胸部X光片上的一个模糊阴影。
A Phantom Opacity on Chest Radiograph.
作者信息
Pinho Dos Santos Diana, Delgado Marlene, Carragoso Adelino
机构信息
Internal Medicine Service, Centro Hospitalar Tondela-Viseu, E.P.E., Portugal.
出版信息
Eur J Case Rep Intern Med. 2020 Jul 9;7(10):001783. doi: 10.12890/2020_001783. eCollection 2020.
UNLABELLED
The authors present a case of phantom tumour of the lung. This is a type of pleural effusion where fluids accumulate in the interlobar fissures, typically in the transverse fissure. Its prompt recognition avoids additional, unnecessary or expensive examination and treatment mistakes.
LEARNING POINTS
Phantom tumour of the lung should be considered as a differential diagnosis for a radiographic opacity because it can be misdiagnosed as a lung mass or consolidation.Its rapid disappearance after management of the underlying condition, in this case of cardiac decompensation with diuretics, confirms the diagnosis.Prompt recognition avoids additional, unnecessary or expensive examination and treatment mistakes.
未标注
作者报告了一例肺假性肿瘤病例。这是一种胸腔积液类型，液体通常积聚在叶间裂，尤其是横裂。对其迅速识别可避免额外的、不必要的或昂贵的检查及治疗失误。
学习要点
肺假性肿瘤应被视为影像学上肺部模糊阴影的鉴别诊断，因为它可能被误诊为肺部肿块或实变。在治疗基础疾病（本例为使用利尿剂治疗心功能不全）后其迅速消失，证实了诊断。迅速识别可避免额外的、不必要的或昂贵的检查及治疗失误。
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