Hola amigos: Las imágenes de hoy pertenecen a un preoperatorio de cirugía estética en una mujer de 48 años.
¿Cuál sería vuestro diagnóstico?
Podéis dar vuestra opinión hasta el viernes, día en el que se publicará la solución.
Haz click aquí para ver la respuesta
Hallazgos: Las radiografías de tórax muestran una pequeña masa mediastínica escondida tras el cayado aórtico en la placa PA (A, flecha), visible en el espacio claro anterior en la proyección lateral (B, flecha):
TC confirma la masa en el mediastino anterior (C-D, flechas). La intervención quirúrgica confirmó el diagnóstico de timoma.
Teaching point: Pequeñas masas mediastínicas pueden pasar desapercibidas en la radiografía de tórax. Es muy importante mirar siempre el espacio claro anterior porque puede proporcionar información valiosa.
Aortosclerosis y en la proyección lateral me da la impresión de un lóbulo pulmonar accesorio.
Saludos
Has mirado bien el mediastino?
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El “Caso de tórax 19” del Dr. Pepe presenta una interesante oportunidad para poner a prueba nuestras habilidades diagnósticas. Es intrigante cómo incluso imágenes preoperatorias de cirugías estéticas pueden revelar condiciones inesperadas o puntos de interés médico. Estoy curioso por conocer cuál sería el diagnóstico para esta mujer de 48 años. Este tipo de desafíos no solo son útiles para la práctica clínica, sino también para la educación médica continua. ¡Esperaré ansiosamente hasta el viernes para ver la solución y aprender más!
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Gracias por compartir las imágenes del preoperatorio de cirugía estética. Entiendo que solicitas mi opinión sobre el diagnóstico hasta el próximo viernes. Desafortunadamente, no puedo acceder a las imágenes que menciona, ya que no han sido proporcionadas en esta conversación.
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