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病例资料患者,男,71岁,因“间断发热10余天,CT检查发现肝占位6 d”入院。该患者曾在基层医院接受抗生素治疗,但症状反复,遂入笔者所在医院治疗。入院查体无异常。肝功能:总胆红素13.3μmol/L,白蛋白31.0 g/L。腹部MRI检查示(图1):肝左叶内侧段见稍长T1序列、稍高短时间反转恢复序列(STIR)信号影,边界不清,呈不规则团块状,其内见不规则片状STIR高信号影;静脉期后,肝左叶
Case data, male, 71 years old, due to “intermittent fever more than 10 days, CT examination found liver d 6 d ” admission. The patient had antibiotic treatment in primary hospitals, but the symptoms repeatedly, then the author’s hospital treatment. Admission examination without exception. Liver function: total bilirubin 13.3μmol / L, albumin 31.0 g / L. Abdominal MRI examination (Figure 1): the medial segment of the left lobe of the liver see a slightly longer T1 sequence, slightly higher short-term reverse recovery sequence (STIR) signal shadow, the boundary is unclear, irregular clumps, which see the irregular Flaky STIR high signal shadow; after the venous phase, the left lobe of the liver