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患者男性,54岁,汉族,因左侧腰部胀痛两个月来就诊。查体:心肺未见异常、左季肋部触及实性包块,边界不清,表面光滑,质地中等,活动度差,触痛明显,肝于肋缘下一横指可触及,未见浅表淋巴结肿大。B超检查可见左肾116×54mm外形欠规则,左肾上极形成一个54×42mm大小的囊性肿块,包膜厚,内可见散在的中低回声光点,后方伴增强效应,内侧肾包膜回声中断。在后腹膜形成一个110×67mm大小的液性暗区,起源于左肾的上极,腹主动脉旁淋巴结肿大,脾未见异常,肝脏大小形
Male patient, 54 years old, Han nationality, due to left lower back pain for two months treatment. Physical examination: heart and lung no abnormalities, the left quarter of the ribs touches the solid mass, the boundary is unclear, the surface is smooth, medium texture, poor mobility, tenderness, liver under the edge of a cross refers to the margins, no see shallow Table lymph nodes. B-ultrasound showed that the left kidney 116 × 54mm shape under the rules, the left kidney on the pole to form a 54 × 42mm size of cystic mass, capsule thickness, scattered in the visible mid-low echo point, rear with enhanced effect, medial kidney Echo capsule interrupted. In the retroperitoneal formation of a 110 × 67mm size of the liquid dark zone, originated in the upper pole of the left kidney, abdominal aortic lymph nodes, no abnormal spleen, liver size