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匿名 發問於 健康疾病及病徵其他 - 疾病 · 7 年 前

煩請好心知識人幫忙翻譯肺癌報告

Previously seen right hilar / upper lobe mass extending inferiorly into the right middle lobe and right lower lobe appears considerably larger than on the previous study but is difficult to separate from more peripheral pneumonitis. It measures approximately 5.8 x 4 cm, previously 3.7 x 2.8 cm. The more inferior nodular component is also surrounded by pneumonitis and is difficult to measure but it likely larger. There is encasement of bronchus intermedius and right middle lobe bronchus which is obstructed.

Previously seen innumerable tiny nodules in both lungs have increased in number and are mostly new in the left lower lobe and dominant nodules seen previously have increased in size.

Several right upper paratracheal nodes have increased in size the largest measuring 1.2 and 1.4 cm. Subcarinal adenopathy similar or slightly larger.

A right supraclavicular node measures 1.7 x 0.8 cm and has enlarged since the previous study.

The previously seen low density lesion adjacent to the falciform ligament is less apparent than on April 30 with no other focal hepatic lesions seen. The spleen, pancreas, adrenals and both kidneys appear normal apart from a simple right lower pole renal cyst. No free fluid.

Previously seen mixed lytic and sclerotic metastases in the spine and also in the proximal femurs are not significantly changed.

Considerable enlargement of right lung mass and adjacent obstructive pneumonitis. Stable right pleural disease. Marked progression of micronodular disease throughout both lungs. Differential diagnosis includes progressive metastatic lung disease and superimposed infection including fungal infection or TB.

Mild progression of mediastinal and right supraclavicular adenopathy.

Hepatic lesion is less well-seen.

Regarding the brain, a small subcortical low density in the medial left parietal lobe is of uncertain etiology. It is not typical of a metastasis or neoplasm. Subcortical ischemic disease would be unusual for this age.

2 個解答

評分
  • Wai ho
    Lv 7
    7 年 前
    最佳解答

    以前看過出現右肺中葉及右下肺葉下部延伸到右側肺門/上部葉質量遠遠大於先前的研究,但難以脫離周邊肺炎。它測量約5.8×4厘米,以前3.7×2.8厘米的。下結節性成分肺炎,周圍也很難衡量,但它可能較大。有包繞中間支氣管,右肺中葉支氣管被擋住。

    以前看過的無數微小結節兩肺數量有所增加,大多是新的左下肺葉和先前看到的優勢結節大小已增加。

    幾個右上氣管節點的大小已增加了1.2和1.4厘米最大測量。隆突下淋巴結腫大相似或稍大。

    右鎖骨上節點尺寸為1.7×0.8厘米,已經擴大,因為先前的研究。

    先前看到的低密度病灶相鄰的鐮狀韌帶不太明顯比4月30日,沒有看到其他肝臟局灶性病變。出現脾,胰腺,腎上腺,雙腎正常,除了一個簡單的右側腎下極囊腫。沒有自由流體。

    先前看到的混合溶解和硬化在脊柱,並在股骨近端的轉移沒有顯著改變。

    右肺質量相當的擴大和相鄰阻塞性肺炎。穩定右側胸腔疾病。標誌著整個兩肺小結節疾病的進展。鑑別診斷包括漸進轉移性肺疾病和疊加包括真菌感染或結核感染。

    輕度進展的縱隔和右鎖骨上淋巴結腫大。

    肝損傷是見過少。

    關於大腦,在內側的左頂葉皮層下低密度的小病因不明。這不是典型的轉移或腫瘤。這個年齡是不尋常的皮質下缺血性疾病。

    資料來源: me
  • 6 年 前

    朋友:請過去香港討論區-日常生活-癌症治療交流 睇下!

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