患者，女。尿频尿急1年，尿白细胞（3+），红细胞少许，蛋白少量，尿细菌培养阴性。排泄性尿路造影发现左肾区、肾小盏扩张及虫蚀样边缘不整，右肾积水，膀胱呈球形改变，CT检查见左肾盏、肾盂扩张。首先考虑（）
A.晚期肾盂肾炎
B.左肾结核
C.右肾结核伴膀胱转移
D.左肾结核并发膀胱挛缩，对侧肾积水
E.肾肿瘤伴膀胱转移
参考答案：D
解析：肾结核早期表现为肾实质内低密度影，边缘不整，病变进展期，可见部分肾盏、肾盂扩张，呈多个囊状低密度影，肾结核钙化时，呈多发点状或不规则高密度影；膀胱结核晚期发生挛缩，体积缩小，对侧肾积水。
My father is a farmer. he lives__1_my mother in a house in a village. It is__2_the town of Ashland. My father grows rice and__3_.he works very hard. He gets up very__4_every morning. He_5__home at half past six and walks to the field. His work starts at seven o’clock. He comes__6_home for lunch. He has a short_7__after lunch. Then he goes back to work again. He often__8_his work at a quarter to six. He goes back home at a quarter past six. He usually goes to bed_9__ ten o’clock.. He goes to bed earlier_10__my mother.
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