Name: 苏拉侠

Class: 62
ID: 2019601090

2022/9/27 1
CASE 1 Male, 66 years old, chest pain for 1 year.
CASE 1 Male, 66 years old, chest pain for 1 year.

CT+C:42H
U

CT:36H
U

CT+C:52H
U
Male, 66 years old, chest pain for 1 year.
 Questions：

1. Where is the location of the lesion？What are the basic abnormal

signs？
2. What are your findings from the images? Your diagnosis?
1. Where is the location of the lesion？What are the basic abnormal signs？
Ans: Lesion Located in the left upper lobe and near Pulmonary Portal.
The Basic abnormal signs seen: Mass

2. What are your findings from the images? Your diagnosis?

Ans:
Image findings: Irregular, well-defined and homogenous mass; bronchial obstruction (may be due
to pneumonitis/emphysema). Marked enhanced.
Diagnosis: Central lung cancer
Case 2 Female, 62 years old, right lung lesion was found by
physical examination for more than 10 days.
 Female, 62 years old, right lung lesion was found by
Case 2 physical examination for more than 10 days.
 Female, 62 years old, right lung lesion was found by
Case 2 physical examination for more than 10 days.

CT:37HU CT:70HU CT:89HU

Questions:

1. Where is the location of the lesion？What are the basic abnormal

signs？
2. What are your findings from the images? Your diagnosis?
1. Where is the location of the lesion？What are the basic abnormal signs？
Ans:
The lesion is located in the anterior segment of right upper lobe of the right lung
The Basic abnormal signs seen: Mass

2. What are your findings from the images? Your diagnosis?

Ans:
Image Findings: Soft round tissue mass seen with a clear boundary and lobulated, burr and pleural
indentation signs found. Irregular thick-walled cavities in mass and mass is unevenly enhanced.
Diagnosis: Peripheral Lung Cancer
CASE 3 Male, 35 y, 8 months after operation for hepatocellular carcinoma,
hemoptysis for 10 days, less volume, no fever.
CASE 3 Male, 35 years old, 8 months after operation for hepatocellular carcinoma,
hemoptysis for 10 days, less volume, no fever.
 Questions：

1. Where is the location of the lesion？What are the basic

abnormal signs？
2. What are your findings from the images? Your diagnosis?
1. Where is the location of the lesion？What are the basic abnormal signs？
Ans: Lesion spread over both the lungs.
The Basic abnormal signs seen: nodules, masses

2. What are your findings from the images? Your diagnosis?

Ans:
Image Findings: Diffusely distributed, unevenly sized and well-defined nodules and masses in
both lungs.
Diagnosis: Metastasic Neoplasms
Case 4 Male, 44 years old, right eyelid drooping for 1 year.

37HU 39HU 61HU

Case 4 Male, 44 years old, right eyelid drooping for 1 year.
Questions:

1. Where is the location of the lesion？What are the basic abnormal

signs？
2. What are your findings from the images? Your diagnosis?
1. Where is the location of the lesion？What are the basic abnormal signs？
Ans: Lesion located in the anterior-middle mediastinum of the Lung.
The Basic abnormal signs seen: Masses

2. What are your findings from the images? Your diagnosis?

Ans:
Image Findings: Round soft tissue mass, uniformly dense, well-bounded, homogeneous and
markedly enhanced; mass with clear boundary and with adjacent structures.
Diagnosis: Thymoma
Case 5 Female, 18 years old, repeated chest pain for more than one month.
Case 5 Female, 18 years old, repeated chest pain for more than one month.
Case 5 Female, 18 years old, repeated chest pain for more than one month.
Questions:

1. Where is the location of the lesion？

2. What are your findings from the images? Your diagnosis?
1. Where is the location of the lesion？
Ans: Lesion located in the anterior-middle mediastinum of the Lung.
The Basic abnormal signs seen: Masses

2. What are your findings from the images? Your diagnosis?

Ans:
Image Diagnosis: Rounded non-heterogeneous mass, calcification and fat, well- bounded, non-
homogeneous and markedly enhanced.
Diagnosis: Teratoma
Case 6 Female, 50 years old, neck mass was found for one month.
Case 6 Female, 50 years old, neck mass was found for one month.
Case 6 Female, 50 years old, neck mass was found for one month.
Case 6 Female, 50 years old, neck mass was found for one month.
Questions:

1. Where is the location of the lesion？

2. What are your findings from the images? Your diagnosis?
1. Where is the location of the lesion？
Ans: Lesion located in neck and upper middle mediastinum

2. What are your findings from the images? Your diagnosis?

Ans:
Image Diagnosis: Enlarged left lobe of thyroid that extends down into the upper mediastinum.
Calcification and cystic, nonhomogeneous and strongly enhanced. The trachea is pushed to the
right side. Many hypodensity foci of different sizes seen in the left and right lobes and in the
isthmus
Diagnosis: Nodular goiter with intrathoracic goiter
Case 7 Female, 23 years old, the left neck mass was found for more than
2 years, asthma for 5 months and cough for 3 weeks.
Case 7 Female, 23 years old, the left neck mass was found for more than
2 years, asthma for 5 months and cough for 3 weeks.
Questions:

1. Where is the location of the lesion？

2. What are your findings from the images? Your diagnosis?
1. Where is the location of the lesion？
Ans: Lesion located in the anterior and middle mediastinum, in the neck and supraclavicular fossa.

2. What are your findings from the images? Your diagnosis?

Ans:
Image Findings: Round irregular masses, partial fusion into large lesions, unevenly dense lesions,
some lesions are surround by adjacent vessels; non-homogeneous, moderate enhancement.
Diagnosis: Lymphoma
Case 8 Male, 13 years old, chest pain for two years.
Case 8 Male, 13 years old, chest pain for two years.
Case 8 Male, 13 years old, chest pain for two years.
Case 8 Male, 13 years old, chest pain for two years.
Questions:

1. Where is the location of the lesion？

2. What are your findings from the images? Your diagnosis?
1. Where is the location of the lesion？
Ans: Lesion located in the posterior mediastinum.

2. What are your findings from the images? Your

diagnosis?
Ans:
Image Findings: Round soft tissue mass, well-defined and heterogenous; non-homogeneous mild
enhancement of mass.
Diagnosis: Neurogenic tumor (Ganglioneuroma)
 THANKU YOU
LAOSHI ....
2022/9/27 41