甲影病例系列---炎炎斗艳(19004期)
01
病例一
女性,54岁
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02
病例二
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思南县人民医院 王飞:
病例一:甲状腺左叶病灶,平扫密度不低,病灶可见咬饼征,增强后磨玻璃强化,超声可见病灶边界不清,内见稍高回声,支持滤泡性病变,PTC
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洪洪:
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龙飞凤舞:
病例一:
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病例二:
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春雨 ~贵如油!:
强烈支持乳头状癌。
Mr.陈:
甲状腺左叶病灶,CT平扫密度较低,可见咬饼征,增强后磨玻璃强化、范围稍缩小,超声形态欠规则,低回声为主,考虑PTC。
张康林:
咬饼征,增强后范围缩小,磨玻璃样强化。考虑ptc
oasis:
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黄国华:
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月影无踪:
病例一:
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病例二:
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sky :
甲状腺左叶病灶,CT平扫密度较低,可见咬饼征,增强后磨玻璃强化、边界较平扫模糊且范围稍缩小,超声形态欠规则,低回声为主,纵横比大于1,考虑PTC。
城市边缘:
病例一:左叶结节,超声:低回声,垂直位生长,形态不规则,边界模糊。CT:平扫低密度,咬饼,边界模糊,增强后缩小,低增强,边界模糊。诊断:PTC。
病例二:低回声结节,横切水平位生长,纵切垂直位生长,边界模糊,内见点状血流,不丰富。4b,诊断PTC可能大,其次炎性病变不能除外。
陈宜春 四川华西龙泉医院 放射科:
病例一:
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病例二:
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雪花啤酒:
病例一:彩超示形态不规则,低回声实性结节,横切呈直立性生长,纵横比失调,边界不清,TR分类4C;CT示左叶低密度结节,形态欠规则,咬饼征,增强后磨玻璃强化,范围缩小,主要的是左侧颈部增强后可见强化的明显受压的血管影,前方有强化的结节影,多考虑增大淋巴结,支持恶性病变,PTC
病例二:低回声结节,横切水平位生长,纵横比未见失调,边缘尚清,内见点状血流,边缘血流丰富,TR分类4a,滤泡性病变,良性可能性大。
星域:
病例一:
甲状腺左叶实性极低回声结节,边界不清晰,纵横比<1。CT示左叶低密度结节,边界不清晰,有咬饼征,但增强后似乎变清晰了。考虑炎症,不排外PTC。
病例二:甲状腺左叶实性低回声结节,边缘欠清晰,纵横比<1,考虑炎症,不排外结甲
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结果:
韩志江,杭州市第一人民医院:
公布结果:病例一和二均为亚急性甲状腺炎!
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编辑:初艳龙 于小明
审核:相沙甲状腺影像联盟