患者,男,50岁。因进行性消瘦及上腹痛月余来诊,查体:剑突下可触及坚硬包块并压痛。化验检查乙肝大三阳。B超检查:肝脏大小、形态失常,表面凹凸状,实质回声增强致密,分布不均匀,肝左叶可见约10.7cm×9.0cm中强回声包块,边界清晰,内回声不均。肝静脉及门静脉内均可见大小不等团块状中等回声随血流而飘动(图1)。右房内可见中等回声包块充填,舒张期部分脱入右房,收缩期回缩(图2)。脾 Patient, male, 50 years old. Due to progressive weight loss and upper abdominal pain month to visit, check the body: under the xiphoid can reach hard mass and tenderness. Laboratory hepatitis B three positive. B-ultrasound: liver size, shape disorders, uneven surface shape, the real echo enhancement compact, uneven distribution, the left lobe of the liver can be seen about 10.7cm × 9.0cm mass echo mass, the boundary is clear, the echo uneven. Both hepatic veins and portal veins can be seen within the size ranging from massive echo echo flow with the waving (Figure 1). The right atrium can be seen in the middle echogenic mass filling, part of diastole into the right atrium, systolic contraction (Figure 2). spleen