Infomed

Paciente con con dolor interescápulo-vertebral derecho.

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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: &quot;Lucida Sans Unicode&quot;; color: black;\">Dra. Niurka L&oacute;pez Vald&eacute;s</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: &quot;Lucida Sans Unicode&quot;; color: black;\">Especialista de 1er grado de Imagenolog&iacute;a</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\">&nbsp;</p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\">&nbsp;</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 interesc&aacute;pulo-vertebral derecho&nbsp;</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: &quot;Lucida Sans Unicode&quot;;\">Caso</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;;\"> </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;;\">Cl&iacute;nico</span></span></span></span><span style=\"font-size:24.0pt;font-family:&quot;Lucida Sans Unicode&quot;;mso-ascii-font-family:<br />\n&quot;Lucida Sans Unicode&quot;;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: &quot;Lucida Sans Unicode&quot;; color: black;\">Paciente: S. R. F.</span><span style=\"font-family: Arial;\"><br />\n</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; 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: &quot;Lucida Sans Unicode&quot;; color: black;\">Edad: 46 a&ntilde;os.&nbsp; 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: &quot;Lucida Sans Unicode&quot;; 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: &quot;Lucida Sans Unicode&quot;; 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: &quot;Lucida Sans Unicode&quot;; 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: &quot;Lucida Sans Unicode&quot;; color: black;\">APP: Asm&aacute;tico, 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: &quot;Lucida Sans Unicode&quot;; 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: &quot;Lucida Sans Unicode&quot;; color: black;\">HEA: Hace dos meses comienza con dolor </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">interesc&aacute;pulo</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">-vertebral derecho al estornudar sin otra sintomatolog&iacute;a.</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: &quot;Lucida Sans Unicode&quot;; 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: &quot;Lucida Sans Unicode&quot;; color: black;\">Examen F&iacute;sico: 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: &quot;Lucida Sans Unicode&quot;; 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: &quot;Lucida Sans Unicode&quot;; color: black;\">Ex&aacute;menes complementarios de laboratorio: Dentro de l&iacute;mites 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: &quot;Lucida Sans Unicode&quot;; 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: &quot;Lucida Sans Unicode&quot;; color: black;\">US abdominal: No se observaron alteraciones de los &oacute;rganos 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\">&nbsp;</div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\">&nbsp;</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);\">Im&aacute;genes </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\">&nbsp;</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\">&nbsp;</div>\n<div style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\">&nbsp;</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: &quot;Lucida Sans Unicode&quot;;\">Tomograf&iacute;a Lineal&nbsp; PA</span></span></span></span></h2>\n<p>&nbsp;&nbsp;</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>&nbsp;</p>\n<h2><span style=\"color: rgb(255, 255, 255);\"><span style=\"background-color: rgb(51, 51, 51);\">&nbsp;&nbsp;<span style=\"font-size: small;\"><span style=\"font-family: &quot;Lucida Sans Unicode&quot;;\">Tomograf&iacute;a</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;;\"> lineal lateral </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;;\">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\">&nbsp;</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\">&nbsp;</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>&nbsp;</p>\n<p>&nbsp;</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>&nbsp;</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>&nbsp;</p>\n<p>&nbsp;</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: &quot;Lucida Sans Unicode&quot;;\">A.S.D.</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;;\"> Pulmonar</span></span></span></span></h2>\n<p>&nbsp;</p>\n<p>&nbsp;</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>&nbsp;</p>\n<h2><span style=\"color: rgb(255, 255, 255);\"><span style=\"background-color: rgb(51, 51, 51);\">Evoluci&oacute;n</span></span></h2>\n<p>&nbsp;</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: &quot;Lucida Sans Unicode&quot;; color: black;\">-Se </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">realiza</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> BAAF de la </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">lesi&oacute;n</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> nodular </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">produci&eacute;ndose</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">neumot&oacute;rax</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">derecho</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> de </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">aproximadamente un 30% y se evoluciona radiol&oacute;gicamente&nbsp; hasta el d&iacute;a de la cirug&iacute;a programada no observ&aacute;ndose&nbsp; empeoramiento radiol&oacute;gico ni cl&iacute;nico.</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: &quot;Lucida Sans Unicode&quot;; color: black;\">-Resultados de la BAFF: Escasas c&eacute;lulas, se recomienda </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">ex&eacute;resis</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> de la lesi&oacute;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: 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: &quot;Lucida Sans Unicode&quot;; color: black;\">-Se realiza lobectom&iacute;a media, la lesi&oacute;n nodular se encontraba entre el bronquio medial y el interno del l&oacute;bulo 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\">&nbsp;</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\">&nbsp;</div>\n<table cellspacing=\"1\" cellpadding=\"1\" width=\"100%\">\n<tbody>\n<tr>\n<td class=\"rtecenter\">&nbsp;<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\">&nbsp;</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\">&nbsp;<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>&nbsp;</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>&nbsp;</p>\n<h2><span style=\"color: rgb(255, 255, 255);\"><span style=\"background-color: rgb(51, 51, 51);\">Preguntas</span></span></h2>\n<p>&nbsp;</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: &quot;Lucida Sans Unicode&quot;; color: black;\">Que estudios radiol&oacute;gicos y que vistas se realizaron para el diagnostico de la lesi&oacute;n y la evoluci&oacute;n del paciente.&nbsp; </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: &quot;Lucida Sans Unicode&quot;; color: black;\">2-Describa los hallazgos radiol&oacute;gicos 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\">&nbsp;</p>\n<p style=\"language:es;margin-top:0pt;margin-bottom:0pt;text-align:left;<br />\ndirection:ltr;unicode-bidi:embed;vertical-align:baseline\">&nbsp;</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: &quot;Lucida Sans Unicode&quot;;\">Respuestas</span></span></span></span></h2>\n<p>&nbsp;</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: &quot;Lucida Sans Unicode&quot;; color: black;\">-Fig. A y B: Rx de t&oacute;rax PA y lateral Derecho. Se observa engrosamiento unilateral del hilio derecho, de aspecto nodular, contornos bien definidos, de aproximadamente 3 cm. de di&aacute;metro, 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\">&nbsp;</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\">&nbsp;</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:&quot;Lucida Sans Unicode&quot;;<br />\nmso-ascii-font-family:&quot;Lucida Sans Unicode&quot;;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: &quot;Lucida Sans Unicode&quot;; color: black;\">Fig. C. D. y E. </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">Tomograf&iacute;a</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> lineal, P.A. con </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">cortes</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> a 10, 11,y 13cms.</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> Se observa imagen nodular de contorno bien definido, de 3 cm. de di&aacute;metro, sin calcificaci&oacute;n ni cavitaci&oacute;n a nivel del hilio derecho.</span></span>&nbsp;</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\">&nbsp;</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\">&nbsp;</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: &quot;Lucida Sans Unicode&quot;; color: black;\">Fig. F, G y H. </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">Tomograf&iacute;a</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> lineal en vista lateral </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">derecha, </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">cortes</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> a 8, 9 y 10cms.</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> Se observa imagen nodular de contorno bien definido, de 3 cm. de di&aacute;metro, sin calcificaci&oacute;n ni cavitaci&oacute;n a nivel del hilio derecho.</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">&nbsp;&nbsp;&nbsp; </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\">&nbsp;</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\">&nbsp;</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\">&nbsp;</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:&quot;Lucida Sans Unicode&quot;;<br />\nmso-ascii-font-family:&quot;Lucida Sans Unicode&quot;;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: &quot;Lucida Sans Unicode&quot;; color: black;\">Fig. I. T.A.C. de pulm&oacute;n simple. Se observa imagen nodular de 3 </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">cms</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">. de di&aacute;metro, de contorno bien definido, </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">hiperdensa</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> de 40UH, a nivel del hilio derecho, sin calcificaci&oacute;n, ni cavitaci&oacute;n, que no disminuye el di&aacute;metro 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\">&nbsp;</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\">&nbsp;</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: &quot;Lucida Sans Unicode&quot;; color: black;\">-Fig. J y K: T.A.C. de pulm&oacute;n con contraste </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">EV.Se</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> corrobora la lesi&oacute;n nodular observada en&nbsp; la TAC simple sin que se pueda descartar lesi&oacute;n 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\">&nbsp;</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\">&nbsp;</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\">&nbsp;</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:&quot;Lucida Sans Unicode&quot;;<br />\nmso-ascii-font-family:&quot;Lucida Sans Unicode&quot;;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: &quot;Lucida Sans Unicode&quot;; color: black;\">Fig. L y M: ASD pulmonar. Observ&aacute;ndose que ambas arterias pulmonares son sim&eacute;tricas, de aspecto normal, al igual que el resto de la vascularizaci&oacute;n 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\">&nbsp;</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\">&nbsp;</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\">&nbsp;</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:&quot;Lucida Sans Unicode&quot;;<br />\nmso-ascii-font-family:&quot;Lucida Sans Unicode&quot;;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: &quot;Lucida Sans Unicode&quot;; color: black;\"> Fig. N: </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">Rx</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> de t&oacute;rax PA. Se observa la imagen nodular antes descrita y neumot&oacute;rax 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\">&nbsp;</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\">&nbsp;</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\">&nbsp;</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:&quot;Lucida Sans Unicode&quot;;<br />\nmso-ascii-font-family:&quot;Lucida Sans Unicode&quot;;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: &quot;Lucida Sans Unicode&quot;; color: black;\">Fig.O:Rx</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> de T&oacute;rax simple PA, post operado.</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">se observa opacidad de la base pulmonar derecha y l&iacute;nea de </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">Damoiseau</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">&nbsp; por derrame pleural en relaci&oacute;n con la cirug&iacute;a realizada; Lobectom&iacute;a media.</span></span></p>\n<p>&nbsp;</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;\">&nbsp;</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\">&nbsp;</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:&quot;Lucida Sans Unicode&quot;;<br />\nmso-ascii-font-family:&quot;Lucida Sans Unicode&quot;;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: &quot;Lucida Sans Unicode&quot;; color: black;\">Fig. P: </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">Rx</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> de t&oacute;rax simple PA, a los 2 a&ntilde;os de operado. Se observa re-expansi&oacute;n pulmonar con elevaci&oacute;n del </span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\">hemidiafragma</span><span style=\"font-family: &quot;Lucida Sans Unicode&quot;; color: black;\"> derecho, en relaci&oacute;n a la cirug&iacute;a 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\">&nbsp;</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\">&nbsp;</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\">&nbsp;</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\">&nbsp;</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\">&nbsp;</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\">&nbsp;</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\">&nbsp;</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\">&nbsp;</p>\n<p>&nbsp;</p>\n<p>&nbsp;</p>\n<p>&nbsp;</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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[Versión para imprimir][Recomendar a otros][Versión PDF]

Autora

Dra. Niurka López Valdés

Especialista de 1er grado de Imagenología

 

 

Motivo de Consulta

Dolor interescápulo-vertebral derecho 

Caso Clínico

Paciente: S. R. F.

Edad: 46 años.  Sexo: Masculino.

APF: Padre fallecido por Hemorragia Cerebral. Madre fallecida por infarto del miocardio.

APP: Asmático, HTA, Niega tabaquismo.

HEA: Hace dos meses comienza con dolor interescápulo-vertebral derecho al estornudar sin otra sintomatología.

Examen Físico: N/S

Exámenes complementarios de laboratorio: Dentro de límites normales.

US abdominal: No se observaron alteraciones de los órganos del abdomen superior e inferior.
 
 

Imágenes

 
Figura A
Figura B
 
 

Tomografía Lineal  PA

  

Figura C
Figura D
Figura E

 

  Tomografía lineal lateral derecho

 

 

Figura F
Figura G
Figura G

 

 

Figura I

 

Figura J
Figura K

 

 

A.S.D. Pulmonar

 

 

Figura L
Figura M

 

Evolución

 

-Se realiza BAAF de la lesión nodular produciéndose neumotórax derecho de aproximadamente un 30% y se evoluciona radiológicamente  hasta el día de la cirugía programada no observándose  empeoramiento radiológico ni clínico.

-Resultados de la BAFF: Escasas células, se recomienda exéresis de la lesión.

-Se realiza lobectomía media, la lesión nodular se encontraba entre el bronquio medial y el interno del lóbulo medio.
 
 
 
Figura N
 
 
Figura O

 

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.