Los Casos de Dr. Pepe – Caso de tórax 20 (Resuelto)
Hola amigos: Siento deciros que hoy presento el último caso de tórax. El año que viene no estaré con vosotros porque he decidido volver con mi amigo José Cáceres, que necesita ayuda para su blog. Os agradezco a todos vuestra colaboración y espero que nos encontremos de nuevo en el blog en inglés de la ESR. También quiero agradecer al Dr. Josep Mata su colaboración inestimable en muchos de los casos de este blog.
Las radiografías de hoy pertenecen a un hombre de 72 años con hemoptisis.
¿Cuál sería vuestro diagnóstico?
Podéis dar vuestra opinión hasta el viernes, día en el que se publicará la solución.
Hallazgos: La radiografía PA muestra un aumento de densidad del hilio izquierdo (A, flecha). En la placa lateral se observa que el aparente hilio denso se debe a superposición de una masa retrohiliar irregular (B, flecha):
TC sagital y axial confirman la presencia de la masa (C-D, flechas), con un alto SUV en el PET-TAC (E, flecha).
Diagnóstico final: Carcinoma primario de pulmón.
Teaching point: Es importante recordar que el hilio denso puede no deberse a enfermedad intrínseca hiliar sino a una lesión pulmonar superpuesta.
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Hola amigos: Siento deciros que hoy presento el último caso de tórax. El año que viene no estaré con vosotros porque he decidido volver con mi amigo José Cáceres, que necesita ayuda para su blog. Operating system agradezco a tasks vuestra colaboración y espero que nos encontremos de nuevo en el blog en inglés de la ESR. También quiero agradecer al Dr. Josep Mata su colaboración boundless en muchos de los casos de este blog.
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¡Qué lástima que sea el último caso de tórax del Dr. Pepe! Siempre aprendo mucho con sus explicaciones. Espero que le vaya muy bien ayudando a su amigo y que nos veamos pronto en el blog de la ESR. ¡Gracias por todo!
¡Qué interesante el caso! Es una pena que sea el último de tórax por ahora, pero entiendo la necesidad de ayudar a un amigo. ¡Mucha suerte en el nuevo proyecto y gracias por compartir tu conocimiento!
¡Qué interesante caso! Es una pena que sea el último de tórax, pero me alegro que sigas compartiendo tu conocimiento en otro blog. ¡Mucha suerte en tu nuevo proyecto con José Cáceres! Siempre aprendo algo nuevo aquí.
Qué lástima que sea el último caso de tórax del Dr. Pepe. Siempre aprendía algo nuevo. Espero que le vaya muy bien con José Cáceres y que sigamos viendo sus casos en el blog de la ESR. ¡Gracias por compartir tu conocimiento!
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¡Qué interesante caso! Es una lástima que sea el último caso de tórax. Me gustaba mucho aprender con el Dr. Pepe. ¡Espero encontrarlo en el blog de ESR! Muchísimas gracias por compartir tu conocimiento.
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Qué lástima que sea el último caso de tórax! Pero bueno, suerte con el blog de José Cáceres! Siempre aprendo mucho con estos casos, aunque a veces me cueste llegar al diagnóstico. Gracias por compartir tu conocimiento!
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Wow, Dr. Pepe’s last thoracic case! It’s a shame he’s leaving, but good luck with José Cáceres’ blog! The 72-year-old with hemoptysis sounds like a challenging case. I’m looking forward to reading the solution on Friday and seeing what the diagnosis was. Good luck to everyone who gives their opinion!
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Interesting case presentation. The findings suggest a central mass causing hemoptysis in a 72-year-old male. The irregular retrohiliar mass with high SUV on PET-CT is concerning for malignancy.
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Cabrón, qué buena pinta tiene el caso. El hilio denso es un clásico que puede despistar, pero nada como una buena TC para aclarar las cosas. Me va a hacer falta un café para el viernes, jajaja.
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This final chest case from Dr. Pepe’s series is a compelling clinical learning moment, centering on a 72-year-old with hemoptysis and ultimately diagnosed with primary lung cancer. The step-by-step radiological breakdown—from PA/lateral chest X-ray hilum density findings to retrohilar mass confirmation via CT and PET-CT—showcases critical diagnostic imaging reasoning. A heartfelt sign-off to the series, with well-deserved thanks to collaborators, it’s a valuable resource for radiology and clinical learners alike, wrapping up the beloved case series on a thoughtful, educational note
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Excelente caso, muy bien explicado y con imágenes claras. ¡Gracias por compartir!
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Qué pena que sea el último caso, Dr. Pepe. Se le va a extrañar mucho por aquí, aunque seguro que el blog de José Cáceres ganará mucho con su ayuda. Sobre el paciente de 72 años, esa hemoptisis suena preocupante, ¿podría ser un carcinoma bronquial dada la edad? ¡Gracias por todo!
Qué pena que sea el último caso, Dr. Pepe. Se le va a extrañar mucho por aquí, aunque seguro que el blog de José Cáceres ganará mucho con su ayuda. Sobre el paciente de 72 años, esa hemoptisis suena preocupante, ¿podría ser un carcinoma bronquial dada la edad? ¡Gracias por todo
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I would like to thank all of you for your collaboration, and I hope we will meet again on the ESR English blog. I would also like to thank Dr. Josep Mata for his invaluable collaboration in many of the cases presented on this blog.
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Excelente caso de radiología de tórax del Dr. Pepe! Estos casos clínicos son una herramienta educativa fantástica para radiólogos en formación. Muy interesante la resolución!
¡Qué lástima que este sea el último caso de tórax! Me encantó la idea de que pudieras resolverlo con nosotros. La hemoptisis siempre es un reto. ¡Espero con ansias la solución el viernes y te deseo lo mejor con el blog de tu amigo!
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¡Qué lástima que este sea el último caso de tórax! Me encantaba seguir los casos del Dr. Pepe. La hemoptisis en un hombre de 72 años suena interesante. ¡Espero dar con el diagnóstico correcto antes del viernes! Buena suerte a todos y gracias por compartir.
¡Qué lástima que este sea el último caso de tórax, Dr. Pepe! La hemoptisis siempre es un reto diagnóstico. Espero con ansias la solución el viernes y, por supuesto, seguir tus aventuras en el blog en inglés de la ESR. ¡Mucha suerte con el blog de tu amigo!
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Thanks for sharing this final thorax case, Dr. Pepe! It’s sad to see you go, but helping José Cáceres sounds important. I’m intrigued by the 72-year-old patient with hemoptisis. I’ll definitely ponder the radiograph and offer my opinion before Friday!
Wow, Dr. Pepe, thank you for all the fascinating thorax cases! It’s sad to see this series end, but I understand your decision to help José Cáceres. Good luck with the ESR blog, and I’m definitely curious to see what the 72-year-old’s hemoptisis radiographs reveal!
Fascinating case analysis! The detailed explanation of the thorax findings really helps in understanding complex scenarios. Great work by Dr. Pepe.
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Thanks for sharing this last case, Dr. Pepe! It’s a shame you’re leaving, but best of luck with José Cáceres. This 72-year-old with hemoptisis sounds like a challenging case. I’m eager to see the solution on Friday!
What a fascinating final case, Dr. Pepe! Hemoptisis in a 72-year-old sounds complex. Best of luck with José and the English blog – we’ll miss your insights here! Thanks also to Dr. Mata for his contributions!
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Gracias por compartir este último caso de tórax. La explicación de los hallazgos radiológicos es muy clara, especialmente la correlación entre la radiografía simple y la TC. Es una pena que sea el final de la serie, pero espero verte pronto en el blog de la ESR. ¡Mucho éxito en tu nueva colaboración!
Gracias por compartir este último caso de tórax. La explicación de los hallazgos radiológicos es muy clara, especialmente cómo se correlacionan las diferentes imágenes. Lamento que sea el final de la serie, pero te deseo mucho éxito en tu nuevo proyecto con José. ¡Espero verte pronto en el blog de la ESR!
Gracias por compartir este último caso de tórax. La explicación clara de los hallazgos radiológicos, desde la radiografía simple hasta la TC, es muy instructiva. Lamento que sea el final de la serie, pero te deseo mucho éxito en el nuevo proyecto con José. ¡Espero verte pronto en el blog de la ESR!
Gracias por compartir este último caso tan interesante. La explicación de los hallazgos radiológicos es muy clara, especialmente la correlación entre la radiografía simple y la TC. Lamento que sea el final de la serie, pero te deseo mucho éxito en tu nuevo proyecto con José. ¡Espero verte pronto en el blog de la ESR!
¡Excelente resolución del caso! La explicación del diagnóstico de tórax fue clara y detallada, mostrando pasos lógicos. Muy útil para estudiantes y profesionales que buscan entender mejor la patología.
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Thanks for sharing this final tórax case, Dr. Pepe! I’m sad to see you go, but I understand the call of friendship. Good luck with José Cáceres’ blog! I’ll definitely check out the ESR blog in English. Looking forward to seeing the diagnosis!
What a fascinating final case, Dr. Pepe! Best of luck with José Cáceres, and thanks for all the interesting thorax cases you’ve shared. A 72-year-old with hemoptysis sounds complex. I’m eager to see the solution on Friday!
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Excelente análisis del caso de tórax 20, la explicación es clara, didáctica y muy útil para comprender el diagnóstico, fortaleciendo el razonamiento clínico y la interpretación de hallazgos radiológicos detallados.
Great educational case presentation! The thoracic case is clearly explained, making diagnosis easy to follow. Excellent visuals and reasoning. Very helpful for medical learners and professionals alike. Keep it up.
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Thanks for sharing, Dr. Pepe! It’s sad to see this is your last case on the blog, but I understand the need to help your friend. The hemoptisis case sounds intriguing; I’ll be thinking about the diagnosis until Friday! Good luck with the ESR blog!
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Muy interesante caso y muy buena explicación radiológica. Me pareció especialmente útil el recordatorio de que un hilio denso no siempre corresponde a una patología hiliar, sino que puede deberse a una lesión pulmonar superpuesta. Gracias por compartir un caso tan didáctico.
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Excelente caso, muy didáctico. La correlación entre la radiografía, la TC y el PET-TAC ayuda mucho a entender el diagnóstico final. Gracias por compartirlo.
Excelente caso., muy didáctico. La correlación entre la radiografía, la TC y el PET-TAC ayuda mucho a entender el diagnóstico final. Gracias por compartirlo.
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Es una pena que cierres esta etapa, pero te deseo mucha suerte en tu nuevo proyecto con José. Me ha parecido muy interesante el recordatorio sobre no confundir una masa superpuesta con una patología hiliar, ya que es un error muy fácil de cometer en la práctica diaria. Muchas gracias por todo el aprendizaje compartido durante este tiempo.