Hola amigos, hoy os quiero presentar la radiografía preoperatoria por varices de una mujer de 71 años. ¿Cuál sería vuestro diagnóstico?
1. Grasa mediastínica
2. Quiste pericárdico
3. Hernia diafragmática
4. Todo lo expuesto
Tenéis hasta el viernes para dejar vuestra opinión.
Haz click aquí para ver la respuesta
Hallazgos: La radiografía PA de tórax muestra una masa extrapulmonar bien delimitada en el ángulo cardiofrénico derecho (flecha). Los procesos más frecuentes en esta zona son el quiste pericárdico, de contenido líquido, la grasa pericárdica y la hernia de Morgagni, ambas de densidad grasa. Como en radiografía convencional de tórax no puede distinguirse la densidad grasa de la de tejidos blandos, la respuesta correcta es: 4. Todo lo expuesto.
El TAC coronal muestra una lesión grasa en el seno cardiofrénico (flecha). La reconstrucción sagital muestra un defecto anterior del diafragma, a través del cual se hernian la grasa abdominal y los vasos abdominales (flechas).
Diagnóstico final: Hernia de Morgagni.
Felicidades a Verónica Muñoz, que hizo el diagnóstico correcto.
opcion 3: hernia
…quiste pericárdico
Muy bien. Dos valientes que no tienen miedo a contestar. Os enviaré mi foto el viernes.
Las 3 opciones.
Muy bien, Verónica. Te mereces una foto!
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The case features a preoperative chest X-ray of a 71-year-old woman, asking readers to suggest a diagnosis from four options. It’s an interactive post, inviting opinions from the audience with a deadline for participation, making it a useful learning tool for medical students or professionals to practice diagnostic reasoning.
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What is that big white in the scanner?
I hope the analysis is better
Everything will be oke!
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La lista de diagnósticos posibles es clara y concisa, lo que facilita que los lectores comprendan rápidamente las opciones.
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Hola, interesante caso. Mi apuesta sería la opción 3: hernia diafragmática. Espero leer más opiniones.
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