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患者女,48岁。因右腹部肿块、血尿数月就诊。尿常规:尿红细胞计数49.3个/UL。血常规:白细胞增高。彩超提示为右肾实性肿块,考虑肾癌。CT平扫:发现右肾体积增大,其内见不规则形钙化影(图1)。考虑右肾占位。MR平扫+增强:右肾体积明显增大,右肾内见一巨大的异常信号,轴位测得最大截面约9.7 cm×9.0 cm,病灶边界不清楚,
Female patient, 48 years old. Due to the right abdominal mass, hematuria several months treatment. Urine routine: urinary red blood cell count 49.3 / UL. Blood: white blood cells increased. Choi ultrasound prompted for the right renal solid mass, consider kidney cancer. CT scan: Found that the right kidney volume increases, which see irregular shaped calcification (Figure 1). Consider the right kidney placeholder. MR scan + enhancement: the right kidney volume increased significantly, see a huge abnormal signal in the right kidney, measured the maximum axial section of about 9.7 cm × 9.0 cm, the lesion border is not clear,