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肺结核有个典型的CT征象：虫噬样空洞！ 什么是虫噬样空洞？ 就是像虫咬过的空洞，虫咬出的空洞。 你咬我啊！ 结核真的会咬！ 读书的时候，书上经常这样描述肺结核的典型空洞之一：虫噬样空洞！ 看完一头雾水！ 今天和大家分享，什么是虫噬样空洞！ 虫咬过的树叶！ 虫不敢咬的烟叶！ 乱七八糟的小孔洞，小空洞。就像有虫在蠕动。 再结合病灶多发，散在结节，结核呼之欲出。 增强扫描几乎没有强化！ 妥妥的结核啊。 抗酸杆菌+++。 你说写书的早点整幅图，何苦来哉！ 文献阅读： Coexistence of metastatic lung cancer and pulmonary tuberculosis diagnosed in the same cavity转移性肺癌与肺结核存在于同一个空洞内！ 不嫌拥挤吗？ Partial resection of the right lung by video-assisted thoracoscopic surgery (VATS) was performed at the Department of Thoracic Surgery.Subsequently, it was determined that metastatic squamous cell carcinoma of the lung, corresponding to her tongue cancer, had invaded the visceral pleura adjacent to the largest cavitary lesion. Simultaneously, an epitheloid granuloma with caseating necrosis was observed adjacent to a partially thickened portion of this cavitary lesion. The epitheloid granuloma was found to be acid-fast bacilli-positive and a diagnosis of Mycobacterium tuberculosis pulmonary tuberculosis was made. 做了外科肺活检，查到肿瘤，查到干酪样坏死，查到抗酸杆菌。 所以说，不典型的病例，单纯看CT是没有作用的。 看CT第一步，搞定典型的CT！才能行走江湖！ 视频 
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