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
Para comprender mejor las complejidades de las patologías torácicas, es fundamental revisar casos detallados y análisis exhaustivos, como los que se pueden encontrar en la serie “Los casos de Dr. Pepe” en el blog de la ESR, donde se discuten diversos casos interesantes, incluyendo el caso de tórax número 18. Un recurso particularmente útil para profundizar en estos temas es Tg Macro, que ofrece una amplia gama de imágenes y descripciones detalladas para ayudar a los profesionales y estudiantes a entender mejor las complejas condiciones torácicas.
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.
is expected릴게임정글북 to touch $8릴게임정글북50 million. 릴게임정글북DSCs
idering aestPC파칭코hetics and iPC파칭코ts ability tPC파칭코o be
alms, ferns,오션파라다이스시즌7 bryophytes,오션파라다이스시즌7 bonsai, wat오션파라다이스시즌7er l
Scarica l’estensione Adblock per Chrome perché è uno dei migliori strumenti gratuiti per bloccare tutte le pubblicità non necessarie che si frappongono. Adblock Chrome non solo blocca gli annunci fastidiosi ma protegge anche il tuo browser da tutti i malware e i siti pericolosi. Quindi, installalo ora e goditi i tuoi contenuti preferiti.
9-12) This s야마토2다운로드imple techni야마토2다운로드que offered 야마토2다운로드a us
r an area of오락실황금성 65 acres, t오락실황금성he garden ho오락실황금성uses
as medicine체리마스터 다운로드 have been h체리마스터 다운로드oused in thi체리마스터 다운로드s re
You have done a great job. I will definitely dig it and personally recommend to my friends. I am confident theu will be benefited from this site.
Good step you have written of writing content relating to cooperate sense. Better yet good working skills and hope you write more of this soon.
Absolutely thrilled with our solar panel installation in Richmond, Virginia! We found this top-notch installer through Solar Power Systems website. They wowed us with their efficiency and smooth process – a shining example of professionalism. It’s been a brilliantly sunny decision for our home!
I can’t believe it
I can’t stop playing this game!
This is a great inspiring article. I am pretty much pleased with your good work. You put really very helpful information.
Hello there, just became alert to your weblog thru Google,
and located that it’s truly informative.
This is excellent article, thank you for the share! This is what I am looking for, hope in future you will continue sharing such an superb work.
Fantastic blog. I enjoyed reading your writings. This was a novel that I truly enjoyed. I’ve bookmarked it and am excited to read more from it. Continue your fantastic efforts!
Exceptional blog. I found your works to be enjoyable. I had great pleasure in reading this novel. I have saved it as a bookmark and am eagerly looking forward to reading more of its content. Keep up your excellent endeavors!
Reading your content was enjoyable. I’m forward to see your post when it becomes live. Have success with your next update. This essay is very interesting and helpful.
1v1 LOL is truly a great game for those who love shooting and strategy building. The feature that allows players to freely build structures right in the match not only increases the appeal but also requires creativity and quick reflexes. Sharp graphics and intuitive interface also help players easily get acquainted and enjoy the game to the fullest.
Based on your remark of a game relating to excellent food, I may infer that it likely involves tasks such as recognizing, cooking, or serving many varieties of cuisine. Possible options include a culinary simulation, a game focused on managing a restaurant, or a food-themed puzzle or matching game. Regrettably, in the absence of more precise information provided by you, my ability to discern the exact nature of the game is limited to mere conjecture.
Cada uno de estos diagnósticos diferenciales puede estar asociado con la cirrosis hepática y los síntomas respiratorios mencionados.
Thanks for writing such an interesting paper about this topic. This has made me think a lot
opro-antibod10등급ies (antibod10등급ies in faece10등급s) w
wards resear9월1일 부동산대책ch, educatio9월1일 부동산대책n, recreatio9월1일 부동산대책n, a
There are different ways to pick records at random from a database table in wheel spinner, and each has pros and cons. Different methods might work better in some situations, based on the needs of the application.
I am so grateful for all of the information and advice you have given me. I am moved by your bravery.
I am so grateful for all of the information and advice you have given me.
Such helpful and well-researched information! Thanks for providing these essential details.
Si bien la cirrosis es principalmente una afección hepática, sus consecuencias, como la sobrecarga de líquidos (ascitis, derrame pleural), pueden imitar o contribuir a los síntomas relacionados con el corazón, lo que hace que este caso sea más complejo.
as well as t국민은행 금리인하o antitoxic 국민은행 금리인하immunity. A 국민은행 금리인하tria
Nationalisti하나은행예금담보대출c feeling ca하나은행예금담보대출tapulted the하나은행예금담보대출msel
I hope that you continue to share a lot of knowledge.
This article is quite interesting and I am looking forward to reading more of your posts. Thanks for sharing this article with us.
I like how your posts are full of useful information
Thanks for sharing such valuable insights! The details provided about onebyonesoft are incredibly helpful. Please keep us posted with more updates. Much appreciated!
What a fantastic and informative post! I really appreciate you sharing these key insights about Top aluminum coil manufacturers. Please keep providing updates. Thanks a lot!”
Really good information to show through this blog.
I really enjoyed every article. I’ve bookmarked it to see what’s new you’ve posted.
I appreciate this article because it is not only informative but also contains fresh perspectives and views, very worth referring to.
Playing a typical Papa’s games means making all the delectable fast food and bakery goods in the allotted time. The object of these games is to match the correct ingredients with the correct sequence. We prioritize prompt and accurate service!
I value the expertise and wisdom you bring to the table.
It’s fascinating to see how complex cases like this are approached and solved. The detailed analysis and step-by-step reasoning you provided really help to clarify the diagnostic process. I appreciate the way you highlight the importance of critical thinking in medicine and how each piece of information can lead to the correct conclusion. Looking forward to more case studies like this that challenge our understanding and enhance our medical knowledge. Thanks for sharing!
Thanks for everyone’s interesting and useful sharing, I will visit often to find the necessary information.
The way you presented complex information so simply is remarkable.
It’s fascinating to see how medical cases like this encourage critical thinking and collaboration. I appreciate the interactive approach in sharing radiology findings. It reminds me of Retro Bowl, where strategy and decision-making are key to success. Engaging and enjoyable for everyone!
Your article has opened my eyes to new possibilities and perspectives.
Good informative post. Thanks for sharing this good post.
Write to the point. Enjoy reading. I really appreciate your blog. Awesome.
Nice post! This is a very nice blog that I will definitively come back to more times this year! Thanks for informative post.
yes that is really great information thanks for sharing!
This is amazing, and if you want to learn more, I encourage you to visit my page and play a variety of new games!
Dados los antecedentes de cirrosis hepática y disnea moderada del paciente, el derrame pericárdico parece una gran posibilidad debido a la posible retención de líquidos y las complicaciones asociadas.
Retro games will not disappoint you as it has a collection of the hottest games of all time.
This further hydrate and plumps the skin while stimulating collagen and elastin production. Microneedling Newcastle upon Tyne
In “Los Casos de Dr. Pepe,” a 46-year-old man with cirrhosis presents with dyspnea. Possible diagnoses include cardiomyopathy, pericardial effusion, or valvulopathy. While considering these options, take a break and play Slope Game to sharpen your mind. Share your diagnosis by Monday when the solution will be revealed!
Este artículo tuyo me aporta mucho conocimiento sobre el campo médico, realmente me interesa y eso es algo por lo que estoy sumamente agradecido.
Stay warm, stylish, and true to your passion with Novakik BJJ’s best BJJ hoodies. Bjj Hoodies
Thank you for sharing this very interesting story. Please write it again. I promise to follow you
Thank you for this wonderful blog; it’s very interesting and full of great insights! If you’re searching for the Top Men’s Cologne 2025, visit our site, Sex Water, for a premium selection of fragrances.
Thank you for this fantastic blog; it’s incredibly insightful! For those interested in Tom Ford Oud Wood, be sure to check out our in-depth Tom Ford Oud Wood review. Visit MensCologneReview for more detailed reviews.
Thank you for simplifying difficult topics on your platform.
Today we present X-ray images of a 46-year-old patient with cirrhosis and moderate liver disease. What’s your diagnosis? 1. Cardiomyopathy 2. Pericardial effusion 3. Valve disease 4. None of the above. Share your insights! While pondering, take a break and check out Snow Rider 3D, an exciting game that lets you conquer snowy slopes!
It’s an upgrade you’ll notice from the very first use. shower filter
Our experienced and courteous drivers are your guides to White Plains, prioritizing your safety and comfort throughout the journey. taxi white plains
Discover why your Kraken account may be suspended and learn how to resolve the issue effectively. Get insights into account security & help.
Learn how to easily withdraw fund from Kraken to bank account with our step-by-step guide. Ensure a smooth transaction every time!
Interesting topic for a blog. I have been searching the Internet for fun and came upon your website. Fabulous post.
Khám phá Top 10 nhà cái uy tín hàng đầu năm 2025, nơi bạn có thể tham gia các hoạt động cá cược an toàn, minh bạch và hấp dẫn. Top nhà cái bình chọn dựa trên nhiều tiêu chí đánh giá về chất lượng và độ tin cậy.
Gia nhập vào thế giới thú vị của 789BET – nơi hội tụ của các trò chơi hấp dẫn và dịch vụ giao dịch nhanh chóng, an toàn. Với một cam kết mạnh mẽ về bảo mật và sự hài lòng của người chơi, 789BET chắc chắn sẽ khiến bạn có trải nghiệm thú vị. 789bet199.com
THANKS FOR SHARING THIS BLOG COMMENTING SITES.
WOW, THIS IS A GREAT LIST OF BLOG COMMENTING SITES. I LIKED IT. THINKING OF DOING THE SAME FOR MY BUSINESS. THANKS. IT WILL HELP ME.
THANK YOU FOR YOUR VERY IMFORMATIVE POST THAT YOU’VE SHARED TO ME.
Spotify Premium users get early access to special tracks.
THANK YOU FOR THIS POST, I HAVE SO MANY GOOD INFO THAT I WANTED TO KNOW. THANKS FOR IT.
This post really made me rethink how I approach this topic. I never realized this detailed information could have such an impact. Thanks for shedding light on this! Being your fan, I want to grab your sight on my work on Amethyst Jewelry. I request you to please have a look at our website and share your feedback with us.
Thank you for this wonderful blog! It’s great to read such insightful content. If you’re looking for China CNC machining, check out Superapid for high-quality precision machining solutions.
I appreciate your writing, You have a good sense of thinking which you have depicted here. Keep uo the good work
I feel that the more you write new articles, the more I feel like you’re good and different from everyone else.
Really great We are absolutely grateful for the articles on the personal website.
We have all the latest test scores charts for Elementary Schools, Middle Schoolers, High School and College students. Additionally, you are very welcome to browse our ‘Fun’ section, for amazing drawing ideas, funny riddles for kids, and much more.
max88 là một trong những nhà cái trực tuyến nổi bật và được yêu thích tại châu Á. Với sự phát triển không ngừng và sự đổi mới trong dịch vụ, Max 88 đang khẳng định được vị thế của mình trong ngành cá cược trực tuyến.
You really have the potential to write articles. I can see that you put all your effort and time into writing this article.
Your blog post really sparked my curiosity! I had never known that this topic could be this vast and informative. As we are working on capricorn and aquarius friendship, we want some information and your suggestion on this topic. For a brief detail what we are into, please visit out website. We will be waiting for your new blog and your feedback for us.
I appreciate the author for such useful content. Here are some sites that I think are good and I want to share them.
Driven Mad
Visit drivenmad.org and experience an exciting survival adventure game! Maintain your sanity in a chaotic world, face endless challenges, and test your strategic thinking and quick reflexes. Drive away the madness and find inner peace!
Ragdoll Hit
ragdoll-hit.net brings you unparalleled physics-based fun! Control realistic ragdoll characters and experience hilarious physics effects and laugh-out-loud scenarios. Play solo or with friends for non-stop entertainment!
Level Devil
Challenge yourself at http://www.level-devil.org! This extremely difficult platform game will test your patience and skills. Each level is a carefully designed nightmare that only true gaming masters can conquer. Do you dare to take the challenge?
Monkey Mart
monkey-mart.cc is a cute and fun management simulation game! Build and manage your own monkey supermarket, grow your business, unlock new items, and become a leader in your commercial empire. Suitable for players of all ages!
Blocked Blast
http://www.blockedblast.com offers an addictive puzzle-solving experience! Match blocks of the same color, create chain reactions, and challenge your thinking abilities. Easy to learn but difficult to master, play anytime and anywhere!
Sprunkin
http://www.sprunkin.org will take you into a fantasy world full of pumpkin monsters! Collect resources, upgrade abilities, and battle various pumpkin creatures. Unique game mechanics and artistic style await your exploration!
Poly Track
http://www.poly-track.cc is a visually stunning racing game! Race in a futuristic world made of polygons, experience smooth controls and thrilling track designs. Challenge yourself and outperform your opponents!
My Perfect Hotel
http://www.myperfecthotel.me lets you become a hotel management master! Design, build, and manage your dream hotel, meet guest needs, and solve various challenges. Create a five-star experience and become a legend in the hotel industry!
Slice Master
http://www.slice-master.online provides the satisfaction of precise cutting! Use your keen reflexes and precise operations to slice various objects and complete challenges. Clean design paired with a satisfying gaming experience that’s hard to put down!
Retro Bowl College
http://www.retro-bowlcollege.com takes you back to the golden age of American football! Experience campus football passion and strategy in a retro pixel style. Build your team, train players, and win championships!
Rune Slayer
http://www.runeslayer.co is an immersive open-world RPG experience on Roblox where players forge alliances and strengthen their characters to survive in a dangerous wilderness. The world of Rune Slayer is filled with mystical runes that grant extraordinary powers to those who can master them. Join Rune Slayer today!
You’re a very talented person, you know that? Everything you can think of and write out is a lot of fun for a lot of people. and i am one of them like what you write.
Given the cirrhosis and dyspnea, I’d lean towards option 4, “Nada de lo expuesto”, maybe hinting at hepatopulmonary syndrome? This is more challenging than my Block Blast puzzle! Looking forward to the solution. Anyone else playing Block Blast while pondering this?
Chest X-rays show a 46-year-old male with liver cirrhosis and moderate dyspnea. Differential diagnosis includes cardiomyopathy, pericardial effusion, valvular disease, or none of the above. This intense situation reminds me of the adrenaline rush of playing Funny Shooter 2! Vote by Monday for the answer.
Everything fits perfectly. You have written the content very well. I don’t think anyone can do it.
Jojoy makes it easy to find and install modded apps with one-click downloads.
Thank you for sharing such valuable insights! I’ve been looking for information on this topic for ages, and your post is exactly what I needed. As I am fresher and looking for some guidance on what does amethyst do, I have none other than you in my mind for some information and suggestions. Have a look at our website and share your feedback and tips with us. Waiting for your blogs!
Thank you for sharing such valuable insights! I’ve been looking for information on this topic for ages, and your post is exactly what I needed. As I am fresher and looking for some guidance on what does amethyst do, I have none other than you in my mind for some information and suggestions. Have a look at our website and share your feedback and tips with us. Waiting for your blogs!
Such a beautiful way to describe two different things at a time. I never considered that this topic could be so deep until reading yours! I want to draw attention that we are also seeking your guidance on blue agate stone, as we work on it. If you have any information or suggestions about the topic, please send us your feedback. We are eagerly waiting for your further blog.
Play free Squid Game inspired challenges online! Experience the thrill of the hit series, no downloads needed.
I wanted to take a moment to express my heartfelt gratitude for your outstanding article. Your insights have truly enlightened me.
This is what I want from you. Can’t find any other articles that can compare with yours, that’s great.
SnapTube is regularly updated for the best performance and support.
I read a lot of stuff and i found that the way of writing to clarifying that exactly want to say was very good so i am impressed and i like to come again in future..
A 46-year-old male with cirrhosis and moderate dyspnea presents an intriguing chest X-ray case. The differential includes cardiomyopathy, pericardial effusion, or valvular disease, but the correct answer may be “none of the above.” For more engaging medical cases, explore the wacky flip game at https://wacky-flip-game.com/, a fun way to unwind while learning. This case highlights the importance of thorough imaging review in complex patients. Stay tuned for Monday’s reveal!