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临床资料患者,女,41岁。因反复右上腹痛2年,加重5 h入院。查体:双侧锁骨上淋巴结未触及肿大,心肺听诊无异常。胸部CT平面加增强扫描示:纵隔居中,纵隔淋巴结未见肿大,右侧胸腔见类圆形软组织密度影,边界清楚,约83 mm×60 mm大小,增强后不均匀强化,两侧胸膜无增厚,右侧胸腔少量积液(图1)。术前临床诊断:右后纵隔神经源
Clinical data, female, 41 years old. Due to repeated right upper quadrant pain 2 years, increased 5 h admission. Physical examination: bilateral supraclavicular lymph nodes did not touch the enlargement, cardiopulmonary auscultation no abnormalities. Chest CT plus enhanced scan showed: the middle of the mediastinum, mediastinal lymph nodes did not enlarge, the right side of the chest to see the round soft tissue density, clear boundary, about 83 mm × 60 mm size, after the enhancement of uneven enhancement on both sides of the pleura without Thickening, a small amount of fluid on the right chest (Figure 1). Preoperative clinical diagnosis: right posterior mediastinal neural source