Balakrishnan J, Meziane M A, Siegelman S S, Fishman E K
Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Medical Institutions, Baltimore, MD 21205.
J Comput Assist Tomogr. 1989 Nov-Dec;13(6):941-5.
The CT appearance of 12 proven pulmonary infarcts in 10 patients was analyzed and correlated with pathologic appearance. The diagnosis of pulmonary infarction was clinically suspected in only 2 of the 10 patients. A pleural based parenchymal density with convex, bulging borders and linear strands directed from the apex of the density toward the hilum was noted in each case (n = 12). Other features were a truncated apex (n = 10), a broad pleural base (n = 10), and scattered areas of reduced attenuation within the lesions (n = 7). This distinctive complex of findings on CT should raise a strong suspicion of pulmonary infarction.
分析了10例患者中12处经证实的肺梗死的CT表现，并与病理表现进行了对比。10例患者中仅有2例临床上怀疑有肺梗死。每例（n = 12）均可见以胸膜为基底的实质性密度影，边界呈凸形、膨出，并有从密度影顶端指向肺门的线状条索影。其他特征包括尖端截断（n = 10）、胸膜基底较宽（n = 10）以及病灶内散在的低密度区（n = 7）。CT上这种独特的表现组合应高度怀疑肺梗死。
