Schmidberger H, Jüttner F M
Univ.-Klinik für Radiologie, Karl-Franzens-Universität Graz.
Rontgenblatter. 1987 Sep;40(9):299-301.
In a patient of 78 years of age a diagnosis of a suspected expansive process of the middle lobe was made on the basis of the clinical findings and a plain radiography of the thorax. Fibre bronchoscopy revealed a subtotal stenosis of the middle lobe bronchus on the right side. The tissue sample revealed a chronically inflamed granulated tissue. Subsequent tomography of the hilus region in two planes showed a foreign body situated in the bronchus intermedius and extending into the middle lobe bronchus. Bronchoscopy was then repeated and an incisor tooth with two mental clamps was removed. A remarkable fact in this case was that the patient was unable to remember the aspiration incident, and it was also remarkable that the shape of the shadow that showed up in the middle lobe segment justified the suspicion of a tumour, although generally atelectasis or pneumonia show up on the x-ray film as sequels of an aspiration if an aspiration has taken place.
一名78岁患者，根据临床表现和胸部X线平片诊断为右中叶疑似占位性病变。纤维支气管镜检查显示右侧中叶支气管部分狭窄。组织样本显示为慢性炎症性肉芽组织。随后在两个平面上对肺门区域进行断层扫描，显示异物位于中间支气管并延伸至中叶支气管。随后再次进行支气管镜检查，取出一颗带有两个正畸夹的门牙。该病例的一个显著事实是，患者无法回忆起误吸事件，另一个显著事实是，中叶段出现的阴影形状使人怀疑是肿瘤，尽管一般来说，如果发生误吸，肺不张或肺炎在X线片上会显示为误吸的后遗症。
