病例翻译-中英

译无止境 April 13, 2019, 10:02 p.m.
Translation exercises

Image findings:

临床提示“左半肝切除术后”,残余肝脏大小形态失常,边缘欠光整,肝脏实质内多发再生结节形成。肝内多发稍低密度影,增强见不规则强化,较大者大小约33x37mm,部分病灶内见散在高密度影。肝内外胆管无扩张。胆囊壁增厚伴强化。胰腺未见异常,脾脏体积增大。双肾大小形态正常,未见积水扩张。腹部肠腔未见积气扩张,未见液气平面,肠管壁无增厚。膀胱充盈良好,未见异常。肝胃间隙、腹膜后肠系膜见多发小淋巴结增多。盆壁未见肿大淋巴结影。肝周可见少量积液。

It’s clinically indicated as post left half liver resection (postoperative left semi hepatectomy), abnormalities in size and morphology of the residual liver with irregular edges and multiple regenerative nodules in liver parenchyma. Intrahepatic multiple low-density shadows were noted, and irregular enhancement appeared upon enhanced scan with the largest one sized about 33*37 mm; and scattered high-density shadows were noted in the some lesions. Intra- and extrahepatic bile ducts were not dilated. There were thickened gallbladder wall with enhancement. No abnormality was noted in pancreas. The spleen was enlarged. The kidneys was in normal size and morphology without fluid collection or dilation. There was no gas and dilation or gas-fluid level in the abdominal intestine lumen, and no thickening of the intestinal wall. The bladder was well-filled without abnormality. Multiple small lymph nodes increased in the hepatogastric space and retroperitoneal mesenterum. No shadows of enlarged lymph nodes were noted in pelvic wall; perihepatic effusion in small amount was noted.

Diagnose opinions:
“左半肝切除术后”改变;
肝右叶多发不规则强化灶,考虑肿瘤及治疗后改变,与老片(2018.7.26)比较,肿瘤增多增大,建议结合临床必要时进一步MRI检查;
肝硬化,脾大,肝内多发再生结节;
胆囊壁增厚伴强化;
肝周少量积液;
肝胃间隙、腹膜后及肠系膜多发小淋巴结增多。
Post left half liver resection changes;
Multiple irregular enhanced lesions in right lobe of liver were considering as tumors and post treatment changes, and the tumors were increased and enlarged compared with the previous Imaging (26 Jul 2018). It was recommended to combine with further MRI examination when clinically necessary;
Liver cirrhosis, splenomegaly, and intrahepatic multiple regenerative nodules;
Thickened gallbladder wall with enhancement; Perihepatic effusion in small amount;
Multiple small lymph nodes increased in the hepatogastric space and retroperitoneal mesenterum.
Reporting date: 22 Feb 2019

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