小结节的

The associated findings such as fluid accumulation surrounding the rotator cuff or in synovial sheath of biceps long head and chip fracture of greater tuberosity were helpful for diagnosis.

其他附属发现如肽二头肌长头滑膜鞘及旋转环膜附近积水对旋转环膜撕裂之诊断亦相当有帮助，伴隨的发现如肽骨大结节小断裂偶亦可由超音波侦测出。

These include inflammatory arthritides such as rheumatoid arthritis, ankylosing spondylitis and reactive arthritis,99 101 synovial impingement,meniscoid entrapment, chondromalacia facetae, pseudogout,synovial inflammation, villonodular synovitis, and acute and chronic infection.102 106 Intrafacetal synovial cysts can be a source of pain because of distension and pressure on adjacent pain-generating structures, calcification,and asymmetrical facet hypertrophy.107 110 In a retrospective review of MRI scans in 303 consecutive patients with LBP, Doyle and Merrilees111 found that9.5% had facet joint synovial cysts, the large majority of which were located posteriorly.

包括炎症性关节炎如类风湿性关节炎，强直性脊柱炎及反应性关节炎等，还有滑液撞击，关节软骨版卡压，关节面软骨软化，假性痛风，滑液炎症，绒毛结节性滑膜炎和急慢性感染。小关节内滑囊囊肿可由于拉伸和压缩临近的疼痛发生结构，骨化及不对称关节增生等原因引起疼痛。在一项303例连续患者的MRI研究中，Doyle 和 Merrilees发现其中9.5%存在小关节囊肿，大部分发生于关节囊后部。

When MR imaging shows thickening and enhancement of the pituitary stalk and associated leptomeningeal disease as in this case, sarcoidosis is a very strong possibility, along with meningitis, particularly fungal.

结节病为一种不明原因的炎性病变，可以影像多个系统，包括中枢神经系统，女性多见，大于10：1，黑人比白人更多见，15%病人累及中枢神经系统，5%有神经症状，脑神经功能障碍和尿崩症是最常见的神经系统结节病的临床表现，MR改变包括脑膜增厚及强化，孤立性肿块或多发性小，散在的脑膜或实质病变，此例病例中MR图像出现增厚强化的垂体蒂伴有软脑膜病变，强烈提示结节病，伴随脑膜炎尤其是真菌性，通常T2表现为低信号，虽然这些也能够在霉菌病/淋巴瘤/脑膜瘤中看到。

RESULTS: On day 2 after PH, oval cells began to proliferate around the portal area, and matrilin-2 deposition was observed in the hepatic sinusoids in the periportal area. On day 9, proliferating oval cells were present in the hepatic acini, and matrilin-2 upregulation was noted. On day 12, as oval cells differentiated to form hepatocellular nodules, matrilin-2 was distributed mainly in the periphery of the nodules, and little protein was present in the nodules.

结果： 肝脏部分切除术(partial hepatectomy， PH)后第2天，卵圆细胞开始向门静脉周围区域增殖， Matrilin-2主要出现在门静脉周围的肝窦状隙内；术后第9天，卵圆细胞进一步向肝实质内增殖， Matrilin-2表达增加；术后第12天，随着卵圆细胞分化为小肝细胞结节，大多数Matrilin-2位于结节周边，少数出现在结节内。

Results All cases presented physical signs and biochemical evidence of Cushing＇s syndrome, High- and low-dose dexamethasone suppression tests failed to suppress cortisone secretion, showing unelevated ACTH levels in all cases. Bilateral massively enlarged adrenal glands were screened on CT scan in 4 cases, pathologically presented as macronodular or adenomatoid hyperplasia.

结果 5例患者均具有库欣综合征的临床和生化特点，小剂量、大剂量地塞米松抑制试验均不被抑制，血浆ACTH水平低。4例患者行CT检查示双侧肾上腺大结节样增生改变，所有患者均经病理检查证实为双侧肾上腺大结节样或腺瘤样增生。

objective to compare image manifestations values between high resolution computerized tomography and x-ray chest film in idiopathic interstitial pneumonia in the elderly.methods we analysed and compared image manifestations between hrct and x-ray chest film with 12 cases of clinically suspected iip in the elderly.results ct and hrct had more sensitivity and specificity than x-ray chest film.there were more image manifestations in hrct such as grand grass,net,line,nodular,honeycombing,bronchiectasis,honeycombing cyst,peribronchovascular interstitial thickening and irregularity.there were significant difference between them （p.05）.these patients who were suspected iip had better control and remission after being treated with hormone and immuno-suppressive drug.conclusion it have more significant virtues in hrct to manifest iip in the elderly than x-ray chest film,and it also may manifest iip curative effect.

目的 比较高分辨断层摄影术、x线胸片检查对老年特发性间质性肺炎的诊断价值。方法对12例临床疑诊为间质性肺炎的老年患者，进行胸部hrct与胸部平片检查，并对照分析。结果胸部ct在诊断方面比常规胸片有较大的优越性，hrct则有更高的敏感性和特异性，hrct表现出磨玻璃影、网状、线条、小结节、蜂窝影，支气管扩张、细支气管扩张、支气管壁和血管壁增厚及不规则等征象，12例临床疑诊为间质性肺炎的患者，经胸部hrct诊断的12例，而胸部平片诊断的仅有2例，二者比较差异有显著性（p.05），hrct疑诊的iip患者，经临床激素及免疫抑制剂治疗，病情均得到控制或缓解。结论 hrct表现老年间质性肺炎的特点明显高于胸部平片，且hrct可以反映间质性肺炎的疗效。

In malignant room skin tumour early phase can see something without the aid of instruments in regular or opaque dirty tier or wall have a lot of white or the gray pellet and form festival or the lamina on tier of pleurae Piece with the development of tumour change thickly long and change thickly long full pleura surface tubercle the tumour tubercle stretches room skin to all sides postpone continuing becoming movie cyst lungs uses the person The cellar is getting smaller as shrinking more and makes to be put into much trouble inclining a chest wall subside.

在恶性间皮瘤早期，肉眼可见在正常或不透明的脏层或壁层胸膜上有众多白色或灰色颗粒和结节或薄板块，随着肿瘤的发展，胸膜表面愈来愈变厚，长满结节，间皮瘤结节向四方伸延，连续成片，包囊肺脏使其窖越缩。。。在恶性间皮瘤早期，肉眼可见在正常或不透明的脏层或壁层胸膜上有众多白色或灰色颗粒和结节或薄板块，随着肿瘤的发展，胸膜表面愈来愈变厚，长满结节，间皮瘤结节向四方伸延，连续成片，包囊肺脏使其窖越缩越小

Results The anterior bundle of ulnar collateral ligament originates from the inferior aspect of the medial epicondyle and inserts immediately adjacent to the joint surface on the ulna near the sublimis tubercle. The posterior bundle originates from the medial epicondyle slightly posterior to its most inferior portion and inserts broadly on the olecranon process. The lateral collateral ligament arises from the inferior aspect of the lateral epicondyle. Two types of conjoined lateral collateral and annular ligamentous insertions on the ulna were observed. Type Ⅰ(61.2％) was bilobate and type Ⅱ(38.8％) was a single broad conjoined type with insertion on the ulna. The anterior band of anterior bundle was more tighten than the posterior band as the elbow flexed less than 60°. When the elbow flexed over 60°, the two parts of anterior bundle were equally tightened. The posterior bundle was tightened as the elbow was flexed more than 90°. The lateral collateral ligament was tightened gradually as the elbow moved in flexion.

结果(1)尺侧副韧带前束起于肱骨内上髁的前下方，止于尺骨冠突内侧的小结节；后束起于肱骨内上髁的内下方，止于尺骨鹰嘴内侧的骨面；(2)桡侧副韧带起于肱骨外上髁的外下方，其纤维部分止于环状韧带，部分止于尺骨冠突的外下方；桡侧副韧带和桡骨环状韧带在尺骨上的止点有两种类型：Ⅰ型占61.2％，桡侧副韧带的部分纤维汇于环状韧带的尺骨止点，另一部分纤维单独止于稍远的尺骨上；Ⅱ型占38.8％，桡侧副韧带和环状韧带形成一宽的纤维止于尺骨上；(3)在肘关节屈曲60°以前，尺侧副韧带前束的外侧部紧张而内侧部较松弛，肘关节屈曲超过60°后，前束内外侧处于同程度的紧张状态；尺侧副韧带的后束在肘关节屈曲超过90°后才被拉紧；(4)桡侧副韧带在肘关节不同屈曲状态时其紧张度逐渐增加，当肘关节屈曲超过90°时，桡侧副韧带被明显拉长。

Diseased cobias were collected from some net-cage farms at Hsiqu Liouchiou Island, next to Dunggang, Taiwan. Some little nodes appeared on surfaces of their fins and skins. When the symptom became serious, they looked like sarcomas. Almost every organ, including liver, spleen, kidney, fin, heart, stomach, intestine of a hard-sick cobia were dealt through the following processes:fixation, section and staining. Only at the connective tissues of fins and epithelium did we find hypertrophy cells which own big nuclei and inclusion bodies around the nuclei.

中文摘要本实验自屏东小琉球采集某家养殖业者箱网网中的罹病海鲡，外观上，鳍与部分体表出现结节状之小颗粒，严重时，呈现瘤状肉柄，取其各部位组织包括：肝脏、脾脏、肾脏、鳍、心脏、胃、肠等进行固定、切片及染色，发现唯有於鳍与皮肤部位之结缔组织细胞，明显可见肥大之现象，肥大之细胞拥有巨大细胞核与围绕著细胞核的包涵体网状结构，由於肥大细胞之堆叠，导致鱼体之鳍与一些表皮部位有颗粒状的「结节」存在。

Histologically, the seminiferous tubules contained numerous Sertoli cells and more Sertoli-spermatozoa complexes, accompanied by the depletion of Leydig cells with deeply stained nuclei. Mature spermatozoa were stored up in the epididymis, but only a few in the efferent ducts. In the second place was testicular atrophy（32/120; 26.7%）. The seminiferous tubules showed moderate to severe inactivity of spermiogenesis with evidence of only spermatogonia, spermatocytes and Sertoli cells. The Leydig cells were obviously decreased in numbers associated with decrease of lipid droplets in their cytoplasms. Testicular hypoplasia was the third disorders（22/120; 18.3%）. Only a few spermatogonia and Sertoli cells appeared without any spermiogenesis. The associated changes was decreased in Leydig cells and fibrous hyperplasia in the interstitium.Epididymal stones were sometimes found（12/120; 10%）. Grossly, yellowish-white nodules with various sizes and firm in consistency were observed in the epididymis and the front efferent ducts. Microscopically, the epididymal ducts were dilated with voluminous spermatozoa storage, even showed calcification in severe cases. The deposited calcium salts were stained positively by Von Kossa and Alizarin red methods.Amyloidosis was also detected in 10 roosters（8.3%）. Eosinophilic, homogeneous, amyloid-like substances were deposited mainly in the testicular interstitium and the periphery of blood vessels. These substances showed positive reaction by Congo red staining. Five roosters（4.2%）had Marek's lesions in the testis, epididymis and peripheral nerves with infiltration of pleomorphic lymphocytes. Only one case showed epithelial necrosis of seminiferous tubules accompanied by fibrous proliferation in the interstitium.

结果发现，在总共搜集的120个病例中，其中因年老所导致的产精力不佳为最多，占38例（31.7%），於镜下可见大量精虫黏附於Sertoli cell的表面，并可见Sertoli cell数量明显增多而Leydig cell明显减少，且其细胞核呈现浓染的现象，而在其副睪中仍可见到成熟精虫蓄留於管腔中，但在其输精管内却只有少量精虫存在；其次为睪丸萎缩，占32例（26.7%），镜下可见中度至重度无造精作用，其生精小管中只见到精母细胞、精原细胞及Sertoli cell存在，但Leydig cell数量明显减少且其细胞质内的脂质也明显减少；睪丸发育不全，占22例（18.3%），於生精小管内只见到精母细胞及少量Sertoli cell存在，不见造精细胞分化，於生精小管间质可见Leydig cell减少并伴随结缔组织增生；副睪结石，占12例（10%），肉眼下可在副睪及输精管前段见到黄白色大小不一的结节，触感坚硬，於镜下可见副睪管扩张并有大量成熟精虫蓄积，严重时可见钙化现象，以Von Kossa及茜素红染色均呈阳性反应；类淀粉沉著症，占10例（8.3%），镜下在睪丸间质及血管周围可见粉红均质样的物质沉积，以刚果红染色成阳性反应；马立克病，占5例（4.2%），镜下可在睪丸、副睪实质及周边神经内均可见到嗜碱性大小不一的淋巴样细胞浸润；睪丸坏死，占1例（0.8%），镜下可见生精小管上皮细胞坏死脱落及间质结缔组织增生。

They weren't aggressive, but I yelled and threw a rock in their direction to get them off the trail and away from me, just in case.

他们没有侵略性，但我大喊，并在他们的方向扔石头让他们过的线索，远离我，以防万一。

In slot 2 in your bag put wrapping paper, quantity does not matter in this case.

在你的书包里槽2把包装纸、数量无关紧要。