Paciente con con dolor interescápulo-vertebral derecho.
- user warning: Can't create/write to file '/tmp/#sql_610_0.MYI' (Errcode: 30) query: SELECT t.*,v.weight AS v_weight_unused FROM term_node r INNER JOIN term_data t ON r.tid = t.tid INNER JOIN vocabulary v ON t.vid = v.vid WHERE r.vid = 3735 ORDER BY v.weight, t.weight, t.name in /srv/webinfomed/uvs/modules/taxonomy/taxonomy.module on line 640.
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- user warning: File './uvsfajardo/cache_filter.MYD' not found (Errcode: 30) query: UPDATE cache_filter SET data = ' <h2><span style=\"background-color: rgb(51, 51, 51);\"><span style=\"color: rgb(255, 255, 255);\">Autora</span></span></h2>\n<p><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Dra. Niurka López Valdés</span></p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Especialista de 1er grado de Imagenología</span></span></p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"> </p>\n<h2><span style=\"background-color: rgb(51, 51, 51);\"><span style=\"color: rgb(255, 255, 255);\">Motivo de Consulta</span></span></h2>\n<p><span style=\"font-size: small;\">Dolor interescápulo-vertebral derecho </span></p>\n<h2><span style=\"font-size: small;\"><span style=\"color: rgb(255, 255, 255);\"><span style=\"background-color: rgb(51, 51, 51);\"><span style=\"font-family: "Lucida Sans Unicode";\">Caso</span><span style=\"font-family: "Lucida Sans Unicode";\"> </span><span style=\"font-family: "Lucida Sans Unicode";\">Clínico</span></span></span></span><span style=\"font-size:24.0pt;font-family:"Lucida Sans Unicode";mso-ascii-font-family:<br />\n"Lucida Sans Unicode";mso-fareast-font-family:+mn-ea;mso-bidi-font-family:Arial;<br />\ncolor:black;mso-color-index:1;mso-font-kerning:12.0pt;language:en-US\"> </span></h2>\n<p><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Paciente: S. R. F.</span><span style=\"font-family: Arial;\"><br />\n</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> </span></span></p>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Edad: 46 años. Sexo: Masculino.</span></span></div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><span style=\"font-size: small;\"><span style=\"font-family: Arial;\"><br />\n</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> </span></span></div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">APF: Padre fallecido por Hemorragia Cerebral. Madre fallecida por infarto del miocardio.</span></span></div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><span style=\"font-size: small;\"><span style=\"font-family: Arial;\"><br />\n</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> </span></span></div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">APP: Asmático, HTA, Niega tabaquismo.</span></span></div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><span style=\"font-size: small;\"><span style=\"font-family: Arial;\"><br />\n</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> </span></span></div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">HEA: Hace dos meses comienza con dolor </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">interescápulo</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">-vertebral derecho al estornudar sin otra sintomatología.</span></span></div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><span style=\"font-size: small;\"><span style=\"font-family: Arial;\"><br />\n</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> </span></span></div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Examen Físico: N/S</span></span></div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><span style=\"font-size: small;\"><span style=\"font-family: Arial;\"><br />\n</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> </span></span></div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Exámenes complementarios de laboratorio: Dentro de límites normales.</span></span></div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><span style=\"font-size: small;\"><span style=\"font-family: Arial;\"><br />\n</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> </span></span></div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">US abdominal: No se observaron alteraciones de los órganos del abdomen superior e inferior.</span></span></div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"> </div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"> </div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><br />\n<h2><span style=\"background-color: rgb(51, 51, 51);\"><span style=\"color: rgb(255, 255, 255);\">Imágenes </span></span><span style=\"background-color: rgb(128, 128, 128);\"><span style=\"color: rgb(255, 255, 255);\"><br />\n</span></span></h2>\n</div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"> </div>\n<table cellspacing=\"1\" cellpadding=\"1\" width=\"100%\">\n<tbody>\n<tr>\n<td class=\"rtecenter\"><img width=\"257\" height=\"300\" alt=\"\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/imagen1clinicamayo.jpg\" /></td>\n<td class=\"rtecenter\"><img width=\"247\" height=\"300\" alt=\"\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/imagen2clinicamayo.jpg\" /></td>\n</tr>\n<tr>\n<td class=\"rtecenter\"><strong><span style=\"font-size: x-small;\">Figura A<br />\n </span></strong></td>\n<td class=\"rtecenter\"><strong><span style=\"font-size: x-small;\">Figura B<br />\n </span></strong></td>\n</tr>\n</tbody>\n</table>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"> </div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"> </div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><br />\n<span style=\"mso-special-format:bullet;font-family:Arial\"> </span>\n<h2><span style=\"color: rgb(255, 255, 255);\"><span style=\"background-color: rgb(51, 51, 51);\"><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode";\">Tomografía Lineal PA</span></span></span></span></h2>\n<p> </p></div>\n<table cellspacing=\"1\" cellpadding=\"1\" width=\"100%\">\n<tbody>\n<tr>\n<td class=\"rtecenter\"><img width=\"202\" height=\"300\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/imagen3clinicamayo.jpg\" alt=\"\" /></td>\n<td class=\"rtecenter\"><img width=\"196\" height=\"300\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/imagen4clinicamayo.jpg\" alt=\"\" /></td>\n<td class=\"rtecenter\"><img width=\"208\" height=\"300\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/imagen5clinicamayo.jpg\" alt=\"\" /></td>\n</tr>\n<tr>\n<td class=\"rtecenter\"><strong><span style=\"font-size: x-small;\">Figura C<br />\n </span></strong></td>\n<td class=\"rtecenter\"><strong><span style=\"font-size: x-small;\">Figura D<br />\n </span></strong></td>\n<td class=\"rtecenter\"><strong><span style=\"font-size: x-small;\">Figura E<br />\n </span></strong></td>\n</tr>\n</tbody>\n</table>\n<p> </p>\n<h2><span style=\"color: rgb(255, 255, 255);\"><span style=\"background-color: rgb(51, 51, 51);\"> <span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode";\">Tomografía</span><span style=\"font-family: "Lucida Sans Unicode";\"> lineal lateral </span><span style=\"font-family: "Lucida Sans Unicode";\">derecho</span></span></span></span></h2>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<table cellspacing=\"1\" cellpadding=\"1\" width=\"100%\">\n<tbody>\n<tr>\n<td class=\"rtecenter\"><img width=\"197\" height=\"300\" alt=\"\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/clinicamayof1.jpg\" /></td>\n<td class=\"rtecenter\"><img width=\"197\" height=\"300\" alt=\"\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/imagen1clinicamayog.jpg\" /></td>\n<td class=\"rtecenter\"><img width=\"197\" height=\"300\" alt=\"\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/imafgenclinicamayoh.jpg\" /></td>\n</tr>\n<tr>\n<td class=\"rtecenter\"><strong><span style=\"font-size: x-small;\">Figura F<br />\n </span></strong></td>\n<td class=\"rtecenter\"><strong><span style=\"font-size: x-small;\">Figura G<br />\n </span></strong></td>\n<td class=\"rtecenter\"><strong><span style=\"font-size: x-small;\">Figura G<br />\n </span></strong></td>\n</tr>\n</tbody>\n</table>\n<p> </p>\n<p> </p>\n<table cellspacing=\"1\" cellpadding=\"1\" width=\"100%\">\n<tbody>\n<tr>\n<td class=\"rtecenter\"><img width=\"300\" height=\"198\" alt=\"\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/imageniclinicamarzo.jpg\" /></td>\n</tr>\n<tr>\n<td class=\"rtecenter\"><strong><span style=\"font-size: x-small;\">Figura I</span></strong></td>\n</tr>\n</tbody>\n</table>\n<p> </p>\n<table cellspacing=\"1\" cellpadding=\"1\" width=\"100%\">\n<tbody>\n<tr>\n<td class=\"rtecenter\"><img width=\"300\" height=\"238\" alt=\"\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/imagenkclinicamrzo.jpg\" /></td>\n<td class=\"rtecenter\"><img width=\"300\" height=\"262\" alt=\"\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/imagenlmarzo.jpg\" /></td>\n</tr>\n<tr>\n<td class=\"rtecenter\"><strong><span style=\"font-size: x-small;\">Figura J<br />\n </span></strong></td>\n<td class=\"rtecenter\"><strong><span style=\"font-size: x-small;\">Figura K<br />\n </span></strong></td>\n</tr>\n</tbody>\n</table>\n<p> </p>\n<p> </p>\n<h2><span style=\"color: rgb(255, 255, 255);\"><span style=\"background-color: rgb(51, 51, 51);\"><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode";\">A.S.D.</span><span style=\"font-family: "Lucida Sans Unicode";\"> Pulmonar</span></span></span></span></h2>\n<p> </p>\n<p> </p>\n<table cellspacing=\"1\" cellpadding=\"1\" width=\"100%\">\n<tbody>\n<tr>\n<td class=\"rtecenter\"><img width=\"206\" height=\"300\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/imagenlclinicamarzo.jpg\" alt=\"\" /></td>\n<td class=\"rtecenter\"><img width=\"197\" height=\"300\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/imagenmmarzo.jpg\" alt=\"\" /></td>\n</tr>\n<tr>\n<td class=\"rtecenter\"><strong><span style=\"font-size: x-small;\">Figura L<br />\n </span></strong></td>\n<td class=\"rtecenter\"><strong><span style=\"font-size: x-small;\">Figura M<br />\n </span></strong></td>\n</tr>\n</tbody>\n</table>\n<p> </p>\n<h2><span style=\"color: rgb(255, 255, 255);\"><span style=\"background-color: rgb(51, 51, 51);\">Evolución</span></span></h2>\n<p> </p>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">-Se </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">realiza</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> BAAF de la </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">lesión</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> nodular </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">produciéndose</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">neumotórax</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">derecho</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> de </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">aproximadamente un 30% y se evoluciona radiológicamente hasta el día de la cirugía programada no observándose empeoramiento radiológico ni clínico.</span><br />\n</span></div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"><span style=\"font-size: small;\"><span style=\"font-family: Arial;\"><br />\n</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">-Resultados de la BAFF: Escasas células, se recomienda </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">exéresis</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> de la lesión.</span></span></div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"><span style=\"font-size: small;\"><span style=\"font-family: Arial;\"><br />\n</span></span></div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">-Se realiza lobectomía media, la lesión nodular se encontraba entre el bronquio medial y el interno del lóbulo medio.</span></span></div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </div>\n<table cellspacing=\"1\" cellpadding=\"1\" width=\"100%\">\n<tbody>\n<tr>\n<td class=\"rtecenter\"> <img width=\"276\" height=\"300\" alt=\"\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/imagennmarzoclinica.jpg\" /></td>\n</tr>\n<tr>\n<td class=\"rtecenter\"><strong><span style=\"font-size: x-small;\">Figura N<br />\n </span></strong></td>\n</tr>\n</tbody>\n</table>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </div>\n<table cellspacing=\"1\" cellpadding=\"1\" border=\"1\" width=\"100%\">\n<tbody>\n<tr>\n </tr>\n<tr>\n </tr>\n</tbody>\n</table>\n<table cellspacing=\"1\" cellpadding=\"1\" width=\"100%\">\n<tbody>\n<tr>\n<td class=\"rtecenter\"> <img width=\"289\" height=\"300\" alt=\"\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/imagenomarzoclinica.jpg\" /></td>\n</tr>\n<tr>\n<td class=\"rtecenter\"><strong><span style=\"font-size: x-small;\">Figura O<br />\n </span></strong></td>\n</tr>\n</tbody>\n</table>\n<p> </p>\n<table cellspacing=\"1\" cellpadding=\"1\" width=\"100%\">\n<tbody>\n<tr>\n<td class=\"rtecenter\"><img width=\"279\" height=\"300\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/imagenpmarzoclinica.jpg\" alt=\"\" /></td>\n</tr>\n<tr>\n<td class=\"rtecenter\"><strong><span style=\"font-size: x-small;\">Figura P</span></strong></td>\n</tr>\n</tbody>\n</table>\n<p> </p>\n<h2><span style=\"color: rgb(255, 255, 255);\"><span style=\"background-color: rgb(51, 51, 51);\">Preguntas</span></span></h2>\n<p> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><span style=\"font-size: small;\"><span style=\"font-family: Arial; color: black;\">1- </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Que estudios radiológicos y que vistas se realizaron para el diagnostico de la lesión y la evolución del paciente. </span></span></p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><span style=\"font-size: small;\"><br />\n</span></p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">2-Describa los hallazgos radiológicos encontrados en los diferentes estudios.</span><span style=\"font-family: Arial; color: black;\"> </span></span></p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\"> </p>\n<h2><span style=\"color: rgb(255, 255, 255);\"><span style=\"background-color: rgb(51, 51, 51);\"><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode";\">Respuestas</span></span></span></span></h2>\n<p> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">-Fig. A y B: Rx de tórax PA y lateral Derecho. Se observa engrosamiento unilateral del hilio derecho, de aspecto nodular, contornos bien definidos, de aproximadamente 3 cm. de diámetro, sin calcificaciones en su interior.</span></p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"><span style=\"font-family:"Lucida Sans Unicode";<br />\nmso-ascii-font-family:"Lucida Sans Unicode";mso-bidi-font-family:Arial;<br />\nmso-fareast-theme-font:minor-fareast;color:black;mso-color-index:1;mso-font-kerning:<br />\n12.0pt;language:en-US;mso-style-textfill-type:solid;mso-style-textfill-fill-themecolor:<br />\ntext1;mso-style-textfill-fill-color:black;mso-style-textfill-fill-alpha:100.0%\">-</span><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Fig. C. D. y E. </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Tomografía</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> lineal, P.A. con </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">cortes</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> a 10, 11,y 13cms.</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> Se observa imagen nodular de contorno bien definido, de 3 cm. de diámetro, sin calcificación ni cavitación a nivel del hilio derecho.</span></span> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p><span style=\"font-size: small;\"> </span></p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"><span style=\"font-size: small;\">- <span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Fig. F, G y H. </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Tomografía</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> lineal en vista lateral </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">derecha, </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">cortes</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> a 8, 9 y 10cms.</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> Se observa imagen nodular de contorno bien definido, de 3 cm. de diámetro, sin calcificación ni cavitación a nivel del hilio derecho.</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> </span></span></p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"><span style=\"font-family:"Lucida Sans Unicode";<br />\nmso-ascii-font-family:"Lucida Sans Unicode";mso-bidi-font-family:Arial;<br />\nmso-fareast-theme-font:minor-fareast;color:black;mso-color-index:1;mso-font-kerning:<br />\n12.0pt;language:es;mso-style-textfill-type:solid;mso-style-textfill-fill-themecolor:<br />\ntext1;mso-style-textfill-fill-color:black;mso-style-textfill-fill-alpha:100.0%\">- </span><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Fig. I. T.A.C. de pulmón simple. Se observa imagen nodular de 3 </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">cms</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">. de diámetro, de contorno bien definido, </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">hiperdensa</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> de 40UH, a nivel del hilio derecho, sin calcificación, ni cavitación, que no disminuye el diámetro de los bronquios.</span></span></p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">-Fig. J y K: T.A.C. de pulmón con contraste </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">EV.Se</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> corrobora la lesión nodular observada en la TAC simple sin que se pueda descartar lesión vascular por lo que se sugiere realizar ASD pulmonar.</span></span></p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"><span style=\"font-family:"Lucida Sans Unicode";<br />\nmso-ascii-font-family:"Lucida Sans Unicode";mso-bidi-font-family:Arial;<br />\nmso-fareast-theme-font:minor-fareast;color:black;mso-color-index:1;mso-font-kerning:<br />\n12.0pt;language:es;mso-style-textfill-type:solid;mso-style-textfill-fill-themecolor:<br />\ntext1;mso-style-textfill-fill-color:black;mso-style-textfill-fill-alpha:100.0%\">- </span><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Fig. L y M: ASD pulmonar. Observándose que ambas arterias pulmonares son simétricas, de aspecto normal, al igual que el resto de la vascularización de los pulmones.</span></span></p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"><span style=\"font-family:"Lucida Sans Unicode";<br />\nmso-ascii-font-family:"Lucida Sans Unicode";mso-bidi-font-family:Arial;<br />\nmso-fareast-theme-font:minor-fareast;color:black;mso-color-index:1;mso-font-kerning:<br />\n12.0pt;language:es;mso-style-textfill-type:solid;mso-style-textfill-fill-themecolor:<br />\ntext1;mso-style-textfill-fill-color:black;mso-style-textfill-fill-alpha:100.0%\">-</span><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> Fig. N: </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Rx</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> de tórax PA. Se observa la imagen nodular antes descrita y neumotórax derecho de aproximadamente un 30%.</span></span></p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"><span style=\"font-family:"Lucida Sans Unicode";<br />\nmso-ascii-font-family:"Lucida Sans Unicode";mso-bidi-font-family:Arial;<br />\nmso-fareast-theme-font:minor-fareast;color:black;mso-color-index:1;mso-font-kerning:<br />\n12.0pt;language:es;mso-style-textfill-type:solid;mso-style-textfill-fill-themecolor:<br />\ntext1;mso-style-textfill-fill-color:black;mso-style-textfill-fill-alpha:100.0%\">-</span><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Fig.O:Rx</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> de Tórax simple PA, post operado.</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">se observa opacidad de la base pulmonar derecha y línea de </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Damoiseau</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> por derrame pleural en relación con la cirugía realizada; Lobectomía media.</span></span></p>\n<p> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"><span style=\"font-size: small;\"> </span></p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"><span style=\"font-family:"Lucida Sans Unicode";<br />\nmso-ascii-font-family:"Lucida Sans Unicode";mso-bidi-font-family:Arial;<br />\nmso-fareast-theme-font:minor-fareast;color:black;mso-color-index:1;mso-font-kerning:<br />\n12.0pt;language:es;mso-style-textfill-type:solid;mso-style-textfill-fill-themecolor:<br />\ntext1;mso-style-textfill-fill-color:black;mso-style-textfill-fill-alpha:100.0%\">-</span><span style=\"font-size: small;\"><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Fig. P: </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">Rx</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> de tórax simple PA, a los 2 años de operado. Se observa re-expansión pulmonar con elevación del </span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\">hemidiafragma</span><span style=\"font-family: "Lucida Sans Unicode"; color: black;\"> derecho, en relación a la cirugía realizada.</span></span></p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<hr />\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline;mso-line-break-override:<br />\nnone;punctuation-wrap:hanging\"> </p>\n<p> </p>\n<p> </p>\n<p> </p>\n ', created = 1660586398, expire = 1660672798, headers = '', serialized = 0 WHERE cid = '2:03b99345fda499d91780c7bb682e371e' in /srv/webinfomed/uvs/includes/cache.inc on line 112.
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Autora
Dra. Niurka López Valdés
Especialista de 1er grado de Imagenología
Motivo de Consulta
Dolor interescápulo-vertebral derecho
Caso Clínico
Paciente: S. R. F.
Imágenes
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Figura A |
Figura B |
Tomografía Lineal PA
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Figura C |
Figura D |
Figura E |
Tomografía lineal lateral derecho
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Figura F |
Figura G |
Figura G |
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Figura I |
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Figura J |
Figura K |
A.S.D. Pulmonar
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Figura L |
Figura M |
Evolución
-Resultados de la BAFF: Escasas células, se recomienda exéresis de la lesión.
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Figura N |
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Figura O |
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Figura P |
Preguntas
1- Que estudios radiológicos y que vistas se realizaron para el diagnostico de la lesión y la evolución del paciente.
2-Describa los hallazgos radiológicos encontrados en los diferentes estudios.
Respuestas
-Fig. A y B: Rx de tórax PA y lateral Derecho. Se observa engrosamiento unilateral del hilio derecho, de aspecto nodular, contornos bien definidos, de aproximadamente 3 cm. de diámetro, sin calcificaciones en su interior.
-Fig. C. D. y E. Tomografía lineal, P.A. con cortes a 10, 11,y 13cms. Se observa imagen nodular de contorno bien definido, de 3 cm. de diámetro, sin calcificación ni cavitación a nivel del hilio derecho.
- Fig. F, G y H. Tomografía lineal en vista lateral derecha, cortes a 8, 9 y 10cms. Se observa imagen nodular de contorno bien definido, de 3 cm. de diámetro, sin calcificación ni cavitación a nivel del hilio derecho.
- Fig. I. T.A.C. de pulmón simple. Se observa imagen nodular de 3 cms. de diámetro, de contorno bien definido, hiperdensa de 40UH, a nivel del hilio derecho, sin calcificación, ni cavitación, que no disminuye el diámetro de los bronquios.
-Fig. J y K: T.A.C. de pulmón con contraste EV.Se corrobora la lesión nodular observada en la TAC simple sin que se pueda descartar lesión vascular por lo que se sugiere realizar ASD pulmonar.
- Fig. L y M: ASD pulmonar. Observándose que ambas arterias pulmonares son simétricas, de aspecto normal, al igual que el resto de la vascularización de los pulmones.
- Fig. N: Rx de tórax PA. Se observa la imagen nodular antes descrita y neumotórax derecho de aproximadamente un 30%.
-Fig.O:Rx de Tórax simple PA, post operado. se observa opacidad de la base pulmonar derecha y línea de Damoiseau por derrame pleural en relación con la cirugía realizada; Lobectomía media.
-Fig. P: Rx de tórax simple PA, a los 2 años de operado. Se observa re-expansión pulmonar con elevación del hemidiafragma derecho, en relación a la cirugía realizada.
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