医学病历翻译-放射诊断报告译文

发布日期：2019-03-08 11:58:12 浏览量：959

放射诊断报告

性名：### 性别:% 年龄:岁科别东肝脏外科放射学检查号码: 2715118 门诊号:3030820 流水号:D3204983
证床诊断:待查送检医师的要求: 待查检查部位和名称: 上腹部根平扫增强

检查方法: TRA: TIWI-IP/OP. T2W1/PS oWL, COR T2WT，增强(Cd-DTPAa15ml，静脉注射，速率1. Sml/s)TRA: LAVA/mDixon/eThrive三期扫措

放射学表现:

肝脏大小、形态来见明显异常，肝脏多发混杂害度团块影，T1精低信号，T2W]稍高信号，位于右叶最大一处病灶约54mnX52mn, 增强后呈环形强化。胆囊区未见明显异常信号。肝内外胆管未见明显扩张和狭窄，胰腺大小，形态和信号未见明显异常，主胰管来见明显扩长，周围指肪间隙清晰。牌脏可见小结节影，直径约4ms,T1WI低信号，T2WI高信号，增强强化不明显，DWI ADC图像上未见弥散受限。双肾名发无强化长TI长T2信号结节。后腹膜处未见明显肿大淋巴结影，腹腔内未见明显职液，

放射学诊断:

肝胜事发团块灶，结合病史需考虑转移瘤。牌脏小结节，病灶较小，性质不确定，请随访。又肾微小囊片。

Examination site and name: Enhanced plain MR scan of the upper abdomen
Examination methods: TRA: T1 weighted imaging-in phase/out of phase, T2 weighted imaging/fat suppression, diffusion-weighted imaging; COR: T2 weighted imaging; enhanced (Gd-diethylenetriamine pentaacetic acid, 15 mL, intravenous injection, rate: 1.5 mL/s) TRA: LAVA/mDixon/eThrive tri-phase scanning
Radiological manifestations:
There were no obvious abnormities in the size and shape of the liver. Multiple inhomogeneous mass opacities were observed in the liver. T1WI showed slightly low signal intensity and T2WI slightly high signal intensity. The largest lesion in the right lobe was about 54 mm*52 mm. Ring enhancement was found in the enhanced scan. No obvious abnormal signal was observed in the gallbladder area. Both intrahepatic and extrahepatic bile ducts were free from dilatation and stenosis. There were no obvious abnormities in the size, shape and signal of pancreas. Main pancreatic duct was free from obvious dilatation. The space of surrounding fatty was clear. Small nodules with a diameter of about 4 mm were observed in the spleen. T1WI showed low signal intensity and T2WI high signal intensity. Enhancement was not obvious in the enhanced scan. Restricted diffusion was not observed on the DWI-ADC images. Multiple non-enhanced nodules with long T1 and T2 signal were observed in double kidneys. There was no obvious enlarged lymph node in the posterior peritoneum, and no obvious effusion in the abdominal cavity.
Radiological diagnosis:
Multiple mass lesions were observed in the liver, which was considered to be metastatic tumors in combination with the medical history.Small nodules were observed in the spleen. The lesion was relatively small with uncertain nature. Follow-up was required.Minute cysts were observed in double kidneys.

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