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患者男,44岁,因体检发现右肝肿物4个月于2007年10月23日入院,无任何临床症状、相关既往史及阳性体征,实验室检查无明显异常。影像学检查:超声检查示肝右叶1.8cm×1.65cm等回声结节,超声造影见该结节于注入造影剂后9s迅速增强,18s开始消退,24s呈等增强,随即较肝脏逐渐消退,提示符合肝癌征象。CT检查见图1,考虑不排除肉芽肿性病变可能。
Male patient, 44 years old, was found to have had a right hepatic tumor for 4 months on October 23, 2007 due to medical examination. There was no clinical symptoms, any previous history and positive signs. There was no obvious abnormality in laboratory tests. Imaging examination: Ultrasonography showed echogenic nodules of 1.8 cm × 1.65 cm in the right hepatic lobe. The echocardiography showed that the nodules were rapidly enhanced 9 s after injection of contrast medium, started to subside at 18 s, showed an equal enhancement at 24 s, then gradually faded from the liver, Tips consistent with signs of liver cancer. CT examination shown in Figure 1, consider not rule out the possibility of granulomatous lesions.