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< こんな正中神経障害 | メイン | こんな画像を見つけた（２）：胸壁の非ホジ... >
2010.03.05 21:30 |  診療  |  その他（医療関連）  |  ミチバ  | 推薦数 : 2

こんな画像をみつけた（１）：肋骨内脂肪腫（日本語訳に自信なし）

・私の好きな作家の一人に、阿刀田高がいます。その作品の1つに『こんな話を聞いた』というのがあります。それをまねして、今日より「こんな画像を見つけた」シリーズを始めたいと思います。

 

Intraosseous lipoma of the rib

Eur J Cardiothorac Surg 2010;37:483.

 http://ejcts.ctsnetjournals.org/cgi/content/full/37/2/483?maxtoshow=&hits=20&RESULTFORMAT=&searchid=1&FIRSTINDEX=0&displaysectionid=Images+in+cardio-thoracic+surgery&resourcetype=HWCIT 

21歳の男性が左胸痛を訴えてきて、胸部レントゲンで左第７肋骨が「腫大」していたというもの。

 

・胸部レントゲンを読影するとき、一定の読み方があるというか、見落としの無いように、手順を決めて読影しますよね。まず、名前、性別を確認し、撮影体位をチェック、胸部軟部陰影→骨陰影→胸膜・・・・（これは、私の読み方ですが）。私は、胸壁の病変の異常は指摘できても、鑑別診断がなかなかできません。とうことで、胸壁病変についての文献を時々気にしてチェックしています。ということで、上のような画像をみつけたということです。

 

以下日記

・本日の夜間診は、つかれました。Dr.Ｊと二診体制ですが、64名の患者さんが来られました。最後の方は、一人診察が終わる度に、ため息ついていました。でも、やまない雨はない、明けない夜はない、何とか終わりました。問題は、忙しさのためなにかミスをしていないか、です。で、すぐ帰宅する気にならないので、このブログ記事を書いております。

I'm exhausted.

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