广州病历翻译-PET-CT报告翻译

诊断意见:

1.回盲部团块并糖代谢不均匀轻度增高，考虑恶性肿瘤( 阑尾粘液腺癌? ) ,拟累及升结肠近端、回肠末段，并腹膜转移，多发肠系膜淋巴结转移。肝包膜下积液，考虑转移可能。右肋膈角淋巴结肿大，转移可能。

2.双侧筛窦炎症。双侧颈部I、II区 及双侧腋窝淋巴结炎性增生。

3.甲状腺左右叶密度不均，糖代谢轻度增高，建议超声及甲功检查。

4.右肺上叶尖段磨玻璃结节，左肺上叶尖后段实性结节，未见糖代谢增高，拟炎性病变，建议定期追踪复查;右肺中叶、左肺上叶舌段慢性炎症/纤维灶。

5.肝脏多发囊性病变，糖代谢未见增高，囊肿与转移鉴别。双肾多发囊肿。前列腺增生并钙化。肛管糖代谢增高，符合内痔改变。

6.腹主动脉、左侧髂总及髂内动脉钙化斑。

7.脊椎退行性变，腰5/骶1椎间盘轻度突出。

Diagnostic suggestions：
1. Slight increase of ileocecal mass and uneven glucose metabolism, considered for malignant tumor (mucinous adenocarcinoma of appendix?), preliminarily confirmed as involving in the proximal part of the ascending colon and the terminal ileum, and peritoneal metastasis, and multiple mesenteric lymph node metastasis. Hepatic subcapsular effusion was considered for the possibility of metastasis. Right costal diaphragmatic angle lymph node enlargement, considered for the possibility of metastasis.
2. Bilateral ethmoid sinus inflammation. Inflammatory lymph node hyperplasia of bilateral neck area I and II and bilateral axilla.
3. Uneven left and right lobe density of thyroid gland, slightly increased glucose metabolism, and ultrasound and thyroid function examination are recommended.4. Ground-glass nodules in the upper lobe tip of the right lung, solid nodules in the posterior segment of the left lung upper lobe tip, without glucose metabolism increase, preliminarily confirmed as inflammatory lesions, suggested to regularly follow-up and re-examination; Lingular chronic inflammation/fibrous lesion in the middle lobe of right lung and upper lobe of left lung.
5. Multiple cystic lesions in the liver, without glucose metabolism increase observed, cyst and metastasis are identified. Multiple cysts in double kidneys. Prostatic hyperplasia and calcification. Glucose metabolism increased in the anal canal, which is accord with the changes of internal hemorrhoid.6. Calcified plaque of the aorta abdominalis, left common iliac and internal arteries.
7. Spine retrogression, slight protrusion of lumbar 5/ sacrum 1 intervertebral disc.