Hola amigos, hoy os muestro las radiografías de tórax de un hombre de 51 años, asintomático.
¿Cuál sería vuestro diagnóstico?
1. TB antigua
2. Colapso de pulmón derecho
3. Neumotórax izquierdo a tensión
4. Nada de lo expuesto
Podéis dejar vuestra opinión hasta el lunes, día en el que publicará la solución.
Haz click aquí para ver la respuesta
Hallazgos: Opacidad del hemitórax derecho, con desplazamiento mediastínico homolateral (A, flechas); desplazamiento del bronquio principal derecho (A, flecha roja) y engrosamiento pleural basal derecho. La radiografía lateral muestra un aumento del espacio retroesternal (B, flechas).
Axial CT muestra el bronquio derecho (A-C, círculo rojo) con pequeña cantidad de parénquima pulmonar derecho (B-D, círculo amarillo). Todas las imágenes muestran desplazamiento mediastínico con rotación del corazón y herniación del pulmón izquierdo por el espacio retroesternal. Depósito de grasa subpleural (C, flecha).
Diagnóstico: Hipoplasia pulmonar derecha congénita.
3. Neumotórax izquierdo a tensión
2. Colapso de pulmón derecho
4.Swyer-James syndrome
considero que estamos frente a un colapso pulmonar derecho debido a que presenta datos directos del mismo en relacion a desplazamiento de traquea y cardio mediastino, lo que no alcanzo a dilucidar es si presenta una hiperinsuflacion compensatoria en relacion a cronicidad. saludos
Neumotorax a tension. Se observa desplazamiento del mediastino, aplanamiento de diafragma y aumento de los espacios intercostales.
Colapso pulmonar derecho con atelectasia masiva que provoca retracción hacia la derecha del mediastino e hiperinsuflación compensatoria del pulmón derecho
Colapso pulmonar derecho con atelectasia masiva que provoca retracción hacia la derecha del mediastino e hiperinsuflación compensatoria del pulmón izquierdo
Atelectasa del LM Y LID
La respuesta correcta es colpso completo del pulmón derecho. En este caso debido a una hipoplasia congénita.
Felicidades a Hector Alberto Ureña y Diego Toapanta.
En le neumotórax a tensión no deben verse vasos pulmonares en el hemitórax afectado.
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تبرز شركة “صقور الجزيرة” كخيار لا مثيل له في مجال شفط البيارات وتسليك المجاري في الدمام.
تبرز شركة “صقور الجزيرة” كخيار لا مثيل له في مجال شفط البيارات وتسليك المجاري في الدمام.
ماستر كلين: رمز الاحتراف في خدمات التنظيف بتبوك
مؤسسة الخير لعزل الاسطح بالرياض وتقديم حلول فعالة لمنع تسرب المياه وتحقيق العزل الحراري.
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شركة النور تقدم خدمة تسليك المجاري بالضغط في الدمام، فتح وتنظيف المجاري بسرعة وكفاءة.
شركة كلينر لخدمات التنظيف بالرياض: الخيار المثالي للحصول على منزل نظيف ومرتب
كلين الرياض شركة تنظيف بالرياض: خدمات تميز وجودة
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Interesting case! Based on the X-ray, I’d lean towards option 1, old TB. The opacity suggests healed scarring. It’s not as dramatic as a full collapse or pneumothorax. Makes me think of managing ingredients meticulously at Papa’s Pizzeria – you have to accurately diagnose the customer’s order! Looking forward to the solution on Monday.
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Interesting case study! Looking at the chest X-rays, it’s tough to say definitively. While old TB scars and lung collapse are possibilities, option 4 “none of the above” is tempting.
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