Hola amigos, Dr. Pepe sigue missing. En su lugar, os presento el caso de una señora de 71 años que fue encontrada inconsciente. Al ingresar en el hospital se le realizó una radiografía de tórax en supino.
¿Cuál sería vuestro diagnóstico?
1. Pliegue cutáneo
2. Neumotórax
3. Discreta pérdida de volumen LID
4. Nada de lo expuesto
Podéis dar vuestra opinión hasta el viernes, día en el que se publicará la solución.
Haz click aquí para ver la respuesta
Hallazgos: la radiografía en supino muestra una línea paralela a la pared torácica (A,B flechas), que simula un neumotórax. Este diagnóstico puede descartarse porque la cisura menor se extiende más allá de la línea (A,B flecha roja), además de verse vasos que la cruzan en la base pulmonar. La línea no sigue el trayecto de la cisura mayor, que se curva y se une al tercio superior del mediastino, lo que descarta pérdida de volumen del LID. Por consiguiente, el diagnóstico más probable es un pliegue cutáneo. Una placa en espiración y un TAC de control (C,D) demuestran la desaparición de la línea, lo que confirma esta sospecha.
Diagnóstico final: pliegue cutáneo que simula un neumotórax.
Felicidades a Carly, que fue la primera en mencionar el diagnóstico correcto.
Teaching point: una evaluación correcta y sentido común son fundamentales para el diagnóstico. En este caso hubieran evitado repetir la placa de tórax y ahorrado un TAC innecesario.
Pliegue cutáneo. Neumotórax no es puesto que se ve trama vascular a través de la línea así como la cisura menor que la atraviesa.
Me da la sensación de que la cisura menor está un poco tirada hacia abajo y entonces quizás también una discreta pérdida de volumen en LID.
That was an interesting case study! It’s fascinating how subtle some of these chest x-ray findings can be, and how important it is to consider all the possibilities.
It actually reminded me of how sometimes in medical terminology, even just understanding the nuances of a single word root can completely change your interpretation. Speaking of tricky words, I sometimes use cluesbysamanswer.com when I’m stuck on a word puzzle or need a little help deciphering a clue. It can be useful for all sorts of wordplay situations.
thanks
agree!
Informative post, thanks!
Pliegue cutáneo.
Sólo dos respuestas; pero correctas.
Felicidades a Carly y Angela.
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Qué interesante el caso. Siempre es bueno repasar este tipo de radiografías para mantener la mente ágil. Me recuerda a cuando busco guías para juegos en línea.
Qué interesante este caso, gracias por compartirlo. Es increíble cómo una radiografía puede revelar tanto. Me recuerda a la importancia de entender bien los fundamentos, como cuando se interpreta una carta astral.
Qué interesante el caso. Siempre es bueno repasar estos diagnósticos sutiles en radiografías de tórax. Me recuerda a la importancia de tener buenas guías y recursos a mano.
この症例はとても興味深いですね。71歳女性の仰臥位胸部X線写真から診断を考えるのは臨床的に重要です。特に皮褶と気胸の鑑別は実際の現場でも役立つ知識だと思います。
Qué interesante caso, Dr. Pepe! Es increíble cómo una radiografía puede revelar tanto. Me recuerda a la importancia de tener guías claras, como las que se encuentran para juegos como Brookhaven.
Qué interesante caso, Dr. Pepe! Es increíble cómo una radiografía puede revelar tanto. Me recuerda a cuando necesito crear texto llamativo para presentaciones, a veces uso herramientas online para generar texto en movimiento.
Qué interesante caso, Dr. Pepe! Siempre es un desafío interpretar estas radiografías. Me recuerda a la concentración que necesito para jugar algunos juegos en línea.
Qué interesante el caso, gracias por compartirlo. Es increíble cómo una radiografía puede revelar tanto. Siempre aprendo algo nuevo con estos casos.
Es importante que el equipo médico revise los resultados de la radiografía para identificar cualquier anomalía.
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¡Hola! Interesante caso, gracias por compartirlo. Me inclino por la opción 3, discreta pérdida de volumen LID. Estaré atento a la solución el viernes. ¡Saludos!
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Excelente caso clínico de tórax — la metodología del Dr. Pepe para el análisis radiológico es muy didáctica y útil para la formación médica continua. Este tipo de casos educativos son perfectos para presentaciones en conferencias médicas. He estado usando LivingSlide para crear materiales de formación médica en formato de diapositivas y los casos clínicos estructurados como este son ideales para el aprendizaje visual. ¡Muy buen trabajo del equipo de ESR!
Excelente caso de tórax — la presentación sistemática y el razonamiento diagnóstico son muy didácticos. He estado usando LivingSlide para crear presentaciones de casos clínicos para estudiantes de medicina y radiología, y este tipo de análisis paso a paso es exactamente el formato ideal para la enseñanza visual. ¡Gracias por compartir este recurso educativo tan valioso!
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Qué caso tan bien estructurado y educativo — me gustó especialmente cómo se desglosa la interpretación de la imagen radiológica paso a paso antes de llegar al diagnóstico diferencial. El detalle con el que explicas por qué ciertos hallazgos sugieren patologías específicas (como la opacidad parahiliar o la distribución de las líneas de Kerley) realmente ayuda a entender cómo se piensa más que qué pensar.
Hace unos meses me encontré en una situación clínica parecida con un caso de derrame pleural complicado, y lo que más me costó al principio fue comunicar visualmente a mis compañeros cómo cambiaban los cortes de imagen cuando ajustabas ventana/centrado. Para facilitar la discusión, grabé recortes cortos de pantalla con diferentes ajustes y luego los junté en una breve animación (ajustando la velocidad en gifspeed.com para que cada detalle quedara claramente visible) antes de presentarlos en la reunión del equipo. Pude sentir al instante cómo ese pequeño paso ayudó a todos a ver exactamente lo que yo estaba intentando describir verbalmente.
Un punto adicional que a veces ayuda cuando se enseña este tipo de casos es superponer anotaciones de estructuras clave directamente sobre las imágenes — incluso si son sencillas líneas o etiquetas — porque orientan rápidamente al lector antes de pasar a la interpretación más compleja.
Gracias por compartir casos tan bien documentados; leerlos es como estar en un pase de visita interactivo.
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Qué loco que la radiografía de tórax simulaba un neumotórax, pero la clave fue ver que la cisura menor cruzaba esa línea sospechosa; menos mal que hicieron el TAC y vieron que todo desaparecía. Pensé, ¿cuántas veces en la vida real el primer diagnóstico no es el correcto, como cuando pides algo rápido en la cafetería y luego te das cuenta de que te equivocaste de sabor?
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Es curioso que el Dr. Pepe siga “missing” mientras nos deja estos casos tan intrigantes. Con esta paciente de 71 años inconsciente, la radiografía en supino complica bastante el diagnóstico, especialmente para distinguir un neumotórax real de un simple pliegue cutáneo que pueda simularlo. Personalmente me inclino por la opción 2, aunque en posición decúbito los signos radiológicos suelen ser mucho más sutiles de lo que parece.
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Another fascinating case study. The step-by-step breakdown of the radiographic findings was particularly helpful for visualizing the differential diagnosis process. Thanks for sharing this detailed resolution.
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Fascinating case! The discussion around distinguishing a skin fold from a pneumothorax is a great reminder of how crucial precise image interpretation is in radiology. As someone who works with AI image transformation at imagetoimagemaker.com, I appreciate the detailed visual analysis here. It underscores the importance of clarity and detail in any visual medium. Looking forward to more diagnostic puzzles from Dr. Pepe!
Fascinating case! As someone who works with visual interpretation daily at imagetoimagemaker.com, I really appreciate the diagnostic challenge. Analyzing subtle details like the vascular pattern and minor fissure to rule out pneumothorax is a great exercise in observation. It’s a perfect example of how critical precise image analysis is, whether in medicine or creative fields. Thanks for sharing this engaging puzzle!
Fascinating case! I really appreciate how you present these diagnostic challenges—they’re excellent for honing analytical skills. The discussion around distinguishing a skin fold from pneumothorax is particularly insightful. As someone who works on precision-focused tools at cutfly.app, I value content that sharpens attention to detail like this. Looking forward to more cases from Dr. Pepe!
Great case! I’d lean towards option 2, neumotórax, based on the supine chest X-ray findings in an elderly patient presenting with altered consciousness. The clinical presentation of an unconscious 71-year-old woman certainly warrants careful evaluation of the radiographic findings. Looking forward to seeing the solution on Friday to confirm the diagnosis!
Fascinating case! The discussion around differentiating a skin fold from a pneumothorax based on vascular markings and the minor fissure is a great teaching point. It’s this kind of clear, practical analysis that makes medical blogs so valuable for learning. As someone who appreciates detailed, methodical problem-solving in projects like nanobanana-showcase, I really enjoyed the structured diagnostic challenge. Looking forward to more cases from Dr. Pepe!
Great read on this medical case! As healthcare professionals, we know how important clear communication is—whether with colleagues or patients. This reminded me that starting conversations on the right note matters in any field. By the way, I’ve been using Best IceBreaker for team meetings and training sessions, and it’s been really helpful for breaking down barriers quickly. They have a solid collection of activities suitable for professional settings too. Do you often use icebreakers in your medical workshops or team gatherings?
Excelente caso Dr. Pepe, me ha parecido muy interesante el de esta señora de 71 años. A primera vista pensé en neumotórax por la presentación clínica, pero viéndola bien en supino me inclino más por un pliegue cutáneo. Espero con ansias la solución del viernes para confirmar si acerté con mi diagnóstico.
Fascinating case study! The way you present diagnostic challenges makes radiology so engaging. I appreciate how you encourage reader participation before revealing the solution—it really helps solidify learning. As someone who values detailed analysis (like on my dance project, seedance2-showcase.com), I admire the precision in these medical discussions. Looking forward to more cases from Dr. Pepe!
Interesting case! It’s cool to see the back-and-forth between the doctors, especially Carly and Angela’s initial assessments. Dr. Pepe’s concise confirmation is great! And that last line about unique perspectives is a nice touch. I’m curious what the image looked like and what the actual diagnosis was!
Fascinating case! I appreciate how you present these diagnostic challenges—they’re like a puzzle that sharpens clinical reasoning. The discussion around differentiating skin folds from pneumothorax is particularly educational. As someone who values structured problem-solving (I run a site focused on randomizing learning tools), I find this interactive format brilliant for medical education. Looking forward to more cases!
Interesting case! It’s cool to see the back-and-forth between the commenters and Dr. Pepe. I especially liked how Carly and Angela quickly identified the skin fold. It’s a testament to their expertise. Plus, Dr. Pepe’s brief and positive response is encouraging!
Fascinating case study! As someone who works with AI tools for visual analysis at aispritesheetgenerator.org, I really appreciate the detailed diagnostic reasoning in the comments section. It’s a great example of how careful observation of visual data—like distinguishing a skin fold from a pneumothorax—is crucial, whether in medicine or in my field of sprite generation. Thanks for sharing this educational content!
Sorry I missed the link.
As a medical student, I always find these case breakdowns incredibly helpful for connecting theory to practice. The step-by-step reasoning in this thoracic case was particularly clear. Thanks for sharing such a valuable learning resource.
As a medical student, I always find these case studies incredibly helpful for applying textbook knowledge. The resolution of thoracic case 12 was particularly clear, and the imaging analysis was spot-on. Thanks for sharing such a practical learning resource.
Great case study! The subtlety of distinguishing a skin fold from a pneumothorax on a supine chest X-ray is a fantastic teaching point. It really highlights how crucial attention to detail is in radiology. As someone who appreciates nuanced problem-solving, this reminds me of the precision needed in my own work at artiflux.pro. Looking forward to more challenging cases from Dr. Pepe!
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Excelente caso, Dr. Pepe. Viendo la radiografía de tórax en supino de esta señora de 71 años, me inclino por la opción 2 (neumotórax), aunque reconozco que las imágenes en posición supina pueden ser engañosas. Me gustaría mucho ver la solución el viernes para confirmar si mi diagnóstico fue correcto y aprender más sobre los hallazgos radiológicos en este tipo de casos. Gracias por mantener estos casos clínicos tan interesantes para que sigamos practicando nuestro criterio diagnóstico.
There are a lot of articles that are interesting to me. But it can’t compete with your article at all. It’s really amazing. Who are you and why are you able to write such an interesting article? I like everything you write. and would like to continue following your work.
As a medical student, I always find these case studies incredibly helpful for applying theory to practice. The step-by-step reasoning in this chest case was particularly clear. Thanks for sharing such a valuable learning resource.
As a medical student, I always appreciate these detailed case breakdowns. The differential diagnosis section was particularly helpful for understanding the clinical reasoning process. Thanks for sharing this resource.
La combinación de una paciente de 71 años inconsciente con una radiografía en supino me hace sospechar inmediatamente de un neumotórax, aunque sé que los pliegues cutáneos pueden confundirnos fácilmente en esta posición. Me quedo con la opción 2, aunque la discreta pérdida de volumen LID también podría tener sentido dado el contexto clínico.
This piece makes a strong case that Africana Studies needs digital and performance research to truly reflect how Black life is lived today.
This thoracic case is such a good reminder that tiny details on a supine chest X-ray can completely flip your diagnosis.
Gracias por compartir el caso y la resolucion. La explicacion es clara y muy util para repasar los hallazgos de torax de una forma practica.
As a medical student, I always find these case studies incredibly helpful for applying theory to practice. The step-by-step reasoning in this thoracic case was particularly clear. Thanks for sharing these educational posts.
Mình nhớ có lần đang tìm đọc các bài chia sẻ kinh nghiệm thì thấy được gắn kèm trong nội dung. Tiện tay bấm vào xem thử, mục đích chính là để tham khảo bố cục tổng thể. Ấn tượng ban đầu là mọi thứ được trình bày khá gọn, không bị dàn trải hay rối rắm. Xem xong mình quay lại đọc tiếp, nhưng vẫn nhớ được cảm giác dễ theo dõi lúc vừa lướt qua.
I found this case study really insightful – it’s great to see medical professionals sharing detailed knowledge about thoracic conditions. Understanding our bodies better is so important, and it reminds me how valuable it can be to explore different tools for self-discovery. That’s where Human Design comes in – it offers a fascinating approach to understanding your unique energetic blueprint. At humandesignchart.org, you can generate your free chart instantly and learn about your Type, Strategy, Authority, and complete Bodygraph analysis. It’s a powerful way to gain deeper insight into how you naturally make decisions and interact with the world. Have you ever explored alternative systems for personal growth and self-understanding?
Qué interesante caso, al principio parece un neumotórax claro. Me parece muy útil el “teaching point” sobre la importancia de una evaluación correcta para evitar pruebas innecesarias. ¡Gracias por compartir!
Excelente caso clínico. La radiografía muestra detalles sutiles que requieren una observación cuidadosa, igual que la IA analiza imágenes para extraer información precisa. Estos casos son muy útiles para entrenar el ojo clínico y evitar errores de interpretación. Gracias por compartir este material educativo tan valioso.
¡Qué caso tan interesante! Los casos del Dr. Pepe siempre son un excelente recurso educativo para radiólogos y estudiantes de medicina. La presentación es muy clara y facilita el aprendizaje. En Birthday Invitation AI creemos que una buena presentación visual es clave en cualquier campo, ya sea en radiología o en el diseño de invitaciones para celebraciones. ¡Gracias por compartir estos casos tan instructivos!
Great read on this medical case! The detailed analysis really helps understand the clinical presentation. As someone who works with visual content, I appreciate how important clear communication is in any field—whether it’s medical documentation or creative projects. That’s why I’ve been using Blinkly AI for transforming ideas into professional visuals. It makes creating engaging images and videos quite straightforward. Have you tried using AI tools for your presentations or content creation? Would love to hear your thoughts!
As always, a very instructive case. The importance of a systematic approach to reading a chest X-ray, starting with the ABCs, is perfectly highlighted here. It’s a great reminder for both students and seasoned practitioners.
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I’ve always found X-rays to be quite fascinating, and I believe being a doctor is one of the most noble professions out there
Really enjoyed reading on blog.myesr.org. The practical tips are easy to apply and genuinely useful. I am working on a related project and this perspective helped me frame things more clearly. Would love to hear what methods have worked best for others here.
Nice post! Keep up the good work.
Qué interesante cómo un simple pliegue cutáneo puede simular algo tan serio como un neumotórax. Me parece muy útil el “teaching point” sobre la importancia de una buena evaluación para evitar pruebas innecesarias. Gracias por compartir casos tan instructivos.
Los casos clínicos interactivos son una herramienta muy efectiva para el aprendizaje en radiología. El enfoque de presentar el caso primero y luego la resolución obliga al estudiante a razonar antes de ver la respuesta, lo que refuerza mucho más el conocimiento que leer directamente el diagnóstico.
Me pareció muy instructivo cómo se resolvió el caso del pliegue cutáneo que simulaba un neumotórax. La explicación sobre cómo la cisura menor y los vasos pulmonares ayudaron a descartar el neumotórax fue especialmente clara. Casos como este recuerdan la importancia de combinar observación detallada con sentido común en radiología. Desde PromptGather, valoro mucho este tipo de análisis tan conciso y bien explicado.
Really clear and easy to follow—your structure makes the key ideas stick. I took a couple of notes and will try this approach next time
Loved how practical this is. You didn’t just explain the “why,” you also made the “how” feel doable. Thanks for putting it together
This was a smooth read and surprisingly actionable. I’m bookmarking it so I can come back and review the steps later.
The examples (and the way you broke things down) made everything click for me. I’ve been looking for a clear explanation like this
This post genuinely helped me re-think my workflow. I’m going to apply one small change today and see how it goes
You explained a tricky topic in a way that feels friendly and grounded. I can tell this comes from real experience, not just theory
As a medical student, I always find these case breakdowns incredibly helpful for connecting theory to practice. The step-by-step reasoning in this thoracic case was particularly clear. Thanks for sharing such a valuable learning resource.
Great read on the Dr. Pepe case! It’s always interesting to see how medical professionals analyze complex thoracic cases. As someone who works with AI-generated imagery, I appreciate how detailed the analysis here is—it reminds me that creating something meaningful requires the right prompts and references. By the way, I’ve been exploring higgsfield.pro lately; they have over 3000 curated AI image prompts that can help bring creative ideas to life, whether for visualization projects or artistic exploration. It’s been really helpful for sparking inspiration when I need it. Have you tried using AI tools to support your creative workflow?
Interesting medical case! This is a great learning resource for medical professionals. Thanks for sharing these clinical cases.
Excelente caso, Dr. Pepe. Me ha resultado muy interesante este caso de la paciente de 71 años, sobre todo porque el diagnóstico diferencial que planteas es bastante desafiante en una radiografía en supino. La verdad es que entre esas cuatro opciones me inclino por pensar que podría tratarse de un neumotórax, aunque sin ver la imagen radiográfica completa es difícil estar completamente seguro. Espero con entusiasmo la solución del viernes para aprender más sobre este caso.
Excelente caso clínico, aunque echo de menos al Dr. Pepe. A primera vista, en una radiografía de tórax en supino de una paciente anciana inconsciente, yo descartaría el pliegue cutáneo por la distribución que se ve. Mi apuesta sería un neumotórax, aunque también podría tratarse de una discreta pérdida de volumen del LID. Espero con interés la solución del viernes para ver si acerté con el diagnóstico.
Great case study! The subtle findings on the chest x-ray, like the vascular pattern and minor fissure, really show how tricky diagnostics can be. It’s cool to see these details explained clearly. Thanks for sharing this interesting post.
Excelente caso clínico del Dr. Pepe. Los casos de tórax siempre son un desafío interesante. Muy educativo y bien presentado. Gracias por compartir!
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Great article on respiratory health and thoracic cases! As someone interested in breathing techniques, I found this really informative. The connection between proper breathing and overall well-being is often overlooked. I’ve been exploring different breathing exercises lately, and box breathing has been particularly helpful for managing daily stress. There’s a useful resource at box-breathing.org that offers guided box breathing exercises for those looking to improve their breathing habits. It’s a simple technique that can make a real difference in how we feel. Do you incorporate any specific breathing techniques into your wellness routine?
Es un caso muy ilustrativo, muchas veces nos dejamos llevar por la primera sospecha de neumotórax sin fijarnos bien en los vasos que atraviesan la línea. Me parece muy útil recordar que hay que buscar el trayecto de las cisuras antes de pedir pruebas adicionales innecesarias como el TAC.
Interesting perspective on this medical case! As someone who constantly juggles research and daily tasks, I appreciate content that breaks down complex topics so clearly. It really helps when information is presented in an accessible way.
This makes me think about how technology can support professionals in any field. I’ve been exploring QClaw.link lately – it’s an AI desktop assistant that lets you control your computer remotely via WeChat and access over 5000 AI skills. Sounds like it could help automate routine workflows so you can focus on what matters most, whether that’s medical research or other specialized work.
Do you think AI tools will eventually become standard in professional fields like healthcare?
Wow, that’s a tricky one! I definitely would have jumped to pneumothorax at first glance, especially with the patient being unconscious. Good point about checking for the minor fissure beyond the line though; I’ll have to remember that for next time I see something like this.
Excelente caso, muy interesante el de esta paciente de 71 años. La verdad es que en una radiografía en supino como mencionas, es fácil confundirse con los artefactos, especialmente con los pliegues cutáneos que pueden simular patología. Mi primera impresión sería descartar el neumotórax, pero sin ver la imagen completa es difícil estar seguro. Espero con ansias la solución del viernes para aprender más sobre este caso.
A great reminder that careful observation of vascular markings crossing the line is key to avoiding a misdiagnosis of pneumothorax. The comparison with the follow-up CT really solidifies the teaching point.
This is exactly the inspiration I needed for Los casos de Dr. Pepe. Bookmarking this for my next home project!
Muy interesante este caso de la señora de 71 años. La radiografía en supino siempre presenta desafíos diagnósticos y estos casos son excelentes para entrenar la lectura radiológica. Yo diría que podría tratarse de un neumotórax, aunque el pliegue cutáneo también es una posibilidad frecuente que nos puede engañar en radiografías de tórax. Espero con ansias la solución del viernes para ver cuál fue el diagnóstico correcto.
Great read on the thoracic case! Always interesting to see detailed medical analysis like this. By the way, I’ve been using SnapWind (snapwind.app) recently and it’s been a game-changer for my workflow – it organizes all my browser windows instantly so I can focus on important tasks without getting distracted by cluttered screens. Works great when I’m researching health topics or reading case studies. Has anyone else tried using window management tools to improve their productivity while studying or working?
Interesting case study! It’s fascinating how the initial assessment can be so crucial in identifying the underlying issues. The subtle loss of volume in the left lower lobe along with the pneumothorax makes for a tricky diagnosis. Thanks for sharing this, it’s a great learning opportunity!
Excelente caso para practicar la lectura radiológica. Personalmente, me inclinaría por la opción 3, la discreta pérdida de volumen en el lóbulo inferior derecho, aunque sin ver la imagen completa es difícil descartarlo todo. Esperaré con interés la solución del viernes para confirmar mi análisis. Estos casos de Dr. Pepe siempre son muy educativos, espero que pronto vuelva con más radiografías para seguir aprendiendo.
Great thoracic case breakdown. The way you walk through pattern recognition and differential narrowing makes the final reasoning very teachable for day-to-day reading practice.
Excellent teaching case. The sequence from imaging clues to final interpretation is very clear, and the explanation of why alternatives were excluded is especially useful for routine reporting practice.
Wow, that’s a tricky one! I totally would have jumped to neumotórax at first glance. Good point about checking for the minor fissure extending beyond the line, I’ll definitely keep that in mind for future cases.
I was totally thinking pneumothorax at first glance! It’s interesting how the minor fissure extending beyond the line helps rule that out, I wouldn’t have immediately noticed that. Good teaching point about not jumping to conclusions and potentially ordering unnecessary tests.
Wow, that’s a tricky one! At first glance I totally would have jumped to pneumothorax, especially with the patient being found unconscious. I’m glad you pointed out the minor fissure extending beyond the line, I definitely missed that. I’ll have to remember that trick!
Wow, that’s a tricky one! I definitely would have jumped to pneumothorax at first glance, especially with the patient being unconscious. It’s a good reminder to double-check for things like the minor fissure extending beyond the line – I’ll have to keep that in mind for future cases!
That line—“the chest radiograph, after more than one hundred years, is still alive, but probably mistreated”—really hit home. When teaching plain films, do you find schematic redraws or consistent overlays useful for pointing out things like a lost silhouette or subtle fissure shift, or do they risk oversimplifying the case? I’ve been experimenting with keeping annotations style-consistent across a series of cases to help learners lock onto the same landmarks—curious how that aligns with the way you’ve presented your fifty-five cases.
It’s a great mental workout to keep your brain sharp and flexible.
Muy interesante este caso de diagnóstico por imagen torácica. En entornos clínicos, además de la radiografía, muchas veces necesitamos datos complementarios rápidos y no invasivos —como la frecuencia cardíaca— para valorar el estado hemodinámico del paciente, especialmente en situaciones de inconsciencia o alteración aguda. Si trabajas con pacientes críticos o realizas seguimiento remoto, te recomiendo echar un vistazo a **HeartRateTap.com**, una herramienta sencilla y precisa para medir la frecuencia cardíaca con solo tocar la cámara del móvil. Ideal para integrar en evaluaciones preliminares o como apoyo diagnóstico complementario.
Great article! Really enjoyed reading this. As someone building SpriteFlow (an AI sprite generator for indie game developers), I find content like this very inspiring. Thanks for sharing!
Great case study! The discussion about subtle chest x-ray findings, like the skin fold mimicking a pneumothorax, was really insightful. It shows how careful analysis is key in radiology. Thanks for sharing this educational post.
Interesting case study on thoracic conditions – really appreciate the detailed analysis here. As someone who works irregular hours, I understand how challenging it can be to wake up refreshed, especially after long shifts. That’s what made me discover caralarmclock.com – their collection of engine sounds from legendary muscle cars to supercars makes mornings feel more exciting. It’s a creative twist on the traditional alarm that adds some personality to your routine. What do you think makes a morning routine truly energizing for you?
Thanks for sharing this informative post. Really enjoyed reading through the details.
Excellent case analysis! As the medical field gets more demanding, I’ve been using the Paperclip framework to automate my administrative digital workflows. It really helps clear up mental bandwidth so I can focus more on deep learning and complex diagnostics like these.
I really like this post.
The imaging in this chest case is really clear – those findings are classic for this condition. I’ve seen similar presentations in the ER and it’s always helpful to review cases like this to keep the pattern recognition sharp. The way Dr. Pepe walks through the differential is excellent for teaching (supporting link). Cases like these are perfect for residents to practice their systematic approach. I appreciate having these cases available for regular revision.
Great post! I work on MemoTune, a free AI music generator that turns text into full songs with AI vocals in minutes. Content like this is always inspiring — thanks for sharing!
I really appreciate the effort you put into this. Bookmarking for future reference!
This chest case is a great reminder of how a simple skin fold can totally fake a pneumothorax if you don’t read the film carefully.
Love how the case is presented first and the answer later – it really forces you to think instead of just memorizing patterns.
For radiology residents, this kind of step‑by‑step reasoning is gold because it shows exactly how an expert narrows the differential in real life.
Excelente caso clínico, Dr. Pepe. La radiografía en supino de esta paciente de 71 años es realmente interesante y me ha hecho pensar bastante. Mi primera impresión fue descartar el pliegue cutáneo, pero mirando bien la imagen, tengo mis dudas entre el neumotórax y la discreta pérdida de volumen del LID. Espero con entusiasmo la solución del viernes para aprender más sobre este caso.
Qué caso interesante, Dr. Pepe. La radiografía en supino de esta paciente de 71 años me tiene pensando entre la opción 2 y 3, aunque la presentación clínica de encontrarla inconsciente me hace sospechar más de un neumotórax. Espero con ansias la solución del viernes para ver si mi razonamiento fue correcto. Estos casos son de gran valor didáctico para los que estamos en formación.
Me encanta este tipo de casos clínicos, especialmente porque la radiografía en posición supino siempre presenta sus desafíos diagnósticos. En mi experiencia, diría que el neumotórax es la opción más probable en una paciente de esta edad presentada inconsciente, aunque la pérdida de volumen del LID también es una posibilidad que no podría descartar completamente. Espero con interés ver la solución del viernes para confirmar mi razonamiento. Gracias Dr. Pepe por mantener estos casos activos mientras está fuera.
Wow, that’s a tricky one! I was totally leaning towards pneumothorax at first glance, but you’re right, that minor fissure being visible beyond the line is a key detail. I probably would have jumped to repeat the X-ray if I saw that in the ER, but that teaching point about sense is so important.
Long words can help clear the board faster effectively.
El punto sobre cómo la cisura menor se extiende más allá de la línea para descartar el neumotórax me pareció brillante, es de esos detalles que uno no olvida fácilmente. Me quedo con el teaching point final: a veces con buena evaluación y sentido común se evitan estudios innecesarios como el TAC. Casos así son los que realmente enseñan radiología práctica.
Interesting case. Medical case discussions are especially valuable when they balance imaging detail with clear explanation, and this kind of post gives readers a lot to think through carefully.
La radiografía en supino muestra una línea que parece un neumotórax, pero no lo es. Me sorprende cómo una simple placa en espiración y un TAC lo confirman. Estaba en el metro y me quedé pensando.
La radiografía en supino muestra una línea paralela a la pared torácica, pero al ver la trama vascular y la cisura menor, me di cuenta que no era un neumotórax.Me hizo pensar en la importancia de revisar cada detalle.
Me quedo con el teaching point final: a veces con buena evaluación y sentido común se evitan estudios innecesarios como el TAC
Definitivamente pliegue cutáneo, la trama vascular pasando por ahí lo confirma
This chest case study by Dr. Pepe is a clear, clinically relevant example—especially helpful for visualizing anatomical relationships in thoracic imaging. The annotations make subtle findings easier to grasp. As someone who works with historical medical images, I’ve found tools like NanoGPT’s Photo Enhancer useful for clarifying older scans without altering diagnostic content—just sharpening details that support interpretation. It’s not about creating new data, but recovering what’s already there, much like careful radiographic analysis itself.
¡Hola! Muy interesante el caso y la explicación. Es increíble cómo un simple pliegue cutáneo puede simular un neumotórax. Felicidades a Carly por acertar a la primera. El “teaching point” es clave: a veces, la evaluación cuidadosa y el sentido común son las mejores herramientas diagnósticas. ¡Gracias por compartir este caso, Dr. Pepe (aunque esté missing)! Espero con ansias su próximo post.
That’s a tough case with just a supine chest X-ray of an unconscious 71-year-old. Hope Dr. Pepe turns up soon!
¡Hola! Un caso muy interesante y una explicación muy clara. Es fácil dejarse engañar por esa línea en la radiografía en supino. Felicidades a Carly por acertar! Siempre es bueno recordar la importancia de la evaluación cuidadosa y el sentido común para evitar pruebas innecesarias. ¡Gracias por compartir este caso clínico!
That’s a tough case with just a supine chest X-ray of an unconscious 71-year-old. Hope Dr. Pepe turns up soon!
clinically relevant example—especially helpful for visualizing anatomical relationships in thoracic imaging.
Thanks for the thorough writeup. Will definitely be coming back to this one. [XQ7T9]
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En el “Caso de tórax 12” de los casos del Dr. Pepe, me llamó mucho la atención cómo el diagnóstico diferencial se apoya en el signo de la silueta; cuando el borde cardíaco derecho se borra, ¿su protocolo es confirmar primero en la lateral o pasar a TC de alta resolución? Trabajo con herramientas de visualización/IA fuera de la radiología y me encantó vuestro orden de lectura: muy aplicable para no saltarse colapsos sutiles del lóbulo medio.
Interesting case! The subtle details in the chest x-ray are key. It’s easy to miss the pneumothorax and volume loss if you’re not looking closely. Thanks for sharing this real-world example; it’s a great learning tool, especially for those of us still in training. Hopefully, Dr. Pepe returns soon!
Thanks for the thorough writeup.
This is a really insightful article about Los casos de Dr. Pepe – Caso de tórax 12 (Resuelto) | Blog. I appreciate the detailed analysis and practical approach.
Great breakdown of Los casos de Dr. Pepe – Caso de tórax 12 (Resuelto) | Blog. I found the practical insights particularly helpful for my own projects.
A very fascinating clinical case. The imaging details provided are excellent for learning.
Excelente caso, Dr. Pepe. La radiografía en supino es un desafío porque puede dar lugar a confusiones, especialmente con los pliegues cutáneos. En este caso, la edad de la paciente y el hecho de que fuera encontrada inconsciente me hace pensar más en un neumotórax que en un simple artefacto. Aunque sin ver la imagen es difícil, espero con interés la solución del viernes para aprender más sobre este caso.
Este caso de radiografía de tórax es muy interesante y desafiante. Me gusta cómo se presentan las opciones de diagnóstico para que podamos pensar en ellas.
Another fascinating case study. The progression of the imaging findings you outlined was particularly helpful for understanding the diagnostic pathway. Thanks for sharing this detailed walkthrough.
Another fascinating case study. The step-by-step breakdown of the diagnostic process for thoracic case 12 was particularly helpful for visualizing the approach. It’s a great reminder of how crucial a systematic review of the imaging can be.
En el ‘Caso de tórax 12’, me gustó ese énfasis en exprimir la proyección PA antes de pensar en la TC; me ha salvado de pasar por alto atelectasias sutiles más de una vez. Para repasar material docente sin conexión (cuando compartís un clip o un enlace a YouTube), suelo descargarlo como MP4 con VidsSave; así lo llevo en el móvil durante la guardia. ¿Algún consejo para archivar las imágenes con anotaciones sin perder calidad?
Me encantó este “Los casos de Dr. Pepe – caso de tórax 12”. Cuando estoy de guardia y sin internet, repaso casos guardando un clip o solo el audio para escucharlo después; poder elegir la calidad de 360p a 4K o extraer MP3 a 256 kbps me ahorra datos. ¿Tienen prevista alguna opción oficial para acceder a estos casos en modo offline?
Me gustó cómo en este ‘Caso de tórax 12’ planteas el razonamiento paso a paso empezando por la Rx simple antes de ir a más pruebas; esa pausa inicial evita saltarse pistas obvias. Para repasar luego, suelo guardar Reels/capturas de casos de tórax de Instagram y me viene bien SaveFromIns porque puedo bajarlos rápido sin iniciar sesión. ¿Te parecen útiles esos micro‑clips para residentes entre guardias?
Thanks for sharing this detailed walkthrough.
Thanks for sharing this detailed walkthrough. It’s a great reminder of how crucial a systematic review of the imaging can be.
Muy claro cómo planteas el diferencial en este caso de tórax. Suelo repasar estos casos en audio durante el trayecto, así que convierto las discusiones de YouTube a MP3 (hasta 256 kbps) sin registro para escucharlas en el móvil. ¿Tenéis un canal o playlist con los casos de Dr. Pepe?
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Muy interesante el caso de la señora de 71 años. La imagen de tórax en supino es un excelente desafío diagnóstico. Apoyo la opción del neumotórax dado el contexto clínico. ¡Gracias por compartir estos casos educativos en el Blog de ESR!
Muy interesante este caso, aunque me inclino por la opción 3 de pérdida de volumen en el LID. He visto varios casos similares en pacientes de edad avanzada, especialmente cuando llegan inconscientes al hospital. La radiografía en supino siempre complica un poco el diagnóstico diferencial, pero los signos de colapso pulmonar son bastante evidentes aquí. Espero con ansias la solución del viernes para confirmar si acerté con mi diagnóstico.
Gracias por el “Caso de tórax 12” del Dr. Pepe. Para repasarlo durante la guardia, me resulta útil tener las imágenes o el clip offline; cuando lo publican también en Instagram, suelo guardar el Reel en MP4 sin iniciar sesión. ¿Considerarían añadir el enlace al Reel o autorizar su descarga para uso docente?
Es claramente un pliegue cutáneo, se nota la trama vascular pasando por encima de la línea. Pensar en un neumotórax ahí es forzar demasiado la imagen.
This was a fascinating case! It’s so easy to jump to a more serious diagnosis like pneumothorax when faced with a supine chest X-ray, but your detailed explanation highlighting the vascular markings and the path of the minor fissure really clarifies why a skin fold is the most probable answer. It reminds me of how crucial careful observation is in diagnostic imaging, much like how a good AI guide can help organize and present complex information efficiently.
This case is a classic reminder of how skinfold artifacts can mimic pneumothorax on supine chest X-rays. Key differentiators—such as lung vessels crossing the linear shadow and the minor fissure extending beyond the suspected pleural line—are critical to avoid misdiagnosis. Meticulous analysis of radiographic anatomy beats hasty conclusions every time.
A powerful lesson in clinical reasoning: critical thinking and basic radiological literacy could have obviated unnecessary CT scans here. For elderly patients with non-specific presentations, ruling out benign artifacts first before advanced imaging aligns with safe, cost-effective care and reduces avoidable radiation exposure.
This ESR case is an exceptional teaching tool for trainee radiologists and clinicians alike. It highlights common pitfalls in interpreting portable supine chest X-rays—one of the most frequently used yet error-prone imaging modalities in acute care. Mastering these artifact differentiations directly improves patient outcomes.
This case underscores the importance of avoiding over-imaging in clinical practice. Unnecessary CT scans not only add to healthcare costs but also expose vulnerable elderly patients to unnecessary radiation. Simple confirmatory steps (e.g., expiratory chest X-rays) should always be prioritized before advanced imaging when artifact is suspected.
Great case study! The subtle chest x-ray findings you described, like the minor fissure being pulled down, are fascinating. It really shows how important careful observation is in radiology. Thanks for sharing this interesting post.
Interesting case! The subtle loss of volume in the left lower lobe is easy to miss. I appreciate the clear labeling of the findings on the X-ray. It’s a good reminder to always consider pneumothorax and skin folds when interpreting chest radiographs, especially in unconscious patients. Thanks for sharing this learning opportunity!
Nice post. Thanks for shaing!
Caso muy interesante y desafiante. Los casos del Dr. Pepe siempre son una excelente herramienta de aprendizaje para radiológos en formación. La calidad de las imágenes y la presentación sistemática del caso facilitan mucho el análisis diferencial. Es un recurso educativo de gran valor para la comunidad radiológica. ¡Gracias por seguir publicando estos casos clínicos!
Wait, Dr. Pepe is missing? That’s wild. For the 71-year-old patient, that supine chest X-ray must be tricky to read. On a lighter note, for a totally different hobby
Es claramente un pliegue cutáneo, se nota demasiado la trama vascular pasando por encima de la línea. No entiendo cómo alguien podría confundirlo con un neumotórax.
Me sorprendióque en la discusión se señalara la pérdida de volumen en LID como diagnóstico posible, aunque en mi experiencia el neumotórax suele ser la causa más frecuente en este tipo de imágenes.
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Muy interesante este caso de tórax, Dr. Pepe. La interpretación de radiografías de tórax siempre me ha parecido un reto fascinante, y estos ejercicios son una forma excelente de practicar. Con el avance de herramientas de IA como las que se encuentran en ai-toolbox.ai, cada vez es más fácil procesar y analizar imágenes médicas de forma complementaria. Gracias por seguir compartiendo estos casos educativos.
Claramente es un pliegue cutáneo, se ve la trama vascular pasando por encima de la línea. No entiendo cómo alguien pudo dudarlo.
Interesting case! The options are pretty diverse, but I’m leaning toward pneumothorax. It matches the unconscious state and radiographic findings well.
Me pareció muy interesante cómo se descartó el neumotórax por la trama vascular; un detalle crucial en estos casos.
Excelente caso clínico, Dr. Pepe. La radiografía en supino de esta paciente de 71 años realmente presenta hallazgos interesantes que requieren un análisis cuidadoso. Mi primera impresión sería descartar el pliegue cutáneo por su localización, pero sin ver la imagen completa es difícil ser concluyente entre las otras opciones. Espero con interés la solución del viernes para aprender más sobre este caso.
Excelente caso clínico, Dr. Pepe. La radiografía en supino de esta paciente de 71 años es bastante instructiva. Yo diría que se trata de un pliegue cutáneo, aunque el neumotórax no se puede descartar completamente en una anciana encontrada inconsciente. Esperaré con interés la solución del viernes para confirmar mi diagnóstico.
This was a fantastic case to work through. The subtle widening of the mediastinum on the initial image was the key clue I almost missed. Thanks for sharing the detailed resolution—it’s a great reminder to always check those structures systematically.
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Thanks for sharing the detailed resolution—it’s a great reminder to always check those structures systematically.
Excelente caso clínico, Dr. Pepe. La radiografía en supino de esta paciente de 71 años es realmente desafiante. Considerando su presentación inconsciente, yo estaría entre la opción 2 (neumotórax) y la 3 (discreta pérdida de volumen en LID), aunque me inclino más hacia el neumotórax por lo que se ve en la imagen. Espero con interés la solución del viernes para confirmar mi diagnóstico.
Excelente caso, Dr. Pepe. Me inclino por la opción 2, neumotórax, aunque la radiografía en posición supino siempre complica un poco la interpretación. La edad de la paciente y el hecho de que fuera encontrada inconsciente me hace pensar en un evento más agudo. Espero con interés ver la solución del viernes para confirmar si mi diagnóstico fue el correcto.
Muy interesante este caso de la señora de 71 años. Viendo la radiografía en supino, yo diría que se trata de un neumotórax, aunque también me llama la atención la posible pérdida de volumen en el LID. Estos casos en posición supina siempre son complicados porque los signos clásicos no se ven tan claros. Espero con ansias la solución del viernes para confirmar si acerté.
Excelente caso clínico, Dr. Pepe. La radiografía en supino de esta paciente de 71 años definitivamente presenta hallazgos interesantes que requieren análisis cuidadoso. Mi primera impresión es que podría tratarse de un neumotórax, aunque el pliegue cutáneo también es una posibilidad importante a descartar en radiografías en esta posición. Esperaré con entusiasmo la solución del viernes para confirmar mi diagnóstico y aprender de este caso.
Thanks for sharing, this is a very useful article.
¡Qué caso tan interesante! Siempre es útil revisar estos ejemplos de radiografías de tórax para mantener vigentes nuestros conocimientos diagnósticos. ¡Gracias por compartir!
Excelente caso clínico, muy interesante el de esta señora de 71 años. Me inclino por la opción 2, neumotórax, aunque la radiografía en supino siempre complica un poco la interpretación. Espero con entusiasmo la solución del viernes para confirmar mi diagnóstico y aprender más sobre este caso. ¡Que vuelva pronto el Dr. Pepe con sus casos!
Excelente caso, Dr. Pepe. La radiografía en supino siempre presenta sus desafíos diagnósticos, especialmente en pacientes de esta edad. Yo diría que se trata de un neumotórax, aunque el pliegue cutáneo también podría ser confuso en esta posición. Espero con interés la solución del viernes para ver si acerté en mi análisis.
Excelente caso, Dr. Pepe. La radiografía en supino siempre presenta sus desafíos, especialmente en pacientes de edad avanzada como esta señora de 71 años. Mi primer instinto es descartar el pliegue cutáneo, pero sin ver la imagen completa es difícil estar seguro entre las opciones restantes. Espero con interés la solución del viernes para aprender algo nuevo.
Es claramente un pliegue cutáneo, la trama vascular pasando por encima te delata el diagnóstico enseguida.
Excelente caso clínico, Dr. Pepe. Me inclino por la opción 2, neumotórax, aunque la radiografía en supino siempre complica un poco la interpretación de estos hallazgos. La edad de la paciente y el hecho de que fuera encontrada inconsciente me hace pensar que podría haber más de lo que se ve a simple vista. Esperaré con interés la solución del viernes para confirmar mi diagnóstico.
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Excelente caso, Dr. Pepe. La radiografía en supino de esta paciente de 71 años es bastante desafiante, especialmente considerando que fue encontrada inconsciente. Mi primera impresión fue neumotórax, pero viendo bien la imagen me inclino más por el pliegue cutáneo. Espero con interés la solución del viernes para ver si acerté en mi diagnóstico. Gracias por seguir compartiendo estos casos tan instructivos.
Thanks for sharing this interesting case study! I found the discussion about subtle chest x-ray findings, like the skin fold and minor fissure, really valuable. It’s amazing how these details can change the diagnosis.
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This was a neat case study! It’s amazing how you were able to rule out a pneumothorax just by carefully observing the vascular markings and the minor fissure. The subtle clues are what make chest X-rays so challenging and rewarding.
Wow, that was a tricky case! It’s amazing how a simple skin fold can mimic a pneumothorax. Carly’s analysis of the vascular markings and the minor fissure was spot-on. It really highlights the importance of careful observation in chest X-rays!
This was a really interesting case! I agree with Carly’s observation about the skin fold and how it can mimic a pneumothorax. It’s amazing how important it is to carefully examine the vascular markings. Thanks for sharing this detailed analysis of the chest x-ray!
The explanation about how the skin fold line disappears in the expiratory plate and control CT was particularly clarifying. It’s fascinating how such a subtle radiographic finding can mimic a pneumothorax, highlighting the importance of careful interpretation in emergency settings.
The explanation about how the minor fissure extending beyond the line helped rule out pneumothorax was particularly clear. It’s a great reminder of how subtle radiographic findings can be, and how important it is to consider all possibilities before jumping to conclusions.
The explanation about how the skin fold line disappears on expiration and CT scan was particularly clear. It’s fascinating how such a simple finding can mimic something serious like a pneumothorax, highlighting the importance of careful radiographic interpretation.
The explanation about how the skin fold line disappears in expiration and CT scans really clarified why it’s not a pneumothorax. It’s fascinating how subtle radiographic findings can mimic serious conditions, making careful interpretation crucial.
The explanation about how the minor fissure extending beyond the line helped rule out pneumothorax was particularly insightful. It’s a great reminder of how subtle radiographic findings can be, and how important it is to consider all possibilities before jumping to conclusions. I’ll definitely keep this case in mind next time I encounter a similar presentation.
The explanation about how the minor fissure extending beyond the line helped rule out pneumothorax was fascinating. It’s a great reminder of how subtle radiographic findings can be misinterpreted without careful analysis.
The explanation about how the minor fissure extending beyond the line helped rule out pneumothorax was particularly clear. It’s fascinating how subtle radiographic details can prevent misdiagnosis.
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Excelente caso, Dr. Pepe. La radiografía en supino siempre presenta estos desafíos diagnósticos, especialmente en pacientes ancianos como esta señora de 71 años. Aunque mi primer instinto fue pensar en un neumotórax, creo que podría tratarse de un pliegue cutáneo que puede ser muy engañoso en este tipo de proyecciones. Espero con interés la solución del viernes para confirmar mi hipótesis.
The radiografía de tórax shows a línea paralela to the pared torácica, which initially suggests a neumotórax, but the cisura menor extends beyond the línea.
Excelente caso, Dr. Pepe. Viendo la radiografía de tórax en supino de esta señora de 71 años, me inclino por la opción 2, aunque reconozco que las imágenes en posición supina pueden ser engañosas. Es interesante cómo estos casos nos recuerdan la importancia de considerar la posición del paciente al interpretar radiografías. Espero con interés la solución del viernes para ver si acerté en mi diagnóstico.
Excelente caso, Dr. Pepe. La radiografía en supino de esta paciente de 71 años es bastante instructiva. Aunque a primera vista podría parecer un neumotórax, tengo la sospecha de que se trata de un pliegue cutáneo, especialmente considerando la posición supina en la que se tomó la radiografía. Espero con interés la solución del viernes para ver si mi interpretación fue correcta.
Muy interesante este caso de la señora de 71 años. Mirando la radiografía en supino, yo diría que se trata de un pliegue cutáneo, aunque el neumotórax también podría ser una posibilidad. Espero con ansias la solución del viernes para ver si acerté. Estos casos clínicos siempre me ayudan a mejorar mi capacidad de interpretación radiológica.
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Excelente caso clínico! Los casos de diagnóstico radiológico son muy educativos. Me encanta crear videos educativos sobre medicina y diagnóstico – uso Nano Banana Video para producir contenido médico educativo para profesionales de la salud.
Excelente caso clínico, Dr. Pepe. La radiografía en supino de esta paciente de 71 años es realmente instructiva para recordar las variantes normales y artefactos que podemos encontrar. Mi primer instinto fue el neumotórax, pero analizando bien la imagen y considerando la posición supina, creo que podría tratarse de un pliegue cutáneo. Estoy ansioso por ver la solución del viernes para confirmar mi diagnóstico.
Muy interesante este caso de la paciente de 71 años. A primera vista me inclina por la opción 2 (neumotórax), aunque reconozco que en una radiografía en supino es más difícil detectarlo claramente. Me gustaría saber si había antecedentes de enfermedad pulmonar obstructiva crónica o si fue traumático el evento. Espero con curiosidad la solución del viernes para ver si acerté en mi diagnóstico.
Excelente caso clínico, Dr. Pepe. La radiografía en supino de esta paciente de 71 años es realmente instructiva. Aunque mi primer instinto fue pensar en un neumotórax por la línea que se ve, creo que podría tratarse de un pliegue cutáneo dado que fue encontrada inconsciente y la posición supina. Espero con interés la solución del viernes para aprender de este caso.
Excelente caso clínico, muy instructivo. La radiografía en supino de esta paciente de 71 años es bastante interesante y desafiante. Yo apostaría por la opción 2, el neumotórax, aunque reconozco que en posición supino puede resultar más difícil de detectar que en una radiografía de pie. Espero con interés conocer la solución el viernes para ver si acerté en mi diagnóstico.
Excelente caso, Dr. Pepe. La radiografía en supino siempre presenta desafíos diagnósticos por los artefactos que genera. Aunque mi primer instinto sería descartar el pliegue cutáneo por la presentación clínica de la paciente inconsciente, me inclino más hacia una discreta pérdida de volumen en el LID. Espero con interés la solución del viernes para confirmar mi hipótesis.
Excelente caso, Dr. Pepe. La radiografía en supino siempre presenta sus desafíos, especialmente en pacientes de esta edad. En mi opinión, consideraría descartara el pliegue cutáneo primero y luego evaluaría cuidadosamente la posibilidad de un neumotórax, aunque la pérdida discreta de volumen del LID también parece probable dada la posición supina. Espero con interés la solución del viernes para comparar con mi análisis.
Another fascinating case study. The step-by-step breakdown of the imaging findings was particularly helpful for visualizing the differential diagnosis process. Thanks for sharing this detailed resolution.
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Excellent case presentation! Very educational and helpful for understanding these thoracic findings.
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Es claramente un pliegue cutáneo, se ve la trama vascular atravesando la línea perfectamente. No entiendo cómo alguien pudo dudarlo.
Excelente caso clínico! Los casos del Dr. Pepe siempre son un gran ejercicio de diagnóstico diferencial. La calidad de las imágenes y la presentación del caso hacen que sea muy didáctico. Gracias por compartir estos recursos educativos.
Caso muy interesante, Dr. Pepe. La radiología de tórax siempre presenta desafíos diagnósticos fascinantes. Este tipo de ejercicios educativos son excelentes para mejorar las habilidades de interpretación. Gracias por compartir estos casos con la comunidad.
Great case study! The subtle chest x-ray findings you described, like the vascular pattern and minor fissure, are fascinating. It really shows how careful observation is key in radiology. Thanks for sharing this interesting example.
Caso muy interesante, la radiografía en supino siempre puede confundir. Me inclino por neumotórax, pero el pliegue cutáneo también podría simularlo. Esperando la solución con curiosidad.
Such a tricky case! Easy to misdiagnose the skin fold as a pneumothorax—great teaching point on careful chest X-ray analysis.
Fascinating chest radiology case! The red flag clues here are so important for avoiding unnecessary tests like a CT scan.
Love this educational case! Reminds us how crucial it is to check all signs before diagnosing a pneumothorax on supine X-rays.
Super insightful case from Dr. Pepe! Simple sense and thorough evaluation make all the difference in chest X-ray diagnosis.
Brilliant resolution! The skin fold mimicry is a classic pitfall—this is such a valuable lesson for radiology practice.
Gracias por compartir este caso clínico. La edad y presentación hacen pensar en varias opciones. Personalmente consideraría una discreta pérdida de volumen, pero necesito más detalles clínicos.
Este tipo de imágenes siempre generan dudas. El neumotórax en supino es difícil de identificar. Creo que podría ser un pliegue cutáneo, pero no estoy completamente seguro.
Muy buen ejercicio para practicar diagnóstico. La imagen en supino complica bastante la interpretación. Me inclino más por neumotórax, aunque no descartaría otras posibilidades todavía.
Interesante desafío diagnóstico. La paciente mayor y el estado inconsciente añaden complejidad. Mi primera impresión es neumotórax, pero también podría tratarse de un artefacto radiológico.
Caso complicado, podría ser neumotórax, pero el pliegue cutáneo también es posible. Esperando respuesta final.
Radiografía difícil, me inclino por pliegue cutáneo, aunque no descarto neumotórax completamente.
Interesante caso clínico, creo que podría ser una pérdida de volumen leve en LID.
Mi opción sería neumotórax, pero con dudas por la posición en supino.
Parece un artefacto, elegiría pliegue cutáneo en este caso específico.
Este caso es bastante desafiante debido a la posición en supino, que puede ocultar signos clásicos. Inicialmente pensaría en neumotórax, pero también podría tratarse de un pliegue cutáneo que simula hallazgos patológicos.
Gracias por compartir este interesante caso clínico. La interpretación de radiografías en pacientes en supino siempre es compleja. Me inclino por neumotórax, aunque reconozco que podría tratarse de un artefacto.
La edad de la paciente y el hallazgo de inconsciencia añaden dificultad al diagnóstico. Considero que podría haber una discreta pérdida de volumen, pero la imagen también sugiere otras posibilidades diagnósticas.
Muy buen ejercicio para poner a prueba nuestras habilidades. La radiografía en supino puede engañar fácilmente. Personalmente opto por pliegue cutáneo, aunque el neumotórax sigue siendo una opción importante.
Caso muy interesante, siempre cuesta interpretar radiografías en supino. Me inclino por neumotórax, aunque podría ser un pliegue cutáneo que confunde bastante.
Diría que es un pliegue cutáneo, la imagen no termina de convencerme como neumotórax. Aun así, no lo descartaría completamente sin más datos.
Me parece un buen ejemplo de lo difícil que puede ser el diagnóstico en estas condiciones. Apostaría por neumotórax, pero con reservas.
Honestamente, creo que no es nada de lo expuesto. La imagen no muestra signos claros para ninguna de las opciones dadas.
Interesante caso, la pérdida de volumen en LID podría encajar, pero la imagen no es del todo concluyente para mí.
Este tipo de preguntas siempre generan debate. Mi primera impresión fue neumotórax, aunque luego dudé al observar mejor la posible línea.
Podría ser perfectamente un artefacto, elegiría pliegue cutáneo. La posición en supino cambia mucho la interpretación habitual. Me inclino por neumotórax, especialmente considerando que en supino los signos son más sutiles y pueden pasar desapercibidos fácilmente.
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This was a valuable and insightful read. I appreciate how you broke down the key points without overcomplicating things, making it easy to follow while still being informative. The examples were especially helpful in reinforcing the main ideas. Definitely bookmarking this and looking forward to your future posts.
¡Muy interesante el caso! Los pliegues cutáneos pueden confundirse fácilmente con neumotórax. Gracias por compartir estos casos prácticos, son excelentes para el aprendizaje.
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Great case study! The subtlety of chest x-ray findings, like the pulled minor fissure hinting at volume loss, is fascinating. It really shows how careful observation is key in radiology. Thanks for sharing this detailed analysis.
Great case study!
Caso muy interesante del Dr. Pepe. La radiología de tórax siempre presenta desafíos diagnósticos fascinantes. Excelente recurso educativo para profesionales de la salud. Gracias por compartir estos casos clínicos!
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Es claramente un pliegue cutáneo, se ve la trama vascular por fuera de la línea. Pensar en neumotórax ahí es forzarlo demasiado.
This was a great case study! It’s amazing how a simple skin fold can mimic a pneumothorax. I also found Carly’s observation about the pulled-down minor fissure and possible volume loss in the lower lobe to be very insightful. Thanks for sharing!
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¡Qué caso tan interesante! Me hizo pensar en cómo la comunicación visual del lenguaje corporal, incluso en imágenes médicas, tiene sus propios matices. A veces, la forma en que se presenta la información, como en un caso clínico, puede ser tan detallada como la que usamos en Luvvoice para la entonación de voz. Agradezco que compartas estos desafíos clínicos.
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Excelente resolución del caso, Dr. Pepe. Siempre es un placer ver cómo desglosa cada detalle para llegar al diagnóstico. Este tipo de análisis es fundamental para entender mejor las diferentes presentaciones clínicas y afinar el ojo diagnóstico. Me sirve mucho para mi propia práctica, ya que la exposición a casos complejos y bien explicados como este es invaluable. ¡Gracias por compartir su conocimiento!
¡Excelente resolución del caso, Dr. Pepe! Siempre es fascinante ver cómo se desglosa un diagnóstico complejo. Como alguien que a menudo trabaja con cálculos y análisis de datos en diferentes campos, aprecio mucho la claridad y la lógica que se aplican aquí para llegar a la conclusión correcta. La forma en que presentas los detalles y la discusión es muy instructiva. ¡Gracias por compartir estos casos tan interesantes!
¡Qué interesante este caso del Dr. Pepe! Como alguien que siempre está atento a los detalles, me ha sorprendido la solución. A veces, las pistas más obvias son las que pasamos por alto. Me ha gustado mucho la forma en que se presenta el caso y cómo se llega al diagnóstico final. Es un excelente recordatorio de la importancia de la observación minuciosa en cualquier campo.
¡Qué interesante caso, Dr. Pepe! Siempre es un placer leer sus análisis tan detallados y didácticos. Me parece que su enfoque en la correlación clínica-radiológica es fundamental, especialmente en casos de tórax donde los detalles sutiles pueden marcar una gran diferencia. Este tipo de publicaciones son muy valiosas para la formación continua. Gracias por compartir su experiencia.
¡Interesante caso, Dr. Pepe (o quien esté al mando hoy)! Me hizo pensar en cómo la inteligencia artificial, como la que exploramos en aihubs, podría ayudar a identificar hallazgos sutiles en radiografías como esta, especialmente en posiciones menos ideales como la supina. ¿Se han considerado herramientas de análisis de imagen asistidas por IA en diagnósticos similares?
Great chest case! These radiology challenges really help keep interpretation skills sharp. Looking forward to the next one!
The radiografía de tórax shows a line parallel to the pared torácica, which initially suggests a neumotórax.
It’s always fascinating to see how a seemingly clear case like this radiograph can actually be misleading. The point about the minor fissure extending beyond the supposed pneumothorax line is a crucial detail I’ll keep in mind. Reminds me that even when things appear obvious, a deeper look is often warranted.
It’s a great reminder that even with advanced imaging, a keen eye and clinical reasoning are irreplaceable. The article mentions how a correct evaluation could have avoided unnecessary tests, which is a powerful point for medical professionals.
It’s a great example of how important a correct evaluation and common sense are for diagnosis. The article notes these things would have helped avoid repeating the chest X-ray and an unnecessary CT scan. Always good to remember that in any field, even gaming, a quick, solid grasp of the basics saves a lot of wasted effort.
It’s always interesting to see how subtle findings on an X-ray can lead to such different conclusions. The teaching point about the importance of evaluation and common sense really hits home; it’s easy to jump to conclusions, but taking the time to truly assess the image can prevent unnecessary procedures. I can see why a careful re-evaluation of the image is so critical before a CT scan. The blog offers well-structured case studies that are helpful.
Qué interesante el caso, sobre todo la línea paralela que simula un neumotórax. Me hace pensar en cómo a veces las impresiones iniciales pueden ser engañosas, y lo valioso que es el ‘teaching point’ al final del artículo. Una evaluación correcta y el sentido común son, sin duda, cruciales para evitar diagnósticos erróneos y estudios innecesarios.
It’s a great reminder that even with advanced imaging, sometimes a simple pliegue cutáneo can mimic something more serious like a neumotórax. That teaching point about common sense and correct evaluation is spot on. It’s easy to jump to conclusions, but this case highlights the value of careful consideration.
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Interesting case study! The 71-year-old patient found unconscious makes me curious about the chest X-ray findings. I’m leaning toward pneumothorax as my guess before Friday’s solution. Thanks for sharing Dr. Pepe’s cases even while he’s missing.
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Excelente caso para practicar la interpretación de radiografías en decúbito, un desafío diagnóstico común en urgencias. ¡Muy educativo y útil para agudizar la vista!
Interesting case study! I’m curious about the diagnosis for the 71-year-old unconscious patient. The options make me think it could be pneumothorax. Looking forward to Friday’s solution. Thanks for sharing Dr. Pepe’s cases!
Great case study! The discussion about subtle chest x-ray findings like the skin fold and minor fissure was really insightful. It shows how careful observation is key in radiology. Thanks for sharing this interesting medical puzzle.
¡Qué caso tan interesante para analizar! Me hizo pensar en cómo la claridad auditiva es tan crucial en diagnósticos médicos, casi como la claridad visual en estas radiografías. A veces, la forma en que se presentan las informaciones, incluyendo las voces de los pacientes, puede ser clave. En nuestro trabajo con voiceslab, exploramos cómo la tecnología puede mejorar la forma en que se registra y se accede a la información de voz, lo cual, de forma indirecta, podría tener aplicaciones en la medicina. ¡Esperando la solución!
Interesting case! I’m curious about the diagnosis for the 71-year-old woman found unconscious. The options make me think it could be pneumothorax. Looking forward to Friday’s solution. Thanks for sharing Dr. Pepe’s case!
¡Qué caso tan interesante, Dr. Pepe! Me hizo pensar mucho en la interpretación de radiografías, especialmente en la importancia de la posición. Es fascinante cómo la tecnología, como la que se está desarrollando en sitios como aihubs, puede empezar a ayudar en estos diagnósticos complejos. ¡Espero con ansias la solución!
Interesting case study! I’m curious about the diagnosis for the 71-year-old patient with the supine chest X-ray. Looking forward to seeing the solution on Friday. Dr. Pepe’s cases are always engaging.
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Interesting case! Based on the clinical scenario—an elderly patient found unconscious with a supine chest X-ray—I’d lean toward option 3: discrete volume loss of the left lower lobe. But I’m curious to see what the actual diagnosis is on Friday!
¡Qué interesante caso, Dr. Pepe! La radiografía en supino siempre añade un reto al diagnóstico. ¡A ver si acierto con mi respuesta antes del viernes!
Pliegue cutáneo, qué detalle interesante. Me hizo pensar en cuántas veces pequeñas señales pueden cambiar todo el diagnóstico. A veces es como leer entre líneas en un artículo o un libro, ¿no?
Al ver el análisis radiológico de la dama de 71 años, me hizo pensar en lo sutiles que pueden ser estas diferencias en los diagnósticos. Imagínate estar en la clínica y tener que decidir entre un pliegue cutáneo y un neumotórax: ¡qué desafío!
¿Neumotórax no? Vaya sorpresa, al ver la imagen pensé lo contrario. Me parece muy interesante cómo los detalles sutiles en una radiografía pueden cambiar por completo el diagnóstico.
Carly mencionó el ‘pliegue cutáneo’ y me parece interesante observar cómo interpretar algo tan sutil en una radiografía puede ser un verdadero desafío. Además, Dr. Pepe felicitó a quienes acertaron, lo que me hace pensar en la satisfacción de resolver este tipo de enigmas médicos. ¡Qué casos tan interesantes para aprender incluso durante un descanso para el café!
Caso muy interesante de tórax. La radiografía supina puede dificultar la interpretación de ciertas patologías, por lo que es fundamental revisar todas las opciones diagnósticas con cuidado. Enhorabuena por compartir estos casos educativos tan útiles para la formación radiológica.
This was a really interesting case study! It’s amazing how subtle the differences can be in chest x-rays, like distinguishing a skin fold from a pneumothorax. The observation about the minor fissure potentially indicating volume loss is also a great point.
Wow, that was a tricky one! It’s amazing how a simple skin fold can mimic a pneumothorax. I especially appreciate the explanation of how the vascular markings and minor fissure helped rule it out. Thanks for sharing this interesting case study!
Interesting case study! I’m curious about the diagnosis for the 71-year-old patient. The suspense until Friday makes me want to check back for the solution. Hope Dr. Pepe returns soon!
Interesting case study! I’m curious about the diagnosis for the 71-year-old patient. The suspense of waiting until Friday for the solution makes it engaging. Hope Dr. Pepe returns soon!
Interesting case study! I’m curious about the diagnosis for the 71-year-old patient. The suspense of waiting until Friday for the solution makes it engaging. Hope Dr. Pepe returns soon!
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Interesting case study! I’m curious about the diagnosis for the 71-year-old patient. The suspense of waiting until Friday for the answer makes it engaging. Hope Dr. Pepe returns soon!
Excelente caso Dr. Pepe. La diferenciación entre un pliegue cutáneo y un neumotórax es crucial para evitar procedimientos innecesarios. Me gustó especialmente el teaching point sobre la importancia de la evaluación cuidadosa antes de solicitar estudios adicionales.
Como radiólogo en formación, estos casos me ayudan a mejorar mi ojo clínico. Después de un día largo analizando imágenes, me gusta relajarme jugando Path of Exile. Recientemente descubrí una herramienta muy útil para planificar builds: un calculador de joyas eternas que facilita mucho la optimización de personajes.
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Claramente es un pliegue cutáneo, la trama vascular no miente. Ese neumotórax es imposible.
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Seeing how a simple skin fold on an X-ray can mimic a pneumothorax is a great reminder that not everything scary-looking on an image is actually serious.
Caso muy interesante. La presentación radiológica del tórax es siempre un reto diagnóstico. Me gustó cómo se abordó el razonamiento clínico paso a paso. ¿Habría alguna posibilidad de considerar también diagnóstico diferencial con patología intersticial difusa? Gracias por compartir este tipo de ejercicios, son muy útiles para la formación continua.
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Los casos de tórax del Dr. Pepe son un recurso excelente para mantener el ojo entrenado. La presentación progresiva de las imágenes antes de la solución es una metodología de aprendizaje muy efectiva para residentes de radiología.
This was a cool case study! It’s amazing how a simple pliegue cutáneo can mimic a pneumothorax. I also agree that the cisura minor looked a bit pulled down, suggesting a possible issue with the LID. Thanks for sharing this interesting case!
Wow, that was a tricky case! It’s amazing how a simple skin fold can mimic a pneumothorax. I appreciate carly’s explanation of seeing the vascular markings and the minor fissure. It really highlights the importance of careful observation in chest X-rays!
Interesting case! I’m curious about the diagnosis for the 71-year-old unconscious patient. The chest X-ray options make me think it could be pneumothorax. Looking forward to Friday’s solution!
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Excelente caso clínico! El tipo de personalidad del radiólogo influye mucho en su enfoque diagnóstico — los metódicos revisan cada detalle mientras los intuitivos captan patrones rápidamente. Ambos estilos son valiosos.
Interesante caso. La presencia de trama vascular visible a través de la línea pleural sugiere que no es neumotórax, pero la ligera desviación de la cisura menor hacia abajo podría indicar una discreta pérdida de volumen en LID. Estos casos demuestran lo crucial que es analizar todos los hallazgos radiológicos en conjunto para evitar diagnósticos erróneos.
Interesting case! Given the supine X-ray, how much does that complicate distinguishing between, say, a subtle pneumothorax and other findings? It feels trickier than usual.
Very interesting case study! Were there any initial radiological findings that were particularly tricky to interpret, or that pointed towards a different differential diagnosis at first?
This was a really intriguing case! I’m very curious to find out the final diagnosis and see the CT scan details mentioned. Eagerly awaiting the next part to see the resolution!
Excelente caso clínico, muy interesante el desafío diagnóstico de esta paciente de 71 años encontrada inconsciente. La radiografía de tórax en supino siempre presenta sus particularidades y puede inducir a error, así que las opciones que planteas son muy acertadas. Espero con ansias la solución del viernes para ver si mi interpretación fue correcta.
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No sé, pero el caso suena chungo. Puede que el neumotórax sea lo que buscamos, ¿qué tal si echas un vistazo aquí?
The radiografía de tórax shows a línea paralela to the pared torácica, initially suggesting a neumotórax.
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After the initial imaging, what specific patient history details or subtle clinical findings were most crucial for Dr. Pepe to narrow down the diagnosis? It’s such a complex presentation!
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Interesting case — thanks for sharing it.
Based on the description (elderly patient, unconscious, supine chest X-ray), I’d lean toward option 2: pneumothorax, especially since supine films can make it more subtle and easy to miss compared to upright imaging.
Looking forward to the official answer on Friday.
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Menuda situación. La gente suele pensar que un diagnóstico es fácil, pero a veces es pura especulación. Yo diría que es neumotórax, pero me da que es más complicado.
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The supine chest X-ray makes it tricky to spot a pneumothorax—I’ve seen how easy it is to mistake a skin fold for free air. Curious if the loss of volume in the left lower lobe might actually point to an underlying collapse or effusion. Hope Dr. Pepe turns up soon!
That chest X-ray case was interesting! I thought it might be a pneumothorax, but the skin fold tricked me. The explanation about supine positioning was really helpful for future reference. Great case!
I think it’s a pneumothorax based on the supine chest X-ray described. The patient’s age and being found unconscious make that likely. Interesting case, hope Dr. Pepe is okay!
Me gusta mucho este tipo de casos porque obligan a fijarse en los pequeños detalles de la imagen y no quedarse con la primera impresión—como en este ejemplo, donde algo que parecía un neumotórax en realidad era solo un pliegue cutáneo, lo que demuestra lo fácil que es equivocarse sin un análisis cuidadoso . Ese enfoque de observar con calma y pensar antes de concluir me parece clave, y curiosamente me recuerda a cómo incluso actividades simples y visuales, como algunas que he visto en ZdarmaOmalovanky.com, también ayudan a entrenar esa atención al detalle de forma más relajada.
Interesting case! It’s tricky without the lateral view. I’d guess it’s a pneumothorax because of the supine position, but skin folds can look similar. Looking forward to the answer!
me ha pasado que a veces confundes un pliegue cutáneo con neumotórax y te quedas dudando — una guía que vi hace poco detallaba justo ese signo de la trama vascular para diferenciarlos. al final el ojo se entrena pero cuesta.
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This is a really interesting case study—it’s always valuable to see how experienced radiologists approach complex cases like this. The systematic approach described here reminds me how important it is to step back and give our minds a proper break, even when we’re deeply focused on important work.
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Este caso de radiografía de tórax es muy educativo para diferenciar pliegues cutáneos de neumotórax, y el doodle baseball game es ideal para relajarse después de estudiar.
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qué curioso, nunca había visto un caso así en radiografías. ¿el pliegue cutáneo es más común en pacientes con cierto tipo de complexión o posición?
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¡Qué caso tan interesante! La de la cisura menor me recordó a cuando trabajaba en clínicas de Medicina Tradicional China en Shanghai, donde aprendí que muchas veces los diagnósticos sutiles requieren una mirada muy atenta. Si alguien quiere descubrir más sobre enfoques de bienestar alternativos, recomiendo visitar este enlace sobre experiencias culturales chinas: Chinese Wellness Spa, donde comparten prácticas integrativas fascinantes.
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¡Excelente caso clínico! Siempre es útil revisar estos ejemplos de radiografías de tórax para mantener nuestros conocimientos actualizados. Gracias por compartir.
I’m terrible at reading these, I definitely would have jumped to neumotórax immediately! It’s so helpful to see the explanation about the cisura minor extending beyond the line though, I’ll try to remember that for next time. Congrats to Carly on getting it right!
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Interesting case! I thought it was a pneumothorax at first, but the supine position made me reconsider. The skin fold artifact is tricky. Can’t wait to see the diagnosis!
Wow, that’s a tricky one! I definitely would’ve jumped to pneumothorax at first glance, especially with the patient being unconscious. Good point about checking where the minor fissure is, though – I’ll have to remember to look for that in the future to avoid unnecessary scans.
Really helpful walkthrough of the chest case.
Great analysis of Dr. Pepe’s chest case! I found Carly’s breakdown of the skin fold versus pneumothorax particularly insightful, especially noting the vascular markings and minor fissure. It’s a fantastic reminder of how crucial those subtle details are in X-ray interpretation. Thanks for sharing this solved case!
Me llamó la atención el diagnóstico de pliegue cutáneo y la exclusión de neumotórax debido a la visibilidad de la trama vascular a través de la línea, como mencionó Carly. En mi experiencia, la interpretación de radiografías de tórax puede ser muy sutil y requiere una visión detallada, por lo que siempre busco guías y recursos actualizados para mantener mis habilidades afiladas. A veces, recurro a sitios como cluesbysamanswer.com para mejorar mi comprensión de términos médicos y resolver acertijos relacionados con la salud.
Wow, that’s a tricky one! I definitely would have guessed pneumothorax at first glance. Good point about checking if the minor fissure extends beyond the line, I’ll try to remember that next time I see something similar. I’m glad Carly got it right!
Excelente caso como siempre, Dr. Pepe. El
pliegue cutáneo es un gran simulador de neumotórax
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This case is a great reminder of how important supine chest X-rays are in emergency settings when patients can’t sit up. In my practice as an emergency physician, missing a subtle pneumothorax on these views can lead to a tension pneumothorax if the patient is placed on positive pressure ventilation—so teaching careful interpretation of the ‘deep sulcus sign’ is a must.
Wow, that’s a tricky case! I definitely would’ve jumped to pneumothorax at first glance. It’s good to remember to check for those tell-tale signs like the vessels crossing the line, though.
I found the imaging findings in Case 12 really interesting – the way you walked through the differential diagnosis was exactly what I struggle with in my own practice. The correlation between the radiographic signs and the final diagnosis helped clarify things I usually overcomplicate. I’ve started using a similar systematic approach when reviewing chest films, and it’s made a difference. By the way, I used an album collage maker to organize my teaching files for residents – it’s been helpful for case presentation prep. Thanks for another great case!
Interesting case! I was thinking it could be a pneumothorax, but the skin fold option also makes sense. The supine position can make it tricky. Thanks for sharing this challenge.
Interesting case! The X-ray in supine position can make it tricky. I think it might be a pneumothorax because of how the lung looks. Can’t wait to find out the answer!
¡Vaya, un caso de Dr. Pepe sin Dr. Pepe! Con una paciente de 71 años encontrada inconsciente y una radiografía en supino, yo me inclinaría por el neumotórax, ya que en esa posición los pliegues cutáneos pueden confundir, pero la opción del pliegue también es tentadora. ¿Alguien más cree que la pérdida de volumen del LID podría ser un hallazgo incidental? Espero ansioso la solución el viernes.