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1 临床资料 患者女:31岁,腹胀纳差1月余,查体:T 37.2℃,皮肤巩膜无黄染,右上腹叩痛,肝脏肋缘下6 cm±,质硬不甚光滑,既往无肝病史,化验检查:AFP(甲胎蛋白)>800ng/ml肝功正常,B超揭示:肝脾占位,脂肪肝。 CT表现:平扫见肝左叶巨大低密度灶并向左上腋突出,最大截面约12×185cm±,左肝下缘呈“波浪状”,CT值约39Hu±,肝方叶内见斑片状混杂密度病灶,CT值约33～35Hu±;强化后巨大低密度灶内呈多个大小不等的结节样表现,结节间残
1 Clinical data Female patient: 31 years old, abdominal distension anorexia for more than one month, physical examination: T 37.2°C, no yellow stain on the skin sclera, right upper quadrant abdominal pain, 6 cm ± below the costal margin of the liver, hard and smooth, no previous History of liver disease, laboratory tests: AFP (alpha-fetoprotein)> 800ng/ml normal liver function, B ultrasound revealed: liver and spleen, fatty liver. CT findings: On the plain scan, a large low-density lesion of the left hepatic lobe was seen and protruded to the left superior malleolus with a maximum cross-sectional area of approximately 12×185 cm±. The left lower liver margin was “wavy” with a CT value of approximately 39 Hu±. Mixed-density lesions, CT value of about 33 ~ 35Hu ±; enhanced after the huge low-density lesions showed multiple nodular appearance, internodal residual