中国医学影像论坛

中国医学影像论坛

张佳胤 20:02

大家先看看图像

西安市胸科医院杨元利 20:05

胸膜结核瘤？

浙江舟山医院曹捍波 20:08

首先考虑神经源性肿瘤

阚晓倩河南省人民医院 20:10

胸腺瘤并胸膜转移

张佳胤 20:13

大家尽量用英语发言吧

张佳胤 20:13

what is the localization of two lesions

浙江舟山医院曹捍波 20:17

Source of chest wall

黄原义 20:18

one from plureal other from midiastinum

童进 184医院影像科 20:19 mediastinum and Pleural cavity

张佳胤 20:19

well, the anterior lesion is located in the anterior mediastinum, agree?

解放思想！？ 20:19

agree

张佳胤 20:20

two lesions are of same origin or different?

解放思想！？ 20:21

anterior superior mediastinum

黄原义 20:21

different

解放思想！？ 20:21

monism

浙江舟山医院曹捍波 20:22

Before the chest wall and mediastinal all have, but to strengthen are less

张佳胤 20:22

the anterior mass is markedly enhanced

张佳胤 20:22

the pleural mass seems to be cytic without enhancement

黄原义 20:23

neurogenic?

张佳胤 20:23

both are neurogenic? @黄原义-荆州市中心医院-影像诊断?

黄原义 20:25

posterial chest wall neurogenic

黄原义 20:26

mediastinum thymoma?

张佳胤 20:26

what about the anterior mediastinal lesion

阚晓倩河南省人民医院 20:27

thymic

张佳胤 20:27

thymoma?

阚晓倩河南省人民医院 20:28

or thymic cancer

除却巫山还是云 20:28

mediastinum thymoma！

张佳胤 20:30

anyone think two lesions are of same origin?

张佳胤 20:33

why goiter? that lesion does not seem to be connected to thyroid gland

黄原义 20:35

not same origin,because contrast pattern is different

阚晓倩河南省人民医院 20:35

agree

浙江舟山医院曹捍波 20:36

Sagittal position, lesions on edge is fuzzy, the location of the thymoma is a little high.

张佳胤 20:38

thymoma can be as high as to the level of inferior pole of thyroid gland and as low as to the level of diaphragm

张佳胤 20:38

anyway, i am not suggesting the diagnosis of thymoma

黄原义 20:40

both are lymphoma[呲牙]

张佳胤 20:41

lymphoma is rarely cytic[微笑]

张佳胤 20:41

the pleural mass seems to be cystic

浙江舟山医院曹捍波 20:42

Is it the same origin? Thymoma with pleural invasion? That is a very high level of thymoma, should be a neuroendocrine carcinoma, isn't it?

黄原义 20:43

mutiple choices

张佳胤 20:43

the anterior mass seems to be invasive since it encased the adjacent vessels, agree?

210PET/CT关医生 20:44

agree[微笑]

黄原义 20:44

let me look at again

阚晓倩河南省人民医院 20:44

neuroendocrine carcinoma?i think the enhence is not so seem

黄原义 20:45

no encasing displacement

张佳胤 20:47

if you look at the thin slice images at the end of the PPT, there is encasement[微笑]

黄原义 20:48