Los casos de Dr. Pepe – Caso de tórax 2 (Resuelto)

ESP_torax_case_final_2

Hola amigos, os presento el segundo caso de tórax. La radiografía PA corresponde a un hombre de 40 años con dolor e hinchazón del tobillo derecho, acompañado de fiebre. Cuál sería vuestro diagnóstico?

1. Adenocarcinoma diseminado
2. Sarcoidosis
3. Neumonía vírica
4. Nada de lo expuesto

Podéis enviar vuestra opinión hasta el viernes, en que se dará la solución.

x-Ray

Haz click aquí para ver la respuesta

27
Oct 2014
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DISCUSSION 65 Comments

65 Responses to : Los casos de Dr. Pepe – Caso de tórax 2 (Resuelto)

  1. Dr. Pepe says:

    Veo que no hay ninguna respuesta! A partir de ahoa, a los tres [email protected] que contesten les enviaré una foto del Dr. Pepe

  2. Cocotet says:

    Me lanzaré a dar el primer diagnóstico. Se ven múltiples opacidades nodulares bilaterales, algunas de ellas por ejemplo en LSD parecen cavitadas, creo que podría ser embolismos sépticos del foco que tiene en el tobillo.

  3. Dr Chalo says:

    …considerando el infiltrado bilateral y un foco inflamatorio en otra región me inclinaría a pensar en Sarcoidosis….aunque me gustaría apoyar mi sospecha en alguna a departía medistinal que no logro visualizar. Espero la respuesta….y la foto del Dr Pepe.

  4. Alberto Montemayor says:

    Estimado profesor

    El paciente tiene un cateter venoso central. Ademas se identifican multiples nodulos pulmonares , algunos cavitados.
    Pudieran tratarse de embolos septicos o de una endocarditis.

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