CT Report

Chinese

English

右肺下叶可见一浅分叶状软组织包块，最大径约20*10 mm，周围见长短不一的毛刺，并可见胸膜尾和血管集束征，右肺野内及右侧胸膜下区（包括叶间胸膜区）可见多发大小不等的软组织密度结节，边缘尚清，最大的位于右心缘旁，直径约15mm,右侧叶间胸膜区多发结节融合成片，左肺舌叶见少许索条状高密度影，边缘尚清，其余左肺野未见明显异常密度影。

Within the right lower lobe of the lung, there is a shallowly lobulated soft tissue mass measuring 20 * 10 mm in maximum diameter and surrounded by burs of uneven-length and there are signs of pleural indentation and vascular convergence. In the right lung field and the right subpleural region (including the interlobar pleural region), there are multiple clearly marginated unevenly sized nodules of soft tissue density, the largest of which is located next to the right heart border measuring approximately 15 mm in diameter. Multiple clusters of fused nodules are visualized within the right interlobar pleural region. A few streaky shaped clearly marginated hyperdensities are visualized within the lingula of the left lung. There are no abnormal densities within the remaining left lung field.

T5锥体内可见小结节状密度影，直径约5mmm。

A small nodular hyperdensity is visualized within the T5 vertebral body.

肝脏大小、形态可，肝左叶见不规则片状略低密度影，截面约80 mm X 50 mm,边界欠清楚，较2017.04.01CT所示范围扩大，邻近肝内胆管扩张。

The liver is adequate in size and morphology. Within the left liver lobe, there is an irregularly shaped hazily marginated patchy hypodensity measuring approximately 80 mm X 50 mm in cross section, which is larger as compared to that of CT taken on 04/01/2017; and near which the bile ducts are dilated.

右肺上叶尖、后段见含空洞软组织团块，大小约32X39mm，空洞大小约13 X24mm，实性部分CT值为30Hu,可见分叶及毛刺，邻近胸膜牵拉，周围可见多发不规则含气透亮影，邻近胸膜可见凹陷征像，病灶与肺门关系密切，右肺上叶尖、后段支气管明显变窄。

Within the apical and posterior segments, there is a void-containing soft tissue mass measuring approximately 32X39 mm in size, of which the void measures 13 X 24 mm. the CT value of the solid region is 30 HU. Lobulation and spurs are noted on the mass. The adjacent pleura is tracted and there are multiple irregular gas-containing radiolucencies surrounding the mass. Indentation sign is present in the adjacent pleura. The lesion is closely connected to the hilum and the apical and posterior segment bronchi are significantly narrowed.

右肺门及纵膈内见稍大淋巴结。

There are slightly enlarged right hilar and intramediastinal lymph nodes.

右肺上叶术后，术区见条索样密度影，纵膈右偏：双肺纹理增多，双肺散在泡状无肺纹理区；双肺支气管柱状扩张，右肺见片状密度增高影，边缘模糊，右肺门增大。

The right upper lobe of the lung has been operated upon. There is a streaky density within the surgery area. The mediastinum shows right shift. Bilaterally, there are increased lunge markings, scattered vesicular areas devoid of lung markings and bronchial columnar dilations. Patchy, hazily marginated hyperdensities are visible within the right lung. The right hilum is enlarged

Ultrasound Report

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肝不大，肝实质回声均匀，肝内外胆管无扩张，胆囊（-）。

The liver is not enlarged and the echo of the liver parenchyma is homogeneous. There are no dilations in intrahepatic or extrahepatic ducts. The gallbladder is normal.

胰腺外形太小正常范围，边界整齐清晰，内部回声均匀分布，未见团块回声，主胰管未见扩张。

The shape and size of the pancreas is within normal range; the pancreatic margin is smooth and clear; the internal echo is homogeneously distributed; there is no visible echogenic mass or dilation within the main pancreatic duct.

右下腹麦氏点腹腔内探及管状低回声结构，中远端增粗，直径约0.7 cm， 横断面呈“靶环形”。

A tube shaped hypoechoic structure approximately 0.7 cm in diameter is detected within the right lower abdomen at the McBurney′s point, of which, the mid-far end is thickened and the cross section is in “target ring” shape.

MRI Report

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放射学表现：双侧额顶叶深部白质区散在异常信号区，呈小斑点状，形态不规则，TIWI呈等或低信号，Flair呈高信号，病灶边缘模糊，无占位效应，脑室系统对称，脑沟、裂及脑池未见明显增宽。

Radiological manifestations: Within the deep white matter regions of the bilateral frontal and parietal lobes, there are scattered irregular-shaped small spotty areas of signal abnormalities. The hazily marginated lesions show no space occupying effect and are iso- or hypo- intense on TIWI, and hyperintense on Flair. The ventricle system is symmetrical. There is no marked widening in sulci, fissures and cisterns.

两肾外形缩小，皮髓质分界不清，两肾实质内多枚T1WI低或高信号T2WI 高信号影；左肾内见一结节状T2WI高信号T1WI等信号影，DWI稍高信号，边界不清。

The bilateral kidneys are decreased in size; the border between the renal cortex and medulla is unclear; there are multiple T1WI hypo- or hyper-intensities and T2WI hyperintensities within both renal parenchymas; and there is a hazily marginated nodular intensity with high-T2WI signal, iso-T1WI signal and slightly high-DWI signal within the left kidney.

颅内未见异常信号影，增强扫描未见异常强化灶。

There are no intracranial signal abnormalities or foci of abnormal enhancements on enhanced scan.

PET Report

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禁食状态下，静脉注射18F-FDG，静息后行全身PET/CT断层成像，解剖与功能图像质量清晰，全身断层显像显示：

After a resting period following intravenous injection of imaging agent 18F-FDG into the fasted patient, whole body PET/CT tomography was performed. The acquired anatomical and functional images are clear and show that:

各脑叶形态正常，脑实质内未见异常密度影，FDG代谢未见异常。

The brain lobes are normal in morphology. There are no visible density abnormalities or FDG metabolic abnormalities within the brain parenchyma.

左侧颈深间隙及气管前腔静脉后淋巴结FDG摄取较前降低，考虑肿瘤活性部分受抑制。

The FDG uptake of the left deep cervical lymph nodes and pretracheal-post-vena cava lymph nodes is lower than previously shown, presumably indicating a partial inhibition of neoplastic activity.