156-7514.115762
PMID:24083067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3779386/
Abstract

Crazy-paving sign is a pattern seen on multislice computed tomography images of the lungs. It is characterized by a reticular pattern superimposed on ground-glass opacity. It was first described in the late 1980s in patients with pulmonary alveolar proteinosis, but has now been described in some other diseases of the lung. Enlarged mediastinal lymph nodes can be seen in infectious and specific inflammatory diseases and malignancies. The present report describes a case of a 44-year-old man in whom congestive heart failure presented with a crazy-paving appearance and enlarged lymph nodes of the lungs on the chest computed tomography scan.

摘要

碎石路征是在肺部多层计算机断层扫描图像上看到的一种表现形式。其特征是网状影叠加在磨玻璃样密度影上。它于20世纪80年代末首次在肺泡蛋白沉积症患者中被描述,但现在在其他一些肺部疾病中也有报道。在感染性疾病、特异性炎症性疾病和恶性肿瘤中可见纵隔淋巴结肿大。本报告描述了一名44岁男性病例,其充血性心力衰竭在胸部计算机断层扫描中表现为碎石路征及肺部淋巴结肿大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75fc/3779386/0b549bd0f066/JCIS-3-30-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75fc/3779386/8b56e3ac665a/JCIS-3-30-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75fc/3779386/5170d3bfce8e/JCIS-3-30-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75fc/3779386/fde9460b92a5/JCIS-3-30-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75fc/3779386/0b549bd0f066/JCIS-3-30-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75fc/3779386/8b56e3ac665a/JCIS-3-30-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75fc/3779386/5170d3bfce8e/JCIS-3-30-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75fc/3779386/fde9460b92a5/JCIS-3-30-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75fc/3779386/0b549bd0f066/JCIS-3-30-g005.jpg

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本文引用的文献

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Diagn Interv Radiol. 2011 Mar;17(1):18-29. doi: 10.4261/1305-3825.DIR.2901-09.1. Epub 2010 Jul 28.
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The crazy-paving pattern on computed tomography.计算机断层扫描上的碎石路样表现。
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Can Respir J. 2006 Jul-Aug;13(5):269-71. doi: 10.1155/2006/203830.
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