247.ACR Chest Learning File（case1)

每天朗读一段医学影像学英语文章

History

50-year-old female with a history of bilateral mastectomies for breast cancer 6 years earlier, developed acute leukemia and was treated with total body irradiation and bone marrow ransplantation.

病史：女性，50岁，6余年前因乳腺癌行双乳房切除术，导致急性白血病，行全身放疗与骨髓移植。

Fig 1

PA chest radiograph demonstrates 3 ill-defined areas of consolidation in the right upper lobe, right mid lung, and left upper lobe, respectively.  The top of the central venous line (arrow) extends cephalad toward the right jugular vein (Fig 1A).

图一：正位胸片可见三处边界清晰的实变影，右肺上叶、中叶，左肺上叶。中央静脉置管尖端位于右侧颈静脉。

Fig 2

PA chest radiograph obtained 6 days later demonstrates cavitation of the previously noted nodular consolidations.  The cavities contain dependent soft tissue masses consistent with necrotic lung in a patient with angioinvasive fungal infection.

图二：6天后正位胸片可见之前的结节样实变影出现空洞。空洞内可见软组织肿块。该征象符合行肺血管侵入性手术后真菌感染导致肺坏死的患者。

Notes:

1. mastectomy [mæ'stektəmɪ] n. 乳房切除术

2. leukemia [lu:'ki:mɪr] n. 白血病

3. irradiation [ɪˌrediˈeʃən] n. 放射，照射

4. marrow [ˈmæroʊ] n. 骨髓

5. consolidation [kənˌsɑlɪˈdeʃən] n. 巩固

6. cephalad ['sefəˌlæd] adv. 头向; 向头部的

7. jugular [ˈdʒʌɡjəlɚ] adj. 喉的，颈的，颈静脉的

8. cavitation [ˌkævə'teɪʃən] n. 空化; 汽蚀; 空洞形成

9. necrotic [ne'krɒtɪk] adj. 坏死的，坏疽的

10. angioinvasive [ændʒi:oʊɪn'veɪsɪv] 侵入血管[壁]的

11. fungal [ˈfʌŋɡəl] adj. 真菌的

来源：每天朗读一段医学影像学英语文章

圈主

深圳市人民医院放射科副主任医师杨敏洁

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