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gan zang yan xing jia liu yang lv pao shu tu xi bao rou liu yi li
Author(s): 
Pages: 1831-1832
Year: Issue:  12
Journal: Journal of Clinical Radiology

Keyword: 
Abstract: 患者 男,57岁.右上腹阵发性胀痛2月余入院,既往无病毒性肝炎病史.体检:体温正常,右上腹轻压痛.实验室检查血白细胞及中性粒细胞正常,AFP正常. 影像学检查:CT平扫示肝右叶增大,左叶缩小,肝左外叶见一稍低密度肿块,边界欠清,大小约6.4cm×4.7 cm×4.6 cm(图1);增强扫描病灶边缘实性部分呈渐进性强化,CT值分别为75 HU、107 HU、112 HU,中央可见大片未强化坏死区,病灶由肝左动脉供血(图2~4),腹腔内及腹膜后未见肿大淋巴结.MRI平扫示肝左外叶一等/稍长T1、稍长/长T2信号肿块,边界模糊,其内可见长T1、长T2信号坏死区(图5、6);增强扫描病灶实性部分明显强化(图7).
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