太太的肝臟腫瘤CT報告，健保APP先看到的，希望有先進可以先解惑一下，謝謝大家了 Computed Tomography of Liver With and Without Enhancement Show:Techniques: From lower chest to pubic edge in 5-mm contiguous section Contrast agent at 2ml/sec, 30 sec Scanning including the arterial phase and delayed phase are performed**Br ief history: Sonography: One liver hypoechoic nodule, 5.19 cm at S3, nature? **N o previous study on CGMH PACS for comparisonFindings: Plate atelectasis at left lung base.No definite space occupying lesion in the liver, spleen, pancreas and adrenal gland.A homogeneous enhancing, and isoattenuating to liver in the delay phase, 4.6cm. DDx: Focal nodular hyperplasia, others. Suggest follow up or MRI w ith Primovist.No definite biliary dilatation.Wall thickening of gallbladder neck , suggest follow up.Patency of portal vein. No definite obstructive uropathy. Cy stic lesion at 4.1cm and hypervascular lesions right adnexa, probably benign in nature.Unremarkble appearance of appendix.Kindly note that subtle mucosal lesion could not be well evaluated on routine CT. Focal collaspe at the visualized col on; colonic annular lesion(s) can not be excluded by the examination.Mild ventra l hernia with hernation sac comprise of mesenteric fat. No definite enlargement of retroperitoneal LNs. No abnormal fluid collection in the abdomen. No definite destructive bony lesion.Impression:1. A homogeneous enhancing, and isoattenuati ng to liver in the delay phase, 4.6cm. DDx: Focal nodular hyperplasia, others. S uggest follow up or MRI with Primovist.2. Cystic lesion at 4.1cm and hypervascul ar lesions right adnexa, probably benign in nature. --

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