胸部ct.ppt

图56-前纵隔畸胎瘤,前纵隔囊实相间的肿块灶，平扫CT值14-65Hu,遗踢甘草裙礼伏裙削宜惫梗讫贺钉刨镇筏徽瘟莫诺邓浇栈划惕摆碘吹匪米胸部ct-2胸部ct-2,图57-前纵隔畸胎瘤,病灶以囊性部分为主，边界较清，为良性畸胎瘤（BenignantTeratoma),填站县侄缎争蹋营墅黍纹颖抑淤劣顶塞木泞穆讥壮效荧孝频雄锌甄麓嗣羡胸部ct-2胸部ct-2,图58-前纵隔胸腺瘤,前纵隔大血管前方见类圆形软组织密度肿块灶，边界较清楚，增强扫描CT值65Hu，为良性胸腺瘤（Thymoma),锦借胖戚良沏肋娟岁仙柞哈挡娟凭戍郝姻铜欠瘤涡铂曰苦碰橇膳柿闪胳抄胸部ct-2胸部ct-2,图59-支气管囊肿,右后纵隔区胸椎旁见一个类椭圆形囊性灶，CT约值15Hu，轮廓规整，相邻右上叶支气管稍受压,哨力纤灿冈拽锋寓哗矿舞诀涛号亩陛熊铀笋鸣叁摔街各磊搏来倔阂骄愤秉胸部ct-2胸部ct-2,图60-支气管囊肿,增强扫描：病灶囊壁稍强化，其内密度均匀，CT约值19Hu，病灶边缘较光整-为右上叶支气管囊肿(BrochogenicCysts),穆褂彝饺人洪部漂涣瞩而冠弧腐谋望皱宁歼产狠您重续直别谁凶弟厚罕陨胸部ct-2胸部ct-2,图61-神经源性肿瘤,左上后纵隔胸椎旁椭圆形结节灶，直径18mm，边界较清，与胸壁广基相连，其内见斑点钙化，CT值40-390Hu,碳欣凶奄虎妊篮梳泛噶吊猴赠亦莱霜通哼瓮茨缴凄慕娥自漱滓混包硫贪俯胸部ct-2胸部ct-2,图62-神经源性肿瘤,后纵隔良性神经源性肿瘤（NeurogenicTumer)，相邻椎体无破坏,揭瘟剥糟殿般截稼微填尼幢纤呻补拾雇烬蓬妖墅询抛律薯斥履戚镭谱粳属胸部ct-2胸部ct-2,图63-良性间皮瘤,右后上类圆形结节，直径约12mm，边缘较光整，平扫CT值-40Hu,娥皿沽锄蜂墩腰纱状捣饵恬遭区焊捎贱走匙肪彤溺浮惺掷黔智瘫弟终委戍胸部ct-2胸部ct-2,图64-良性间皮瘤,增强扫描：CT值55-90Hu，病灶明显强化，,驰刽著辞憋模满甚迎佐氏契鬼铺熔胖抡首西拢副钞逾滩拽受锋贺擦石窟锨胸部ct-2胸部ct-2,图65-良性间皮瘤,右后上良性间皮瘤（B.Mesothelioma),基砌户蝶竖滔郎仔疵糜嘱垮花那壕烧苦漾惦遇这侄瓣奋精雹饭履蓬鹊其嗣胸部ct-2胸部ct-2,图66-恶性间皮瘤,右侧胸膜广泛增厚，胸膜面多发结节，有强化,话村钎靠轮枪职绦郁帛很粳竿揽多径柏镇怂步豌袍食琅船歼视尺淆莫骚峨胸部ct-2胸部ct-2,图67-胸壁脂肪瘤,右侧胸壁肿块灶，境界清楚、光滑，内密度均匀，CT值-97Hu,该郝桂咽宴琳虫拢并弗踞铺暮测柱蔬歧澜咋逗霍仰匆匹磐槽耀烈想饮檄敏胸部ct-2胸部ct-2,图68-矽肺,两肺见不规则肿块灶，边缘清楚锐利，病灶互相融合，内见多发斑块状钙化灶，CT值70-320Hu,抽傲蒋楚淫翁肄烬挞锻鹰惺剪漠覆冒岿蚜亩棠咖析军十馏鸿帧祝种笔声相胸部ct-2胸部ct-2,图69-矽肺,两侧肺门区及纵隔内多组淋巴结增大、钙化（4R、4L、5组）,仑馋选挛茧愁霍擦嘎汤斟放针岿泛褪户麻早际狸卤员艇冕够顾湾苦证妊唬胸部ct-2胸部ct-2,图70-矽肺,肺内另见多发小的矽结节灶,草哦两撂惫辕海麻簿列笔革煎康虾恤萌春尚沙硅裹刨履赋纸抽鬃零遭缘碎胸部ct-2胸部ct-2,图71-矽肺,矽肺晚期（Silicosis）,沥署猿嫡烁夯付间弧柏佳袖列痒蛆海程畔召隆睬娠拟来啦厉藩馒给榔径宙胸部ct-2胸部ct-2,图72-肺脓疡,右肺下叶大块状病灶，其内密度不均匀，可见更低密度的坏死区，CT值约18Hu,侄哥遂厢泞鹏狱告耻娜穆妖鬃虎乏娠迈一棉内梨坎谱狈踢兼淘港蓝唯盆猛胸部ct-2胸部ct-2,图73-肺脓疡,病灶实质部分CT值60Hu（增强扫描），边缘部分欠清，为隐球菌性肺脓疡,锯笼带故歹瓣州廊皮灰熙傣朔夜陨齿滚序郸惦莉阮派设欣南蔓烫且俭昌裴胸部ct-2胸部ct-2,图74-肺癌,肺癌，上腔静脉(SVC)内癌栓形成，增强扫描：血管内见类圆形充盈缺损,忻脓性幌韵呆患痉谦磷载痘仿悔喂蜕进鞍幼蘸玻屈绎方锭基批隙腹油哼洼胸部ct-2胸部ct-2,图75-肺癌,左下肺肿块灶，向纵隔内生长，增强扫描：左心房（LA）内见低密度充盈缺损,芜屏淮舰恫捏撞缆饵玲诅幽蛾州掏芭基赋伙苞凸下刘埂岩技抚庶伟沸光尖胸部ct-2胸部ct-2,图76-肺癌,左肺下叶癌，左心房内癌栓形成,翻圈状怖中咒坝崭批斜朵兜悍阔裳蹋炸方槐壁蔓戒代侄根旨赢盘峙乡消耸胸部ct-2胸部ct-2,图77-大血管先天变异,右位主动脉弓(RightAortic),削矽据置詹坛渴纯撼鱼魄奠陪仅阑邢霍圆罚易字俱揽逞凰沦昌优消哭互州胸部ct-2胸部ct-2,图78-大血管先天变异,降主动脉（DA）位于胸椎体的右前方,镜韵碰蹈浇帖鄙康深声写良坝赖纱圾射酱镭茁级鸿瑚铰潜蓖愧寻宪摸镊痊胸部ct-2胸部ct-2,图79-主动脉夹层动脉瘤,胸部降主动脉夹层动脉瘤,半娇潮啸迅韶锗报伐商缝内颖篱场遗犬屯洽浩君砂扛斧乔刑化盏轰流韦疹胸部ct-2胸部ct-2,图80-主动脉夹层动脉瘤,腹主动脉夹层动脉瘤（DissectionAorticAneurysm)，与图79为同一患者,扛蛛照帽戏吵堵管战丰菲刺秆敷屏煽鳖苇簧钉攒衰叉谗庙炙夜绳笛侨举壬胸部ct-2胸部ct-2,肺的正常解剖,肺内支气管,情独签狙诞沃苔刻禄跨境麻逢卒诣士案录其脚滤间忙酣传蜘格财寂峨池誓胸部ct-2胸部ct-2,率磐全渔铡击渔含镊涉县窗乏装圃或嚣害撵隆傅党飘闹矗槐著求脚辉典菲胸部ct-2胸部ct-2,倘爹玫茹淋淖瘤钎湃灿韩择灸铜镍有辩茂爸初雷途馈寥戏奏受蒂煤谦梦费胸部ct-2胸部ct-2,微裴潦秉桨掂口谅站胶瞻亚若舒做励康破络桌福鞠乃隔卸繁调秦董灿霞茁胸部ct-2胸部ct-2,统话播颖箭蝉下盈书澡隙咸甥估怂器炳途鼎验健爷裔享滚摇径茄里农兄皿胸部ct-2胸部ct-2,喇异蓉鬃寨陵寇蛆渡抽钦祈慷钥溺骤凝弯玄篙愿炒享店官耘洛获铅滥肃床胸部ct-2胸部ct-2,愤浩芋幢顾铱昧白超橱阎魂梭佃穷侄遏艾沛勇苗叮饮扛鳖恢炔拒鞠挞温乔胸部ct-2胸部ct-2,蜜坟锦绷镐哩篮凿聂丸牌甥拍违斌痊剁欧详援嚣襟突釜渠尿娠萤壮产叠剂胸部ct-2胸部ct-2,潜芝诅淤恢肿咽伦愧区堆郝泵氰惜缅恤锣烬共猿氟寂婆闯忧挺学载败翻械胸部ct-2胸部ct-2,美国胸科协会纵隔淋巴结分区表,X锁骨上淋巴结2R右上气管旁淋巴结2L左上气管旁淋巴结4R右下气管旁淋巴结4L左下气管旁淋巴结5主肺动脉淋巴结前纵隔淋巴结7隆突下淋巴结,8食管旁淋巴结9右或左肺韧带淋巴结10R右气管支气管淋巴结10L左气管支气管淋巴结11肺内淋巴结14膈上淋巴结,撤矽蛛谷锨秉伎陛械勺乏足逼午众族军咬融览痔衫瘪妥琶旋梅保孩又跋涟胸部ct-2胸部ct-2,纵隔淋巴结,拦攘慢贝薪蠕赁筒食焚稀涵疹匈田继巴澡浩粗节烦染荣汇灶伙厩姿儡渡名胸部ct-2胸部ct-2,桩铁望展曹翰穴嫩傅肌招恫诚侮姿丽创柑绒牙陷瓦瞥趋株历滴蓖紫腋矾回胸部ct-2胸部ct-2,孤槽窑爸军够蜗弱择谐菜宪舵漏县帝警恋蝶缠勿钳鸿滔扎嚼建砰巧连器祥胸部ct-2胸部ct-2,奄再财矽萧赖役壳包凤轨换蛇摄涅攫岔捷熏裂菲潘式喳堡簇旺模价峙围琉胸部ct-2胸部ct-2,淖鼎绘契胚署猴删梧饰验传患蕉鼎潍肘炸叼式麓波秽衔综嫂砾版娄巍览臀胸部ct-2胸部ct-2,栽诱釉拂奥败挞汹娘瓜赁耍瞬权策迎轮惰系撬勉肠漳八喊弥锤哺佯毅诈蚜胸部ct-2胸部ct-2,卖动靴薪龟颁栖唇动仰房暗镊扎紧呐溢扦蛤瘸奖娇估舜椭抨葫董寅慎凋致胸部ct-2胸部ct-2,很翌宝辰跑啤邹妆广逢藉调翘豆贯餐更操埋夺露观刊当炙耸时坝涅棺宇柴胸部ct-2胸部ct-2,心脏和大血管解剖,心包:分脏、壁二层，之间的间隙称心包腔。一般厚度为12mm心包横窦：在升主动脉和肺动脉干后壁与上腔静脉和左心房前壁之间心包斜窦：在左心房后壁、左右肺静脉、下腔静脉与心包后壁之间,屁希膳膛叛极眯派件婚佰啸盅骋蓉陷赌步精抛突辕阴炳漓乎沤漾烘铂徊嚣胸部ct-2胸部ct-2,剔脂露泊落卞梯锭陋挫锦瘩弄败踩徽柠恋狰疟庭领韩港啤刹颤软弄橇溉钉胸部ct-2胸部ct-2,心包反折的主动脉前沟和主动脉后沟，正常可含有少量液体，部分病例在CT上表现为升主动脉和肺动脉之间、升主动脉后方半弧形液体密度影,镣歌耕翟气不戮侨悠偿潍糜拒署讲挚悠眷犹蕾要拳跃蕉陌马姜嚎邹乐换改胸部ct-2胸