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[肺结节与肺炎:诊断指南]

[Pulmonary nodules and pneumonia : A diagnostic guideline].

作者信息

Frauenfelder Thomas, Landsmann Anna

机构信息

Institut für Diagnostische und Interventionelle Radiologie, Universitätsspital Zürich, Rämistr. 100, 8091, Zürich, Schweiz.

出版信息

Radiologe. 2022 Feb;62(2):109-119. doi: 10.1007/s00117-021-00953-w. Epub 2022 Jan 12.

Abstract

BACKGROUND

Chest X‑ray is one of the most frequent examinations in radiology and its interpretation is considered part of the basic knowledge of every radiologist.

OBJECTIVES

The purpose of this article is to recognize common signs and patterns of pneumonias and pseudonodules in chest X‑rays and to provide a diagnostic guideline for young radiologists.

MATERIALS AND METHODS

Recent studies and data are analyzed and an overview of the most common signs and patterns in chest X‑ray is provided.

RESULTS

Knowledge about common signs and patterns in chest X‑ray is helpful in the diagnosis of pneumonias and can be indicative for the cause of an infection. However, those signs are often unspecific and should, therefore, be set in clinical content. Computed tomography is becoming increasingly important in the primary diagnosis of pulmonary lesions because of its much higher sensitivity.

CONCLUSION

Chest X‑ray is still the first-line modality in the diagnosis of pneumonia and pulmonary nodules; however, radiologists should be aware of its limitations.

摘要

背景

胸部X线检查是放射学中最常见的检查之一,其解读被认为是每位放射科医生基础知识的一部分。

目的

本文旨在识别胸部X线片中肺炎和假结节的常见征象和模式,并为年轻放射科医生提供诊断指南。

材料与方法

分析近期研究和数据,并提供胸部X线最常见征象和模式的概述。

结果

了解胸部X线的常见征象和模式有助于肺炎的诊断,并可提示感染原因。然而,这些征象往往不具有特异性,因此应结合临床情况进行判断。由于计算机断层扫描的敏感性高得多,其在肺部病变的初步诊断中变得越来越重要。

结论

胸部X线检查仍然是肺炎和肺结节诊断的一线检查方法;然而,放射科医生应意识到其局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1106/8807498/e558773d13b9/117_2021_953_Fig1_HTML.jpg

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