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患者男性55岁咳嗽胸闷伴左胸背疼痛进行性加剧20余天,干咳偶有痰中血丝,胸痛以夜里明显,乏力及全身不适,无发热盗汗,当地曾诊断肺感染经用抗生素治疗未好转,转来我院诊治。查体消瘦面容,全身浅表淋巴结不肿大,左下肺语颤减弱,叩诊浊音,呼吸音减弱。心脏、腹部检查未见异常。实验室检查血尿及生化检查无改变。CT检查左下肺背段见10×12×10cm大小软组织块影,紧贴后肋,边缘有分叶密度基
55-year-old man with cough, chest tightness, left chest and back pain was progressively exacerbated for more than 20 days, dry cough occasionally sputum bloodshots, chest pain was evident at night, fatigue and general malaise, no fever and night sweats, the local diagnosis of lung infection was not improved by antibiotic treatment. Transferred to our hospital for treatment. Check the face of weight loss, the body’s superficial lymph nodes are not swollen, the left lower lung fibrillation weakened, percussion dullness, breath sounds weakened. There was no abnormality in heart and abdominal examination. Laboratory examination of hematuria and biochemical examination did not change. CT examination of the left lower lung segment 10 × 12 × 10cm soft tissue block size, close to the ribs, the edge of the leaf density base