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患者女,52岁。因体检时发现右肾占位性病变入院,患者无尿路刺激症状及血尿病史。彩超检查示:肝硬化,脾大,门静脉高压及右肾实性占位。既往史:乙肝病史4年,无其他。体检:心、肺听诊无异常;全身未扪及肿大淋巴结。实验室检查(-)。CT扫描:右肾实质内可见一类圆形软组织密度影,大小约5.2cm×4.7 cm,平扫CT值约为21HU(图1),增强扫描动脉期明显均匀强化,CT值约为278 HU,门静脉期强化程度略减低,CT值约207 HU,病灶周围可见假包膜,病
Female patient, 52 years old. Found due to physical examination right renal space-occupying lesions admitted to the hospital, patients without urinary tract irritation and history of hematuria. Color ultrasonography showed: cirrhosis, splenomegaly, portal hypertension and right renal solid mass. Past history: history of hepatitis B 4 years, no other. Physical examination: heart, lung auscultation no abnormalities; body palpable enlarged lymph nodes. Laboratory examination (-). CT scan: a group of right round renal soft tissue density can be seen a shadow of about 5.2cm × 4.7 cm in size, plain CT value of about 21HU (Figure 1), enhancement enhanced significantly enhanced arterial phase, CT value of about 278 HU , The degree of portal vein enhancement slightly reduced, CT value of about 207 HU, pseudomembranous lesions can be seen around the disease