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.
I found this case really interesting and insightful, especially with the detailed resolution. It reminded me of the strategy needed in some challenging poki games, where critical thinking and problem-solving play a huge role. Great work on the diagnosis!
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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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Thank you for sharing this interesting case study. It’s always insightful to learn from detailed medical analyses like this. Great work!
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I am not a doctor, so I am not sure what it is; I need additional advice.
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Intriguing case! My guess is hernia diafragmática. What do you all think?
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¡Qué interesante caso! Me encanta cómo explican el diagnóstico con las imágenes. Me hace sentir como si estuviera aprendiendo algo nuevo. ¡Gracias por compartir!
¡Qué caso más interesante! Me encanta cómo explicaste el diagnóstico con las radiografías. Me hizo pensar mucho, ¡gracias por compartir!
¡Qué interesante el caso! Siempre aprendo algo nuevo con estos ejercicios. A primera vista, yo también hubiera dicho que era grasa mediastínica, pero la explicación del TAC lo aclara todo. ¡Gracias por compartir!
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Great case, Dr. Pepe! I vote for option 4. Now time to relax with a bit of Planet Clicker!
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¡Qué caso más interesante! Me encanta cómo explican el diagnóstico paso a paso. La radiografía se ve clara, aunque yo no sabría diagnosticarlo sin la explicación. ¡Buen trabajo Dr. Pepe!
What an interesting case! I love how they explain the diagnosis step by step. I always learn something new with Dr. Pepe. Thanks for sharing cases like this!