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胆固醇性肺炎的影像学表现
引用本文:苗延巍,周勇,李明武,张竞文,伍建林,雷振,石力夫. 胆固醇性肺炎的影像学表现[J]. 中华放射学杂志, 2006, 40(3): 263-265
作者姓名:苗延巍  周勇  李明武  张竞文  伍建林  雷振  石力夫
作者单位:1. 116011,大连医科大学附属第一医院放射科
2. 大连市第五人民医院放射科
3. 锦州医学院附属第一医院放射科
摘    要:目的 探讨胆固醇性肺炎的影像学表现。方法 回顾性分析3例经病理证实的胆固醇陛肺炎的胸部X线片及CT表现,并复习相关文献。结果 3例胆固醇性肺炎X线片及CT均表现为肿块样病灶,其中2例伴有空洞和液平面,1例CT增强出现多环状强化。临床病程非常长,抗炎效果差;光学显微镜下可见大量富含胆固醇结晶的泡沫细胞。结论 胆固醇性肺炎是1种罕见的慢性特发性疾病,影像学表现对其诊断有定的价值。

关 键 词:肺炎  脂质性 诊断显像
收稿时间:2006-01-04
修稿时间:2006-01-04

Imaging appearances of cholesterol pneumonia
MIAO Yan-wei,ZHOU Yong,LI Ming-wu,ZHANG Jing-wen,WU Jian-lin,LEI Zhen,SHI Li-fu. Imaging appearances of cholesterol pneumonia[J]. Chinese Journal of Radiology, 2006, 40(3): 263-265
Authors:MIAO Yan-wei  ZHOU Yong  LI Ming-wu  ZHANG Jing-wen  WU Jian-lin  LEI Zhen  SHI Li-fu
Affiliation:Department of Radiology, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
Abstract:Objection To analyze the imaging appearances of cholesterol pneumonia. Methods We retrospectively analyzed the X-ray and CT findings of 3 patients with cholesterol pneumonia confirmed pathologically and reviewed correlative literature. Results Lesions similar to mass were found in X-ray and CT imaging of three cases. Two of them appeared cavity with fluid-level and one showed multiple ring enhancement after CT contrast. The course of disease was very long and it had no respond to antibiotic therapy. Amounts of foam cells rich in cholesterol crystal were detected in pathological examination. Conclusions Cholesterol pneumonia is a rare chronic pulmonary idiopathic disease, and the radiological findings can do some help to its diagnosis.
Keywords:Pneumonia, lipid   Diagnostic imaging
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