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胸廓对称，双中下肺野纹理增多、增粗，肺野内未见实质性病变。两肺门影不浓。心影大小形态正常。两膈面光滑，肋隔角锐利。胸
胸片正常，可能是胸膜炎。你以前有过血气胸手术，也有可能是胸膜粘连引起。
根据描述来看，双侧中下肺有点炎症，其他正常。