Coblentz C L, Chen J T, Bernhardt P, Roggli V
Department of Radiology, Duke University Medical Center, Durham, North Carolina.
Can Assoc Radiol J. 1988 Dec;39(4):290-2.
The radiologic features of intralobar pulmonary sequestration (ILPS) have been described and include the identification of a feeding systemic artery on computerized tomography. Radiographically demonstrated calcification is rare and has been described only three times. We describe a patient with an ILPS whose radiographic findings were unusual for two reasons. First, while computed tomography (CT) demonstrated a tubular structure, it did not enhance with contrast material and thus was not considered to be a feeding vessel. Pathological examination revealed that this vessel had undergone thrombosis with subsequent organization and calcification. This finding also explains the second unusual feature, calcification, seen both on a plain chest radiograph and CT.
叶内型肺隔离症(ILPS)的放射学特征已有描述,包括在计算机断层扫描上识别出一条供血的体动脉。影像学显示的钙化很少见,仅被描述过三次。我们描述了一名患有ILPS的患者,其影像学表现因两个原因而不寻常。首先,虽然计算机断层扫描(CT)显示出一个管状结构,但它在注入造影剂后未强化,因此不被认为是供血血管。病理检查显示该血管发生了血栓形成,随后机化和钙化。这一发现也解释了第二个不寻常的特征,即在胸部平片和CT上均可见到的钙化。