[Imaging of pneumonia].

Tsuneo Matsumoto
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Abstract

In patients with suspected pneumonia, chest radiography and CT play an important role in making the differential diagnosis and evaluating disease severity and progress. The radiologic patterns of both community-acquired and opportunistic pneumonias were reviewed and compared with those of non-infectious lung diseases. The important findings in the diagnosis of pneumonias were as follows: 1) the relationship between the extent of consolidation and segment or lobe; 2) homogeneity or heterogeneity of opacity; 3) presence of thickening of bronchi and bronchioli; centrilobular, acinar, lobular, and segmental opacities; air bronchogram; tree-inbud appearance, and mosaic perfusion; and 4) size and distribution of nodules.

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[肺炎成像]。
在疑似肺炎的患者中,胸片和CT在鉴别诊断、评估病情严重程度和进展方面发挥着重要作用。回顾了社区获得性肺炎和机会性肺炎的影像学表现,并与非感染性肺病的影像学表现进行了比较。在肺炎诊断中的重要发现如下:1)实变程度与肺节段或肺叶的关系;2)不透明度的同质性或异质性;3)支气管和细支增厚;小叶中心、腺泡、小叶和节段性混浊;空气支气管征;树芽外观和花叶灌注;结节的大小和分布。
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