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患者女,56岁。以咳嗽、咳痰、胸闷、气短15d入院。既往有肺结核病史,15岁患肺结核,抗结核治疗6个月。体征:左肺下闻及湿啰音,右髂前上棘轻度压痛,PET-CT右肺下叶不规则高密度影,右髂骨破坏,周围软组织密度影,代谢增高。血CEA:168.72 ng/ml。超声检查:右髂前上棘内侧可见6.8cm×6.2 cm的不均匀囊实混合性回声,其内见液化及钙化样强回声,后方回声增强,周边细线样强回声包绕(图1),CDFI:血流较丰富,可检出动静脉血流。超声提示:右髂部囊实混合性病变:(1)恶性骨
Female patient, 56 years old. To cough, sputum, chest tightness, shortness of breath 15d admission. Past history of tuberculosis, 15-year-old suffering from tuberculosis, anti-TB treatment for 6 months. Signs: the left lung smell and wet rales, mild right anterior superior iliac tenderness, PET-CT right lower lobe irregular high-density shadow, right iliac destruction, surrounding soft tissue density, increased metabolism. Blood CEA: 168.72 ng / ml. Ultrasonography: the right anterior superior iliac spine can be seen medial 6.8cm × 6.2cm non-uniform cystic echo, the liquefaction and calcification within the sample echo, enhancement of the rear echo, the surrounding thin-like hyperechoic (Figure 1) , CDFI: more abundant blood flow, can detect arteriovenous blood flow. Ultrasonic Tip: right iliac cystic solid mixed lesions: (1) malignant bone