vol 發問時間: 健康疾病與處置其他:疾病 · 1 0 年前

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2007/07/26 Abdomen one view(supine)

Degenerative spondylosis and osteoporosis of the lumber spine is seen.

Mild increase of colon gas without dilatation is seen.

Small phlebolith in right lower pelvic cavity are seen,a small calcified

densityin right upper quandrant of abdomen is seen,gall stone is considered.

96/17/23 Brain CT

1.Suggestive of multiple metasatic nodules involving bilateral fronral,parietal and occipital lobes

as well as left caudate nucleus.

2.Focal encephalomalacia involving left frontal lobe.

96/07/21 CXR

Left pleural effusion is note,Irregular radiopacity in left middle lung

field is seen,compatible with previous CT finding of bronchogenic

carcinoma. Some infiltrates in left lower lung field is seen,rule out inflammatory process.

96/07/21 腹超

Heterogenous echotexture of liver parenchyma was noted chrouic

parenchymal liver chiease.

96/07/17 細胞報告

Bronchial brushing,positive for malignancy,adenocarcinoma.

96/07/09 Whole body bone scan

There are multiple focal areas with increased uptake of radioactivity at C7-T1,T8,T9&T10

vertebrae sacrum,left sacroiliac join,sternum,anterior aspect of left 1st&7th ribs,posterior aspect of right 6th rib,and right middle

femur→lung ca&multiple brain mets.

96/07/11 MRI of bilateral hips

1.Consistent with bong metastasis involving bilateral ischium.

2.A tubular enhancing lesion at lateral cortex of right proximal femoral

shaft,favoring a benign lesion.

96/07/07 Chest CT

IMP: A 3cm bronchogenic carcinoma in inferior portion of left B1/2

segment with ipsilateral lung-to-lung metastases and multiple metastatic

mediastinal lymphadenopathy,suggest clinical&pathologic correlation.

96/07/03 Spine 2 views for(L+S)

Show spur formation of lumbar spine suggesting spondylosis.

2 個解答

評分
  • 1 0 年前
    最佳解答

    2007/07/26 腹部x-ray(平躺)

    在腰椎部份發現有退化性脊椎崩解和骨質疏鬆症.

    結腸部份有少許空氣但沒有膨脹情形.

    在右下骨盆腔有小靜脈石,在右上腹區有小鈣化物,可能是膽結石.

    96/17/23 腦部電腦斷層

    1.在雙額葉有多發性轉移結節,顱頂葉和枕葉,除了左尾狀核之外

    2.腦軟化可能在左額葉.

    96/07/21 胸部x-ray

    左側肋膜積水,輻射不能穿透左中肺葉,支氣管性的惡性腫瘤在之前的電腦斷層有相同的發現.在左下肺葉有浸潤情形,可能是發炎過程.

    96/07/21 腹超

    異源性紊亂在肝實質,發現是肝實質病變.

    96/07/17 細胞報告

    支氣管細胞檢查,惡性腺癌.

    96/07/09 全身骨掃描

    輻射不能穿透於C7-T1,T8,T9&T10 尾椎,左側薦腸骨關節,胸骨,1st&7th肋骨前方,右邊6th後方和右邊中段股骨→肺癌&多發性腦轉移.

    96/07/11 雙側髖部核磁共振

    1.雙側坐骨有骨轉移.

    2.右側近端股骨幹外層有損傷,進行性的損傷.

    96/07/07 胸部電腦斷層

    臆斷:3公分支氣管性腺癌在左B1/2節以下有同側性肺至肺轉移和淋巴有多發性轉移,建議作臨床病理檢查.

    96/07/03 脊椎 x-ray (腰椎+薦椎)

    顯示腰椎有脊椎崩解.

    參考資料: 自己淺見
  • 1 0 年前

    大致如下:

    左側肺癌,有3公分的腫瘤,腦部及胸部脊椎、薦椎、胸骨、肋骨及右大腿股骨等多處轉移。

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