患者,女,64岁。因“右侧腰部隐痛1月余”入院,疼痛程度较轻,持续发作无缓解,有加重趋势,无肉眼血尿,无恶心呕吐,无发热,无双下肢水肿。进食可,入院前3个月体重明显减轻约5 kg。否认外伤史。体检:右上腹饱满,可扪及包块,境界不清,活动度欠佳,压痛阳性,左肾区叩痛阴性,右肾 Patient, female, 64 years old. Because of “right waist pain more than 1 month ” admission, less pain, sustained no relief, there is a tendency to aggravate, no gross hematuria, no nausea and vomiting, no fever, unrivaled lower extremity edema. Food can be, 3 months before admission significantly reduced body weight about 5 kg. Denied the history of trauma. Physical examination: full of right upper quadrant, palpable mass, unclear state, poor mobility, tenderness positive, left kidney area knocking pain, the right kidney