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患者女,70岁。因间歇性上腹部胀痛2年余,加重1d来院就诊,体格检查:上腹部膨隆,未见肠型及蠕动波,腹肌略紧张,右侧肋缘下可触及巨大包块,质硬,活动度差,表明光滑无结节,触痛明显。右侧肝区轻叩痛。超声表现:肝内可见大小不等的无回声区,壁薄,后壁回声增强。其中右肝前叶一个大小为23.4cm×17.9cm×11.5cm,内见多条纤细强回声光带分隔(图1)。超声诊断为肝脏囊性占位病
Female patient, 70 years old. Due to intermittent upper abdominal pain for more than 2 years, 1d to the hospital for treatment, physical examination: bulging upper abdomen, no intestinal and peristaltic waves, abdominal muscles slightly nervous, the right side of the ribs can reach the huge mass, hard, Activity was poor, indicating no nodules, tenderness significantly. Right liver tap area pain. Ultrasound performance: the size of the liver can be seen in the echo-free area, wall thin, enhanced echo of the posterior wall. One of the anterior lobe of the right liver a size of 23.4cm × 17.9cm × 11.5cm, see a number of slender strong echo light band separation (Figure 1). Ultrasound diagnosis of cystic lesions of the liver