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患者女,76岁。以“尿频、尿痛1周”为主诉入院。小便伴有灼烧感,体型消瘦,低热,体温波动在38℃左右,无肉眼血尿。患者30年前曾行绝育手术,15年前因胆结石行“胆囊切除术”。彩色超声显示肝内强回声(钙化灶),子宫肌壁间钙化灶,宫腔及盆腔积液。体检:全身浅表淋巴结未见肿大,尿道增粗,尿道外口可见一约1cm肿物,质地脆,触之易出血,表面可见大量白色分泌物。中下腹部CT平扫示肝左叶钙化灶,双肺底炎症,左侧胸膜
Female patient, 76 years old. To “frequent urination, dysuria 1 week ” mainly sued admissions. Urine accompanied by burning sensation, body weight loss, fever, body temperature fluctuations at about 38 ℃, no gross hematuria. The patient underwent sterilization yesterday 30 years ago and had cholecystectomy 15 years ago. Color ultrasound showed intrahepatic echo (calcification), uterine muscle wall calcification, uterine cavity and pelvic fluid. Physical examination: the whole body superficial lymph nodes were not enlarged, urethral thickening, urethral orifice can be seen about 1cm mass, texture crisp, easy to touch the bleeding, the surface can be seen a lot of white secretions. Lower abdominal plain CT showed calcification of the left lobe, lung bottom inflammation, the left pleura