Пол пациента:
Тип патологии:
Область исследования:
Методы исследования:
Женщина 58 лет. Жалоб никаких нет. На УЗИ заподозрена ангиолипома левой почки. Проведено КТ с болюсным контрастированием. Проблемой при проведении было то, что больная практичеки не слышит, слуховой аппарат не помогает. Поэтому на сканах имеются артефакты из-за дыхательных движений. По наружному контуру левой почки определяется (или мне уже кажется) образование выходящее за контур, в артериальной фазе с нормальной почечной архитектурой. Никкак не разберусь, то ли оно возникло в результате артефактов, то ли на самом деле имеется. В венозной фазе его видно более отчетливо. Никак не могу разобраться что это. Прошу помощи, коллеги.
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Аксиал. Артериальная фаза. Единичный снимок -
Аксиал. Артериальная фаза. -
Фронтальная проекция. Артериальная фаза -
Аксиальная проекция. Венозная фаза -
Фронтальная проекция. Венозная фаза
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КТ ОБП ID:78271
Цель публикации:
Без DICOM-а сложно сказать. Вижу мелкое, подкапсульное образование жировой плотности, с гиперденсивными вкраплениями, вероятно - ангиолипома. Зла не вижу.
Анатомический вариант строения почек; ангиолипома нижнего сегмента левой почки.
Анатолий Петрович
Я вообще не вижу где ангиолипома.😭 А вы не могли бы прямо "пальцем ткнуть в нее". То есть показать на картинке, пожалйста.
А в печени ничего нет? Что-то похожее на сосудистое в 7 сегменте.