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患者女,50岁。因“反复上腹疼痛不适20余年,加重3个月”就诊。B超检查提示胆囊炎,胆囊结石,脾脏未见明显异常。既往因左侧乳腺癌行“左乳腺癌手术切除”史。门诊拟诊:“胆囊结石、慢性胆囊炎”收住入院。MRI表现:脾脏未见明显肿大,其内可见多发小圆形异常信号灶,T1WI呈稍高信号,T2WI呈低信号,增强扫描动脉期及静脉期病灶未见明显强化,较正常脾脏呈明显低信号,延迟见轻度强化,与正常强化的脾脏实质比较呈稍低信号;
Female patient, 50 years old. Due to repeated abdominal pain and discomfort more than 20 years, aggravating 3 months “treatment. B-check prompts cholecystitis, gallstones, spleen no obvious abnormalities. Past history of left breast cancer ”left breast surgery“. Outpatient consultation: ”gallbladder stones, chronic cholecystitis " admitted to hospital. MRI showed no significant enlarged spleen, which showed multiple abnormal small circular lesions, T1WI showed a slightly higher signal, T2WI showed a low signal enhancement enhanced arterial phase and venous phase lesions did not significantly enhanced compared with the normal spleen was significantly Low signal, delayed see slightly enhanced, and slightly lower than normal enhanced spleen signal;