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患者,女,51岁。右上腹包块2年,发烧5天入院。体检:右上腹触及一约7×8cm包块,质偏硬,表面光滑,边界清楚,不活动。右肾区明显叩击痛。白细胞计数不高,血沉68mm/h。尿脓球20～50个/HP。超声波示包块8×10×9cm,与胆囊无关。X线平片:右肾轮廓增大,肾区见多个大小不等,密度不均的致密阴影。静脉肾盂造影:右肾不显影,肾区致密阴影与平片相同,左侧正
Patient, female, 51 years old. The right upper abdomen mass for 2 years, admission to hospital with fever for 5 days. Physical examination: The right upper abdomen touches a mass of about 7 × 8cm, which is hard, smooth, with clear boundaries and inactive. The right kidney area is markedly painful. White blood cell count is not high, ESR 68mm/h. Urine pus 20 ~ 50 / HP. Ultrasound showed a mass of 8 x 10 x 9 cm, which was not associated with the gallbladder. X-ray film: The right kidney outline is enlarged, and the kidney area sees a variety of dense shadows of varying sizes and densities. Intravenous pyelogram: The right kidney is not developed. The dense shadow of the kidney area is the same as the plain film. The left side is positive.