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患者女,69岁。无诱因出现双侧腰背部不适伴头晕、全身乏力症状1个月余入院。体检:双肾区及输尿管行程区无明显压痛及叩击痛。B超示:左肾上极可探及大小约5.0 cm×4.9 cm的稍强回声团,边界尚清,内部回声不均匀,可见血流信号。诊断:左肾内异常回声,考虑肾癌可能。CT检查:左肾上极轮廓局限性隆起,其内可见类圆形软组织肿块,大小约4.9 cm×4.8 cm,密度不均匀,可见更低密度影,增强早期呈明显不
Female patient, 69 years old. No incentive to appear both side of the lower back discomfort with dizziness, generalized fatigue symptoms more than 1 month admission. Physical examination: There is no obvious tenderness and percussion pain in the bilateral renal area and ureteral travel area. B ultrasound showed: the left kidney can be detected and the size of about 5.0 cm × 4.9 cm slightly stronger echo group, the boundary is clear, the internal echo uneven, visible blood flow signal. Diagnosis: abnormal echo in the left kidney, consider kidney cancer may be. CT examination: the left renal upper pole limitations limited uplift, which can be seen within the round soft tissue mass, the size of about 4.9 cm × 4.8 cm, the density is not uniform, showing a lower density shadow, was significantly enhanced early