Hola amigos:
Hoy os presento radiografías de tórax de un varón de 46 años con cirrosis hepática y disnea moderada.
¿Cuál sería vuestro diagnóstico?
1. Miocardiopatía
2. Derrame pericárdico
3. Valvulopatía
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: La radiografía PA (A) muestra lo que parece ser un corazón aumentado de tamaño. La placa lateral muestra una banda en el ápex cardíaco, delimitada por dos zonas grasas (B, flechas). Este hallazgo es muy típico de líquido pericárdico y, cuando se identifica, es muy fiable.
TC coronal y sagital confirman el derrame pericárdico rodeando la silueta cardíaca (C-D, flechas). En la reconstrucción sagital se ven claramente la grasa epicárdica y mediastínica delimitando el derrame en el ápex cardíaco (D, flechas rojas):
Diagnóstico final: Derrame pericárdico visible en la radiografía lateral.
Pericardial effusion(2)
Derrame pericardico
Pericardiac effusion. Oreo cookie sign.
Pericardiac effusion. Flask sign and Oreo cookie sign.
Derrame pericardico
Valvulopatia
Right atrial and ventricular enlargement
Pericardial Effusion with typical “oreo-cookie” sign on the lateral CXR.
Aumento severo del tamaño de la silueta cardíaca, sin signos de hipertensión pulmonar (dudo si hay una mínima redistribución vascular, en todo caso no significativa) ni derrame pleural. En la proyección lateral se identifica una línea radiotransparente dentro de la silueta cardiopericárdica, todo ello acorde a derrame pericárdico.
La clínica actual y el antecedente de cirrosis hepática cuadrarían con los hallazgos. Por lo tanto mi respuesta en 2, derrame pericárdico.
I am afraid of what Muppet can think about this answer.
Muppet está encantado con la respuesta!
Very good! I am proud of (almost) all of you!
Derrame pericárdico debido al acúmulo anómalo de líquido pericárdico en la cavidad mediastínica.
Hello friends, its impressive article regarding educationand entirely defined, keep it up all the time.
This design is incredible! You definitely know how to keep a reader amused. I was almost moved to start my own blog
Fantastic job. I really enjoyed
what you had to say, and more than that, how you presented it.
Too cool!
I am actually grateful to the holder of this site who has shared
this enormous article at here.
Everyone loves it when folks come together and share opinions.
Great site, stick with it!
GREAT BLOG PRESENTS WITH A VERY VALUABLE INFORMATION.
THANKS FOR THIS INFORMATION.
THANKS FOR PROVIDING SUCH INFORMATION.THANKS FOR THIS!
THANK YOU FOR POSTING THIS GREAT ARTICLE.
Regards for sharing your knowledge. I really appreciate your efforts, and I’ll be watching for your further posts.
What a fantastic post. Gratitude again. Continued reading
This website was, how shall I put it? Relevant!! I’ve at last discovered something useful. Cheers!
I appreciate your article. Really excited to read more. Many thanks.
Let’s say your blog is nice. Really excited to read more. Fantastic.
I enjoyed this just as much as what you did right here. Thanks a lot, Really Cool.
ous membrane비아그라 파는곳 of the inte비아그라 파는곳stinal tract비아그라 파는곳 are
tiles were m로얄바카라ade on a pil로얄바카라ot scale on 로얄바카라Sept
Your blog is a treasure trove of inspiration and knowledge! The depth of your insights and the clarity of your writing are truly remarkable. Can’t wait to read more and learn from your expertise. Keep up the fantastic work! #BlogLove #Inspiration Also Read My blog “”
The figure s바카라실전노하우hows the com바카라실전노하우parison of s바카라실전노하우pati
ration of flhttps://bcsimozon.comotation coluhttps://bcsimozon.commn. Since thhttps://bcsimozon.comen,
Exploring the intriguing medical mystery in Dr. Pepe’s Chest Case 18. An insightful glimpse into the world of diagnostics and problem-solving in the field of medicine
ruit & shttps://nnfcy25.comeed, stem bahttps://nnfcy25.comrk, root barhttps://nnfcy25.comk, h
It’s an amazing blog post, and it is really helpful as well.