1.临床资料 患者,男,38岁,左上腹轻微不适一月,来我院就诊。查体:一般情况尚好,浅表淋巴结未触及,心肺(—)。脾脏于左肋缘下触及2cm,质中无叩击痛。行B超检查:脾脏轻度肿大,最大长径13.5cm,厚度4.4cm,包膜光整,形态无明显改变。实质内见多个大小不等的圆形、椭圆形强回声区,边缘清晰、锐利呈浮雕 1. Clinical data The patient, male, 38 years old, had slight discomfort in the left upper quadrant and came to our hospital for a month. Physical examination: The general situation is still good, superficial lymph nodes are not touched, heart and lung (-). The spleen touched 2 cm below the left costal margin and there was no percussion pain in the quality. B-ultrasound examination: the spleen was slightly enlarged, the maximum long diameter 13.5cm, thickness 4.4cm, coated smooth, no significant change in shape. In essence, there are multiple circular and elliptical strong echo regions of different sizes with sharp edges and sharp reliefs.