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患者男性,25岁。无明显诱因出现左上腹持续性钝痛,腰背部疼痛伴头晕、全身乏力4个月,无发热,近日症状加重而就诊。查体:慢性病容,浅表淋巴结无肿大,心肺正常、肝脾不大,左上腹压痛明显,未扪及包块。化验检查:血常现正常。X线检查:胸片示未见异常。B超检查:肝肾无异常,脾脏不大,脾内见多个大小不等之圆形低回声区,境界清晰,内缘欠整齐,壁厚0.3cm,最大一个病灶为1.38cm×1.04cm,较大无回声区内见大量弱回声光点漂浮,较小的内部均为无回声。
Male patient, 25 years old. There is no obvious incentive to appear persistent dull left upper quadrant pain, back and back pain with dizziness, generalized 4 months, no fever, recent symptoms and treatment. Physical examination: chronic disease, superficial lymph nodes without swelling, normal heart and lungs, liver and spleen, left upper quadrant tenderness significantly, palpable mass. Laboratory tests: blood is normal. X-ray examination: chest X-ray showed no abnormalities. B-ultrasound: no abnormal liver and kidney, the spleen is not large, the spleen see a number of different sizes of circular hypoechoic area, the state clearly, the inner edge of less than neat, wall thickness 0.3cm, the largest one lesions 1.38cm × 1.04cm , A large number of echo-free area to see a large number of weak echo floating point, smaller internal are non-echo.