Cook P G, Wells I P, McGavin C R
Department of Diagnostic Radiology, Derriford Hospital, Plymouth, UK.
Clin Radiol. 1988 Jan;39(1):21-7. doi: 10.1016/s0009-9260(88)80331-3.
Reports of the radiological features in farmer's lung are inconsistent. We have reviewed clinical and radiological findings in eight patients with farmer's lung in the acute and sub-acute phases. In the acute phase the main feature is transient widespread diffuse shadowing of air space consolidation. In the sub-acute phase, the predominant feature is fine nodular shadowing tending to involve either the upper half or upper two-thirds of the lungs with relative sparing of the basal segments. This is in accordance with both the pathophysiological behaviour of the inhaled particulate antigen and the subsequent distribution of pulmonary changes in chronic farmer's lung.
农民肺的放射学特征报告并不一致。我们回顾了8例处于急性期和亚急性期的农民肺患者的临床和放射学检查结果。急性期的主要特征是短暂的、广泛的肺泡实变弥漫性阴影。亚急性期的主要特征是细小结节状阴影,倾向于累及肺的上半部分或上三分之二,肺基底部相对 spared 。这与吸入颗粒性抗原的病理生理行为以及慢性农民肺中肺部变化的后续分布均相符。