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患者男,43岁。半年来觉食欲差、进行性消瘦。腹部CT平扫提示肝内多发低密度影,肝脏增强CT提示肝脏多发占位,考虑多发血管瘤,部分低密度影不排除肿瘤性病变。患者自发病以来神志清,精神尚好,食欲欠佳,睡眠正常,大、小便正常,近半年来体重下降约10余公斤。MRI检查:肝实质内见多发大小不等结节状长/短T_1、长T_2信号(图1、2),DWI高b值大部分病灶扩散受限呈高信号(图3),冠状位T_2WI示病变呈高信号(图4)。静脉注
Male patient, 43 years old. Six months, poor appetite, progressive weight loss. Abdominal CT scan showed multiple low-density intrahepatic lesions, liver enhanced CT prompted multiple occupying the liver, consider multiple hemangiomas, some low density does not rule out the tumor lesions. Since the onset of patients with clear consciousness, the spirit is still good, poor appetite, normal sleep, large, urine normal weight loss in the past six months about 10 kg. MRI examination revealed multiple nodules with long / short T_1 and long T_2 signals in the parenchyma of the liver (Figure 1 and 2). Most lesions with high b value of DWI showed high diffusion (Fig. 3), coronal T_2WI Showed lesions showed high signal (Figure 4). Intravenous