医学影像英语每日读丨79.Pulmonary Aspergilloma

每天朗读一段医学影像学英语文章

朗读者：YWT领读

A 46-year-old woman presents to the emergency department with hemoptysis. The patient has a prior history of hemoptysis due to a previous "lung injury and infection."

A frontal chest radiograph images and CT scan is shown below.

Findings

Radiograph: Redemonstrated are postsurgical changes in the right lung and a known cavitary lesion in the right suprahilar area in keeping with aspergilloma. Ill-defined density within the cavity may indicate sequela from same-day intracavitary treatment.

CT: Redemonstrated are postsurgical changes status post partial resection of the right upper lobe with redemonstration of a cystic lesion in the posterior aspect of the lung. The cystic cavitary lesion contains an intracavitary mass typical of an aspergilloma measuring 3.2 cm. There is a small amount of surrounding ground-glass and tree-in-bud opacities favored to be inflammatory in etiology. There are additional regional areas of mild bronchiectasis and mucoid impaction favoring an inflammatory process.

Diagnosis: Pulmonary aspergilloma

From: auntminnie.com

Notes:

1. hemoptysis [hɪ'mɒptəsɪs] n. 咳血，咯血

2. hilar ['haɪlə] adj.肺门的

suprahilar 肺门上区

3. aspergilloma [æspə'dʒɪloʊmə] 曲菌球，曲霉肿

本病常继发于支气管囊肿、支气管扩张、肺脓肿和肺结核空洞。系曲霉在慢性肺部疾病原有的空腔内繁殖、蓄积，与纤维蛋白、黏液及细胞碎屑凝聚成曲霉肿。曲霉肿不侵犯组织，但可发展成侵袭性肺曲霉病。可有刺激性咳嗽，常反复咯血，甚至发生威胁生命的大咯血。因曲霉肿与支气管多不相通，故痰量不多，痰中亦难以发现曲霉。

4. intracavitary [ɪntræ'kævaɪtərɪ] 腔内的

5. ground-glass opacity=GGO 磨玻璃样征

6. tree-in-bud opacity 树芽征

7. inflammatory [ɪnˈflæmətɔ:ri] adj. 炎性的，发炎的

8. etiology [ˌitiˈɑlədʒi] n. 病因学，病源论

7. bronchiectasis [brɑŋkɪ'ektəsɪs] n. 支气管扩张

8. mucoid ['mju:kɔɪd] adj. 黏液样的

mucoid impaction 粘液样嵌塞

9. pulmonary [ˈpʌlməneri] adj. 肺的，肺部的

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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