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病历翻译—中下腹MR结果

发布者:鑫达医学翻译 发布时间:2013-05-27 8:50:52 阅读:

原文:

原“直肠Ca术后2年”。现中下腹及盆腔见巨大肿块形,大小约20.1cmx9.7cmx26.5cm(左右税x前后径x上下径),T1呈等信号,T2 SPIR以稍高信号为主,内可见条带状低信号影:增强扫描肿块不均匀中度强化.其内可见片状、斑片状及条带状无明显强化灶:肿块向上平L2/3椎间盘水平,向下达耻骨联合上缘水平,子宫及膀肤受推压向前下方移位,向前推压肠管向中下腹腔侧前方移位,部分肿块组织紧贴前腹壁内缘,向后压迫双侧输尿管上段,平L4椎体下缘水平以上双输尿管及肾孟、肾盏扩张,双侧髂血管受推移位。中、下腹部肠管受推压移位.显示不清。右倒徽骨后份可见一结节状异常信号灶,T1W1等信号,T2W1呈稍高信号,其内可见斑片长l长1信号,增强扫描病变周围可见不规则环形张化,所包盆腔区可见少蛾积液,T1W1呈低信号,T2W1呈高怕号,增残扫描无强化。腹膜后及盆腔区未见明确种人淋巴结,直肠.及乙状结肠走行区未见肿块影。

 

译文:

Two years ago, the patient received surgery due to rectal cancer. A huge mass shadow was observed in the middle lower abdomen, and pelvic cavity. The size of the mass was about 20.1 cm×9.7 cm×26.5 cm (left-right diameter×anterior-posterior diameter×upper-lower diameter). Isointensity signal was noted in T1. Slight high density signal was noted in T2 SPIR predominantly together with low density signal shadow in a strip pattern. Enhanced scan showed uneven and moderate enhancement in the mass. The upper border of the mass was at the level of L2/3 disc and the lower border was at the level of upper edge of the pubic symphysis. The uterus and urinary bladder were pushed towards the anterior-inferior direction, and the intestinal canal was pushed anteriorly towards the lateral anterior part of the the middle lower abdomen. Part of the mass was tightly adhered to inner surface of the anterior abdominal wall. Upper segments of both ureters were also compressed. Dilatation was observed in both ureters (above the lower edge of L4), renal pelvis and renal calyx. Translocation of bilateral iliac vessels was induced due to the compression of the tumor mass. In addition, translocation was noted in the intestinal canals in the middle and lower abdomen. But the boundary of the intestinal canals was not clear. A nodule abnormal signal was observed posterior to the right ilium. T1WI showed isointensity signal, while T2WI showed slightly high density signal with patchy signal inside. Contrast enhanced MRI scan indicated irregular annular enhancement around the lesion. A small amount of effusion was observed in the pelvic cavity. T1WI showed low density signal, while T2WI showed high density signal. No significant enhancement was noted after contrast enhanced MRI scan. No enlarged lymph nodes were observed posterior to the peritoneum or pelvic cavity. No mass shadow was observed in the distribution area of the rectum and the sigmoid colon. 

 

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