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患者男,43岁。中上腹反复痛半年。超声检查:肝左叶门静脉左支矢状部周围可见呈囊状扩张的管腔,管腔内见多个类圆形稍高回声团块,其中一个大小约2.1cm×1.4cm,其内未见明显血流信息。管腔似与左肝内胆管关系密切,但周围胆管未见扩张。超声提示:肝左叶门静脉矢状部囊实性占位,考虑(1)肝内胆管扩张伴管腔内多发实性占位;(2)肝左叶囊实性占位(图1~2)。CT平扫:肝内胆管轻度扩张,肝左叶近肝门处见类圆形密度减低影,与扩张
Male patient, 43 years old. Repeated pain in the abdomen for six months. Ultrasonography: left lobe of the left hepatic vein can be seen around the left sagittal sac was a cystic dilatation of the lumen, see a number of round slightly hyperechoic mass, of which a size of about 2.1cm × 1.4cm, which did not See obvious blood flow information. The lumen seems to be closely related to the left intrahepatic bile duct, but there is no expansion around the bile duct. Ultrasound Tip: Left hepatic lobe portal sagittal sac space occupancy, consider (1) intrahepatic bile duct dilatation with multiple real space-occupying; (2) the left hepatic lobe solid occupying place (Figure 1-2 ). CT scan: mild intrahepatic bile duct dilatation, hepatic left hepatic lobe near the door to see the class of circular density to reduce the shadow, and expansion