Hulnick D H, Naidich D P, McCauley D I
Radiology. 1983 Dec;149(3):759-65. doi: 10.1148/radiology.149.3.6647852.
Twenty-four cases of pleural tuberculosis (20 active and 4 inactive) were studied with computed tomography (CT). In 14 patients with proved acute tuberculous pleurisy, CT improved diagnostic accuracy by demonstrating small areas of cavitation not apparent on the chest radiograph and by detecting or confirming lymphadenopathy. In 10 patients with chronic tuberculous pleural disease, CT differentiated active from inactive infection by detecting a collection of fluid within the pleural rind. In both groups, CT also demonstrated complications such as bronchopleural fistula and involvement of the chest wall. CT can be beneficial in such cases because of its ability to show the pleural surfaces in transverse section, discriminate parenchymal from pleural disease, and quantify tissue density.
对24例胸膜结核患者（20例活动期和4例非活动期）进行了计算机断层扫描（CT）研究。在14例已证实为急性结核性胸膜炎的患者中，CT通过显示胸部X线片上不明显的小空洞区域以及检测或证实淋巴结病，提高了诊断准确性。在10例慢性结核性胸膜疾病患者中，CT通过检测胸膜包膜内的积液来区分活动期和非活动期感染。在两组患者中，CT还显示了支气管胸膜瘘和胸壁受累等并发症。CT在这些病例中可能有益，因为它能够在横断面上显示胸膜表面，区分实质病变和胸膜病变，并量化组织密度。
