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病例选自《MayoClinicBodyMRICaseReview》
History51-year-oldwomanwithsevererightupperquadrantpain;USrevealedfocal,masslikemuralthickeningofthegallbladderwithdifferentialconsiderationsincludingadenomyomatosis,gallbladderneoplasm,andcholecystitis
51岁女性,右上腹剧烈疼痛,超声示胆囊壁局限性增厚,可能性诊断包括胆囊腺肌瘤病、胆囊肿瘤、胆囊炎。
Fig3.1.1Fig3.1.2
ImagingFindingsCoronalimagesfrom3DSSFPacquisition(Figure3.1.1)demonstrateheterogeneousgallbladderwallthickeninginterspersedwithmultiplesmallmuralcysts.Volume-renderedimagesfromthe3DSSFPacquisition(Figure3.1.2)showdistortionofthegallbladderlumen,againwithmultiplecystswithinthewall.
3DSSFP序列冠状位图像示胆囊壁不均匀增厚,壁内见多发小囊肿。
3DSSFP序列VR图像示胆囊腔失去正常形态,胆囊壁内见多发小囊。
Diagnosis
Adenomyomatosis
胆囊腺肌瘤病
Comment
Adenomyomatosisisa