脾结核的MRI与CT影像表现1例
Journal of China Clinic Medical Imaging（2021）
Abstract
病例 女,70岁,于1周前体检时发现脾肿物,平素无腹痛、腹胀,无恶心、呕吐,排气、排便可,无尿血、便血,无发热,为求进一步治疗,门诊以"脾脏占位"收入院.查体:无特殊阳性体征.实验室检查:血沉70 mm/h,C反应蛋白24.2 mg/L,白细胞12.2×109 L-1.肝胆胰脾彩超(空腹)示:脾脏大小正常,上极可见大小约3.3 cm×3.8 cm的低回声,形态尚规整,CDFI示周边可见少量血流信号.CT平扫示:脾脏可见团片状稍低密度灶,大小约4.6 cm×3.8 cm×5.0 cm,其内密度不均,可见斑片状低密度区.增强扫描:脾脏团片状低密度灶呈轻度渐进性强化,其内斑片状低密度区无强化(图1).
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