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2010/10/26
CT报告
Volumetric scan, 1cm axial cuts, plain and contrast scan
Three tiny nodular images noted in the right middle pulmonary lobe and the upper segments of both lower lobes respectively, about 0.5cm in dimension. No bulky lymph node found in the mediastinum. No pleural effusion noted bilaterally. Multiple enhancing masses and nodules found in the left and right hepatic lobes, the largest one with some lipiodol dyes in S7 of right hepatic lobe is about 6.6X5.6cm in dimension. The portal vein is patently identified. No anomaly found in the biliary ducts and GB. The spleen, pancreas, adrenal glands and both kidneys are unremarkable in morphology. No ascites noted. No bulky lymph node found in the retroperitoneal spaces. No bony erosion found within scanning region.
Conclusion:
Status of HCC post TOCE: findings as described may suggest tumor recurrence and multiple metastases in liver and both lungs.
网上翻译:
容积扫描,一厘米轴向削减,平原和增强扫描
三颗小结节的影像记录在右中肺叶及上两下叶段分别约 0.5公分的尺寸。没有笨重的淋巴结中发现纵隔。双侧胸腔积液没有注意到。加强群众和结节多发现在左,右叶肝脏,最大的染料和一些在S7碘油肝右叶约 6.6X5.6cm的层面。门静脉显然是确定的。无异常发现的胆管和GB。脾,胰,肾上腺和肾脏都不起眼的形态。无腹水指出。没有笨重的淋巴结中发现腹膜后位。无骨侵蚀扫描区域内找到。
结论:
肝癌的现状后 TOCE:调查结果描述可能表明肿瘤复发和转移的肝,两个肺。
疑问:
1. 肺上的结节是0.5x0.5,这么小都能看出?
2. 现在肝上最大的肿瘤是6.6X5.6cm,比7月份MRI的最大7CM好像小了一点,可能吗?会不会是CT和MRI有差异呢?
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