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患者男 ,5 5岁。主诉为右上腹疼痛伴发热、乏力、进行性消瘦 2月。胸片见右膈上偏外侧不规则形块影。与膈肌不能分辨。胸部透视见肿块与膈肌随呼吸上下运动 ,考虑 :①盘状肺不张 ;②肺良性肿瘤。ＣＴ平扫见右膈顶上方见前后走行的“哑铃”状软组织密度肿块 ,轮廓清楚 ,外缘有棘
Male patient, 5 5 years old. The chief complaint was pain in the right upper quadrant with fever, fatigue, and progressive weight loss in February. Chest radiographs showed irregularities at the top of the right upper quadrant. It can’t be distinguished from the diaphragm. Chest radiography showed that the masses and diaphragms moved up and down with the breathing. Consider: 1 discoid atelectasis; 2 lung benign tumors. CT scanning see the “dumbbell” shaped soft tissue mass before and after walking in the top of the right dome, the contour is clear, the outer edge has spines