Small nodules in the lungs, it is estimated that 80% of young colleagues did not consider this diagnosis

Medical history

Medical history

Female, 61 years old, consultation for small lung nodules

Female, 61 years old, consultation for small lung nodules

 

Video picture

Video picture video picture

 

It's not lung cancer, it's not lung cancer, it's not lung cancer, important things are said three times!

 

What is your diagnosis ?

What is your diagnosis ? What is your diagnosis ? diagnosis

It is estimated that 80% of colleagues did not consider this!

It is estimated that 80% of colleagues did not consider this! It is estimated that 80% of colleagues did not consider this!

 

Result: Lymph nodes in the lungs

Results: Intrapulmonary lymph nodes Results: Intrapulmonary lymph nodes

 

Expert interpretation : Lung lymph nodes are more common in the elderly and smokers
.

Expert interpretation : Expert interpretation : Interpretation of lung lymph nodes is more common in the elderly and smokers
.

 

 The image is often seen under the pleura or interlobular pleura.
So far, all reports are less than 2.
0cm away from the pleura or interlobular pleura
.

It can also appear as a nodule attached to the pleura or interleaf pleura

 The image is often seen under the pleura or interlobular pleura.

The long diameter is less than 12mm
.

The typical shape is triangle, but also fusiform, circular or elliptical

The long diameter is less than 12mm

It needs to be differentiated from small lung cancer and lung metastases
.

In addition to thin linear shadows, lymph nodes in the lungs have clear edges, no lobes, and no burrs, which are the key to distinguishing from lung cancer

It needs to be differentiated from small lung cancer and lung metastases

For suspected cases of lymph nodes in the lungs, thin-slice scans must be performed, with a thickness of 1.
5 mm and below recommended
.

Because in the 5mm-thick image, the lymph nodes in the lung can appear as ground-glass density nodules due to partial volume effects, and the display of linear shadows and the shape of the lesion is not clear

For suspected cases of lymph nodes in the lungs, thin-slice scans must be performed, with a thickness of 1.

The most important point in the diagnosis of pulmonary lymph nodes is that thin-layer scans can see thin line shadows connected to the pleura, interlobular pleura and pulmonary veins
.

The most important point in the diagnosis of pulmonary lymph nodes is that thin-layer scans can see thin line shadows connected to the pleura, interlobular pleura and pulmonary veins
.

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