医影在线

标题: CT38579:女  55岁 腹痛4-5月就诊  请各位老师看 [打印本页]
作者: 木槿    时间: 2012-5-10 17:30
标题: CT38579:女  55岁 腹痛4-5月就诊  
女  55岁 腹痛4-5月就诊  

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作者: 爱de泪痕0    时间: 2012-5-10 19:34
考虑为胆囊癌伴肝脏浸润可能。腹水。怎么没有延迟扫描。
作者: smh0227    时间: 2012-5-10 20:25
肝脏左叶原发性肝癌侵及胆囊；腹膜、肠系膜、大网膜转移；大量腹水转移。
作者: sunbin    时间: 2012-5-10 21:03
肝左叶内侧段可见结节占位，不规则强化，胆囊外形不规则，壁稍厚，周边模糊，肝脾周及肠管间隙见较多液体密度影，肠系膜根部见软组织块影，腹壁与肠管间见饼样软组织影，考虑肝癌侵袭胆囊，腹膜、肠系膜、大网膜转移，大量腹水。
作者: 摘星空竹子    时间: 2012-5-10 21:12
肝左叶内侧段可见结节占位，不规则强化，胆囊外形不规则，壁稍厚，周边模糊，肝脾周及肠管间隙见较多液体密度影，肠系膜根部见软组织块影，腹壁与肠管间见饼样软组织影，考虑肝癌侵袭胆囊，腹膜、肠系膜、大网膜转移，大量腹水。
作者: yxhymx    时间: 2012-5-10 22:43
学习
作者: 卜一    时间: 2012-5-11 03:53
肝左叶内侧段可见结节占位，不规则强化，胆囊外形不规则，壁稍厚，周边模糊，肝脾周及肠管间隙见较多液体密度影，肠系膜根部见软组织块影，腹壁与肠管间见饼样软组织影，考虑肝癌侵袭胆囊，腹膜、肠系膜、大网膜转移，大量腹水。支持！
作者: pingshan    时间: 2012-5-11 07:45
左叶外侧段肝癌伴腹腔心包积液
作者: 赵物学    时间: 2012-5-11 09:31
引用第3楼sunbin于2012-05-10 21:03发表的  :
肝左叶内侧段可见结节占位，不规则强化，胆囊外形不规则，壁稍厚，周边模糊，肝脾周及肠管间隙见较多液体密度影，肠系膜根部见软组织块影，腹壁与肠管间见饼样软组织影，考虑肝癌侵袭胆囊，腹膜、肠系膜、大网膜转移，大量腹水。
本来想说肝脏是转移了，后来一想好像没看见过单发转移，所以支持这个了
另楼上说心包积液的，我也看到了，很纠结，可能性很大基本上，但要除外一下是腹水影
作者: shibing    时间: 2012-5-11 11:02
肝左叶内侧段可见结节占位，不规则强化，胆囊外形不规则，壁稍厚，周边模糊，肝脾周及肠管间隙见较多液体密度影，肠系膜根部见软组织块影，腹壁与肠管间见饼样软组织影，考虑肝癌侵袭胆囊，腹膜、肠系膜、大网膜转移，大量腹水。支持！
作者: 施明    时间: 2012-5-11 11:19
方叶癌
作者: 宁静志远    时间: 2012-5-11 13:16
1、S4段占位，增强扫描“快进快出”，门脉期可见不完整包膜强化，胆囊内侧壁增厚，与病灶分界欠清，门脉右支充盈缺损，考虑S4段原发性肝癌侵犯胆囊并门静脉癌栓。
2、大量腹水形成。
作者: shuiyuan    时间: 2012-5-11 15:27
考虑肝左叶胆管细胞癌，腹水。



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