患者,女性,14岁。因胸背部酸痛58天,进行性双下肢无力10天求诊。于58天前不明诱因出现胸背部疼痛,初较局限,程度轻,症状逐渐加重,并向两侧胸壁扩大,出现腰部酸痛。推拿、服药治疗无效,经省级医院查胸部CT见“右背侧胸膜增厚,伴积液,量较少,延伸至肝区腹壁间隙内”。MRI检查结果:(1)炎 Patient, female, 14 years old. Due to chest and back pain for 58 days, her legs were weak for 10 days. At 58 days ago, unexplained predisposition to chest and back pain occurred, initially more confined, to a lesser degree, the symptoms gradually worsened, and the chest wall was enlarged on both sides and lumbar pain occurred. Massage, medication treatment is invalid, the chest CT examination by the provincial hospital, see “the right dorsal pleural thickening, with effusion, a small amount, extending into the abdominal wall of the liver area.” MRI test results: (1) inflammation