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1、English Reading Jiang Shengping2013-06-201New wordsPleural effusion plrl fju()n胸腔積液asbestos sbsts石棉unilateral jnltrl單側(cè)的calcified klsfa鈣化的circumferential s,kmfrnl圓周的,周圍的nodular ndl結(jié)節(jié)狀的encases nkes包圍,包繞hemithorax ,hemi:rks半胸ringlikerlak環(huán)狀Interlobar fissure nt:lobjl f葉間裂pleurodesisplrrodi:ss胸膜粘連術(shù) 2mali

2、gnant mlgnnt惡性的Mesothelioma mzo,ilom間皮瘤neoplasm nioplzm新生物,贅生物pericardium ,prkrdm心包,心包膜peritoneum ,prtnm腹膜dyspnea dspni呼吸困難invade nved侵襲,侵擾visceral vsrl內(nèi)臟的,出于本能的Parietal pratl腔壁的,顱頂骨的adjacentdesnt鄰近的,毗鄰的3Figure 1. Pleural effusion in a 70-year-old man with a history of asbestos exposure.Axial contra

3、st materialenhanced CT scans obtained at different levels show unilateral pleural effusion (P) with extensive calcified pleural plaques (arrows).4Figure 2. Pleural thickening in a 51-year-oldman. Axial contrast-enhanced CTscan shows circumferential and nodular left sidedpleural thickening (arrows).

4、The tumorencases the contracted left hemithorax, having arindlike appearance5Figure 3.Interlobar fissure involvementin an 82-year-old man and ahistory of pleurodesis. Axial nonenhancedCT scan shows right-sided pleural thickeningand a pleural mass that extends into theright major fissure (arrows)6How

5、 about your diagnosis Malignant pleural mesothelioma7 Malignant pleural mesothelioma (MPM) is an uncommon neoplasm that arises from the pleura or, rarely, the pericardium or peritoneum. The majority of which are associated with prior asbestos exposure.8 Patients frequently present with dyspnea,chest

6、 pain, cough, and weight loss. The tumor can invade both visceral and parietal pleura and frequently extends to adjacent structures.The prognosis is poor, with a median survival time of 12 months after diagnosis . 9CT is the primary imaging modality used for theevaluation of MPM. Key CT findings that suggestMPM include: Unilateral pleural effusion Nodular pleural thickening and interlobar fissure thickening Growth typically leads to tumoral encasement of the lung with a rindlike appearance Calcified pleural plaques are found at CT in approximately 20% of patients w

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