病歷閱讀翻譯
Clinical History and Indications
臨床歷史和跡象
This 50/ y/o man is a patient with HCC s/p TACE. He was admitted for night pleural effusion.
這個病人是一個50歲男子有肝細胞癌經導管動脈化學栓塞術後。他晚上因為肋膜積水而入院。
Pig-tail insertion is arranged for right pleural effusion drainage.
胸腹腔穿刺放液引流管插入右側胸腔積液引流
Findings發現
>Finding: lobulated pleural effusion in right pleural cavity
發現:右胸膜腔胸腔積液呈分葉狀
>Procedures: US-guided drainage with a 8Fr pigtail catheter.
程序: 用8號的胸腹腔穿刺放液引流管執行經皮超聲引導下排水
>Features of fluid: bloody
液體的特性:血色
>10ml of fluid is aspirated smoothly for lab tests.
10毫升的液體被順利吸入的實驗室測試
>No acute complication is noted.
沒有急性併發症被注意到
Impression and Suggestions
臆斷及建議
>Right lobulated pleural effusion, s/p Pig-tail drainage under guidance of sonogram.
>右側分葉狀肋膜積水，使用超音波引導下執行胸腹腔穿刺放液引流管引流手術
MRI of abdomen
腹部核磁共振
Techniques 分析
Findings 發現
>Presence of massive ascite.
>存在大量腹水
>Splenomegaly. >脾腫大。
>Nodular surface of liver. >肝表面呈結節狀。
>Numerous ring-enhancing lesions in left hepatic lobe.
>眾多的環形強化病變在肝左葉。
>Filling defects in left portal vain and main portal vein. Thrombosis is highly suspected.
>充盈缺損，左門靜脈和門靜脈主幹。高度懷疑有血栓形成。
>Enlarged lymph nodes at para-aortic area.
>腹主動脈附近淋巴結腫大。
>Engorged varices around distal esophagus and at perigastric area.
>充盈的靜脈曲張於遠端食管和胃周圍的區域。
Impression and Suggestions 臆斷與建議
Diffuse left hepatic lesions with left and main portal vein thrombosis.
瀰漫性的肝左病變與左門靜脈主幹血栓形成。
HCC and cholangiocarcinoma and metastasis should be considered.
肝細胞癌和膽管細胞癌和轉移，應考慮。
臨床歷史和跡象
This 50/ y/o man is a patient with HCC s/p TACE. He was admitted for night pleural effusion.
這個病人是一個50歲男子有肝細胞癌經導管動脈化學栓塞術後。他晚上因為肋膜積水而入院。
Pig-tail insertion is arranged for right pleural effusion drainage.
胸腹腔穿刺放液引流管插入右側胸腔積液引流
Findings發現
>Finding: lobulated pleural effusion in right pleural cavity
發現:右胸膜腔胸腔積液呈分葉狀
>Procedures: US-guided drainage with a 8Fr pigtail catheter.
程序: 用8號的胸腹腔穿刺放液引流管執行經皮超聲引導下排水
>Features of fluid: bloody
液體的特性:血色
>10ml of fluid is aspirated smoothly for lab tests.
10毫升的液體被順利吸入的實驗室測試
>No acute complication is noted.
沒有急性併發症被注意到
Impression and Suggestions
臆斷及建議
>Right lobulated pleural effusion, s/p Pig-tail drainage under guidance of sonogram.
>右側分葉狀肋膜積水，使用超音波引導下執行胸腹腔穿刺放液引流管引流手術
MRI of abdomen
腹部核磁共振
Techniques 分析
Findings 發現
>Presence of massive ascite.
>存在大量腹水
>Splenomegaly. >脾腫大。
>Nodular surface of liver. >肝表面呈結節狀。
>Numerous ring-enhancing lesions in left hepatic lobe.
>眾多的環形強化病變在肝左葉。
>Filling defects in left portal vain and main portal vein. Thrombosis is highly suspected.
>充盈缺損，左門靜脈和門靜脈主幹。高度懷疑有血栓形成。
>Enlarged lymph nodes at para-aortic area.
>腹主動脈附近淋巴結腫大。
>Engorged varices around distal esophagus and at perigastric area.
>充盈的靜脈曲張於遠端食管和胃周圍的區域。
Impression and Suggestions 臆斷與建議
Diffuse left hepatic lesions with left and main portal vein thrombosis.
瀰漫性的肝左病變與左門靜脈主幹血栓形成。
HCC and cholangiocarcinoma and metastasis should be considered.
肝細胞癌和膽管細胞癌和轉移，應考慮。
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