戴主任,新年好。我也是外科医生。去年十月在本院体检Ct(1毫米薄层)发现左上肺叶6MM结节,一些医生认为是混合磨玻璃,一些医生认为不是磨玻璃。请您过目后,您说也不像,让复诊的时候做0.5毫米薄层。
今天是发现后四个月,在本单位同一台机器做了0.67毫米的薄层,最大径约5.7毫米的结节出现在6个层面上。感觉和4个月前相比,结节没变大,但也未明显变小,但初次发现结节中的高亮部分在变淡。请您过目帮判断一下结节的性质,并给予随诊意见。
对比图前面一张是今天的Ct,后面一张是四个月前的,均为结节最大横切面。
祝您新春愉快,万事顺遂!
![](http://tiebapic.baidu.com/forum/w%3D580/sign=0e9842d8da11728b302d8c2af8fdc3b3/51ffd3ec2e738bd46c847f78b68b87d6267ff9a4.jpg?tbpicau=2024-09-17-05_89f41761cb2e38fd2560479a1d1fcde5)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=a89859f290d6277fe912323018391f63/621bac2bc65c10387cda038ba5119313b17e89a4.jpg?tbpicau=2024-09-17-05_313fdd9e3e28688ff3540c9a0467ed3b)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=431e1129222ac65c6705667bcbf3b21d/5a1355be6c81800a60414447a63533fa838b47a4.jpg?tbpicau=2024-09-17-05_fb7cb5b2753955683c5df806248ee998)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=7baccb83958ba61edfeec827713597cc/f27a9354b319ebc47ddcbbd09526cffc1f1716a4.jpg?tbpicau=2024-09-17-05_fa3d28df5cf5c6f8f1f5e6edb21e7060)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=a69bb2e9e103738dde4a0c2a831ab073/52b24e2b6059252dcbb0d04d239b033b5ab5b9a5.jpg?tbpicau=2024-09-17-05_7c937cedad07e179ceaa2d385d99de75)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=2dd9038ba5119313c743ffb855390c10/3775283433fa828bd88450aaea1f4134960a5aa5.jpg?tbpicau=2024-09-17-05_fa94003bc6d76c9e3b78e01bd3185364)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=42a700a5c600baa1ba2c47b37711b9b1/0d53af7bdab44aedf3e973ada41c8701a08bfba6.jpg?tbpicau=2024-09-17-05_dbe0bae507eaf68e09dcd8e2268b012b)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=02e873ada41c8701d6b6b2ee177e9e6e/3d4ba3f23a87e95019b13e2507385343faf2b4a6.jpg?tbpicau=2024-09-17-05_3e290f33739059b33969c83760c53c47)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=e1a3f4ae862397ddd679980c6983b216/7654d835970a304ea1846db3c6c8a786c8175ca6.jpg?tbpicau=2024-09-17-05_f804cd0a1729bb5ab27663779952d250)
今天是发现后四个月,在本单位同一台机器做了0.67毫米的薄层,最大径约5.7毫米的结节出现在6个层面上。感觉和4个月前相比,结节没变大,但也未明显变小,但初次发现结节中的高亮部分在变淡。请您过目帮判断一下结节的性质,并给予随诊意见。
对比图前面一张是今天的Ct,后面一张是四个月前的,均为结节最大横切面。
祝您新春愉快,万事顺遂!
![](http://tiebapic.baidu.com/forum/w%3D580/sign=0e9842d8da11728b302d8c2af8fdc3b3/51ffd3ec2e738bd46c847f78b68b87d6267ff9a4.jpg?tbpicau=2024-09-17-05_89f41761cb2e38fd2560479a1d1fcde5)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=a89859f290d6277fe912323018391f63/621bac2bc65c10387cda038ba5119313b17e89a4.jpg?tbpicau=2024-09-17-05_313fdd9e3e28688ff3540c9a0467ed3b)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=431e1129222ac65c6705667bcbf3b21d/5a1355be6c81800a60414447a63533fa838b47a4.jpg?tbpicau=2024-09-17-05_fb7cb5b2753955683c5df806248ee998)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=7baccb83958ba61edfeec827713597cc/f27a9354b319ebc47ddcbbd09526cffc1f1716a4.jpg?tbpicau=2024-09-17-05_fa3d28df5cf5c6f8f1f5e6edb21e7060)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=a69bb2e9e103738dde4a0c2a831ab073/52b24e2b6059252dcbb0d04d239b033b5ab5b9a5.jpg?tbpicau=2024-09-17-05_7c937cedad07e179ceaa2d385d99de75)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=2dd9038ba5119313c743ffb855390c10/3775283433fa828bd88450aaea1f4134960a5aa5.jpg?tbpicau=2024-09-17-05_fa94003bc6d76c9e3b78e01bd3185364)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=42a700a5c600baa1ba2c47b37711b9b1/0d53af7bdab44aedf3e973ada41c8701a08bfba6.jpg?tbpicau=2024-09-17-05_dbe0bae507eaf68e09dcd8e2268b012b)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=02e873ada41c8701d6b6b2ee177e9e6e/3d4ba3f23a87e95019b13e2507385343faf2b4a6.jpg?tbpicau=2024-09-17-05_3e290f33739059b33969c83760c53c47)
![](http://tiebapic.baidu.com/forum/w%3D580/sign=e1a3f4ae862397ddd679980c6983b216/7654d835970a304ea1846db3c6c8a786c8175ca6.jpg?tbpicau=2024-09-17-05_f804cd0a1729bb5ab27663779952d250)