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患者男,28岁。2周前出现运动后右下腹疼痛伴恶心。MRI:右肾体积明显增大,可见团块状混杂长T_1、长T_2信号,大小约110 mm×107 mm×155mm(左右径×前后径×上下径),病变边界尚清,邻近肝组织受压推移。右肾静脉及下腔静脉增粗,其内可见混杂长T_1、长T_2信号。胸12椎体左份可见片状等T_1、长T_2异常信号。以上病灶DWI高b值(b=800 s/mm~2)均弥散受限呈高信号。增强扫描右肾病
Male patient, 28 years old. Right lower quadrant pain with nausea after 2 weeks of exercise. MRI: The volume of the right kidney increased significantly, showing mixed lumps of long T_1 and long T_2 with a size of about 110 mm × 107 mm × 155 mm (left and right diameter × anteroposterior diameter × upper and lower diameter). The boundary of the lesion was clear and the adjacent liver tissue was affected Pressure pushed. Right renal vein and inferior vena cava thickening, which can be seen mixed long T_1, long T_2 signal. Chest 12 left vertebral body visible flaky T_1, T_2 abnormal signal. DWI high b value of the above lesions (b = 800 s / mm ~ 2) were limited diffusion was high signal. Enhanced scan of right kidney disease