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这世界,你最珍贵~目A72-year-oldwomanpresentswithrapidlyprogressivehorizontalandverticaldiplopiaaswellaspainintherightforeheadandrightnasalregion注释:Thelesioninvolvesthelateralwallofthesphenoidsinusextendingintotherightorbitalapex,asdemonstratedbylossofnormalfatattenuationinthislocation.此病变累及蝶窦外侧壁,侵入右侧眶尖,表现为此处正常脂肪消失。Thewallsofthebilateralsphenoidsinusesarethickenedandsclerotic,asistheintersphenoidalseptum.Thesphenoidsinusisopacified.双侧蝶窦壁及间隔增厚、硬化,蝶窦浑浊。注释:Thereisnoevidenceofadestructiveprocessinvolvingthemastoidaircellsontheprovidedimages.所示图像并无证据表明乳突气房破坏。Focalcorticaldisruptionofthelateralwalloftherightsphenoidsinusispresent.可见右侧蝶窦外侧壁局部骨皮质破坏。Question:No.2BrainMRimagesdemonstratewhichofthefollowing?(Checkallthatapply)颅脑MR图像的表现包括下列那种?(选择全部正确选项)A.Sphenoidsinusopacification蝶窦浑浊B.Internalcarotidarteryocclusion颈内动脉闭塞C.Normalpatternofsphenoidsinusmucosalenhancement蝶窦粘膜正常强化D.Unilateralcavernoussinusexpansion单侧海绵的膨胀注释:Thecontrast-enhancedT1-weightedimagesshowdiffuselossofnormalaerationofthesphenoidsinuswithintrinsicT1hyperintensesignalandperipheralmucosalenhancement.Thereissomeassociatedleftsphenoidsinusexpansion,consistentwithearlymucocele-likechanges.对比增强T1WI示蝶窦内气体弥漫缺失,周围粘膜强化,T1像呈高信号,相应左侧蝶窦膨胀,与黏液囊肿早期改变相符。Thereisnoevidenceofinternalcarotidarteryocclusionintheseimages.此组图像未见颈内动脉闭塞。注释:Atthesuperolateralmarginsofthebilateralsphenoidsinuses,thereislossofmucosalenhancementpattern,andnodularsoft-tissuethickeningispresent.双侧蝶窦侧上方未见粘膜强化,并见结节样软组织增厚。Asymmetricexpansionoftherightcavernoussinuswithsoft-tissueattenuationandoutwardconvexityofthelateralwalloftherightcavernoussinusareseen.右侧海绵窦膨胀并见软组织信号,向右侧海绵窦侧壁外侵犯,与左侧不同。Thisaxialcontrast-enhancedCTofthebraininbonewindowshowscorticaldisruptionofthelateralwalloftherightsphenoidsinus(arrow)withapermeativepatternofbonedestruction.此骨窗轴位增强颅脑CT示右侧蝶窦外侧壁骨皮质中断(箭),呈穿凿样骨质破坏。ThisaxialcontrastenhancedCTimagedepictsasymmetricsoft-tissueattenuationwithintherightcavernoussinusandorbitalapex(arrows).此轴位增强颅脑CT示右侧海绵窦及眶尖软组织密度影(