Yahoo Answers is shutting down on May 4th, 2021 (Eastern Time) and beginning April 20th, 2021 (Eastern Time) the Yahoo Answers website will be in read-only mode. There will be no changes to other Yahoo properties or services, or your Yahoo account. You can find more information about the Yahoo Answers shutdown and how to download your data on this help page.

Anonymous
Anonymous asked in 健康其他:保健 · 1 decade ago

MRI檢驗報告翻譯(急)

1.Hepatic lesion at S5/6 of liver, about 2.2cm in size, mixed

hyperintense on T2WI and T1W images is noted. A nodular lesion,

about 2.14cm at inferior medial aspect of lesion showed postive

enhancement in arterial phase and contrast washout in late phase

of post contract study.

2.Multiple heapatic nodules, hyperintenseon on T1W and

hyperintenseon on T2W images scattered throughout whole liver,

up to 1.8cm in size on S4 are noted. The nodules showed isointense

enhancement to parenshyma in arterial phase and delay phase of

post contract study.

3.Small heapatic size with nodules liver surface, collerateral vessels

along coronary vein and splenomegaly is noted .

4.Main portal vein and bilateral main branches are patent.

5.No definite enlarged paraaortic lymphadenopathy is noted.

IMP

>S/P RFA chamge on S5/6. Recurrent tumor at inferior medial aepect

of the treated area is considered, comparing with previous study,

it is enlaraged in the current study, suggest further treatment.

>Liver cirrhosis with with splenomegaly, regeenerative/dysplastic

nodules

這是我上次做MRI的結果,離醫生複診還有段時間,但我又很想早點知道結果,請看得懂的朋友幫過忙

1 Answer

Rating
  • singer
    Lv 6
    1 decade ago
    Favorite Answer

    對於您的情形,我完全可以體會您的心急,茲快速翻譯如下:

    肝臟病灶,位於肝臟的S5/6 (註) 區塊,約 2.2公分,在 MRI上呈

    現混雜著高訊號 (這個病灶在這份報告看不出是什麼,個人認

    為是腫瘤或是良性血管瘤都有可能)。另外,有一個2.14公分的

    肝臟結節,位於肝臟下方偏內側,這個結節在動脈相有顯影,

    且在靜脈相有顯影劑被洗出的現象,個人判斷是肝癌!

    補充說明,正常肝細胞是由門靜脈系統提供血液的,而肝癌細

    胞 99% 卻是由肝動脈提供,所以若在動脈相有顯影,且在靜脈

    相的顯影又被洗出,醫師會判斷為肝癌。

    另有多個肝臟結節,在 T1 及 T2 皆為高訊號,其中一個結節位

    於肝臟的 S4 區塊 (個人認為可能是最大的一個,所以放射科把

    報告打出來)。這些結節在動脈相及靜脈相的訊號,與正常肝實

    質相似 (也就是說光看這份報告,只能說有肝硬化的結節,個

    人不認為這麼多個結節是肝癌細胞)。

    肝臟的大小有變小,且在肝表面有結節,並可見肝臟有側支循

    環,並可見肝門靜脈及脾臟腫大 (此處個人認為報告應為 portal

    vein 不應為 coronary vein,可能是我學問不好或是您打錯或是

    報告有誤)。

    主肝門靜脈及兩側門靜脈的分支是完整的 (會這樣打報告是因

    為肝癌有時會合併門靜脈系統的腫瘤拴塞,而您目前沒有)。

    本次 MRI 沒有發現主動脈旁的淋巴結病變。

    報告診斷:

    您在肝臟 S5/6 的區塊曾接受過腫瘤電燒技術 (射頻燒灼術),在

    原燒灼處的下方內側,有肝癌復發,這個肝癌與上次影像學檢

    查時比較起來,腫瘤有變大,建議進行後續治療。肝硬化合併

    脾腫大,以及許多肝硬化結節。

    (註) 肝臟 S1-8的圖,想必您已經很熟悉,不過還是附在下面:

    http://www.indmedica.com/journals/images/jasi/052_...

    請主動聯絡醫師安排肝癌後續治療,祝 治療順利。

    Source(s): 個人心得.
Still have questions? Get your answers by asking now.