Los casos de Dr. Pepe – Caso de tórax 4 (Resuelto)

ESP_torax_case_final_4

Hola amigos, he revisado las visitas a los casos de tórax y veo que son menos que al Diploma. Intuyo que los casos no son lo bastante interesantes. Espero que este nuevo caso lo sea y aumente la participación. ¡Recordad que las respuestas son anónimas!

Se trata de una mujer de 47 años con febrícula y un infiltrado pulmonar izquierdo, que no ha variado apreciablemente en los últimos seis meses.
¿Cuál sería vuestro diagnóstico?

1. Tuberculosis
2. Carcinoma
3. Neumonía tórpida
4. Nada de lo expuesto

Podéis dar vuestra opinión hasta el viernes, día en que se publicará la solución.

CT

Lateral tórax

PA tórax

Haz click aquí para ver la respuesta

24
Nov 2014
POSTED BY
POSTED IN
DISCUSSION 60 Comments

60 Responses to : Los casos de Dr. Pepe – Caso de tórax 4 (Resuelto)

  1. Dr. Pepe says:

    Bien, martes por la tarde y ningún comentario todavía. Creo que vamos a batir un nuevo record!

  2. Monica says:

    Bueno, voy a lanzarme. Yo me quedo con adenocarcinoma pulmonar mucinoso. Existe una condensacion en el LSI, con areas perifericas de infiltrado en vidrio deslustrado y nódulos pulmonares. La condensacion creo que presenta relativa baja atenuación apreciandose el signo del angiograma y el del “árbol sin hojas” (bonquios abiertos en su interior con escasas ramificaciones). También creo que existen adenopatias mediastinicas.

  3. Ele says:

    There are some signs of loss of volume, consolidation spreads as satellite nodules to adjacent segments. Small airways seem to be affected as well in spite of the air bronchogram. The lymphadenopathy is not exactly expressed. Such a slow course, 6 months? (no change in the x-rays or CT exactly?)
    I agree with Monica, we can’t say there is no bronchoalveolar carcinoma here.
    What about BALT lymphoma?
    I would also think about an expression of organising pneumonia. Mycobacterium – other than TB as well? (would expect some rough (also clinical) course in case of usual TB).

    • Dr.Pepe says:

      I would say that a “leafless tree” appearance of the bronchi is highly suggestive of malignancy. Chronic pneumonias usually have dilated bronchi.
      There was no obvious change in the radiographs, which is not unusual in adenocarcinomas.

  4. Paula van kerckhoven says:

    se aprecia un patrón alveolar, consolidación con broncograma aéreo y vidrio esmerilado que compromete el lóbulo superior izquierdo. Cancer. Muy buenos los casos y el marco teórico que enriquece aun mas el conocimiento. Soy estudiante de Neumonologia y me resulta de gran utilidad la información presentada luego de cada caso!!! Saludos

    • Dr.Pepe says:

      Gracias. Me alegra saber que estos casos sirven para algo. El punto a conservar de este caso es que los broncogramas tipo “árbol sin hojas” son altamente sugerentes de neoplasia.

  5. Homepage says:

    … [Trackback]

    […] Read More here: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  6. … [Trackback]

    […] Read More Info here on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  7. … [Trackback]

    […] Read More on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  8. … [Trackback]

    […] Here you can find 32998 more Info to that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  9. … [Trackback]

    […] There you can find 67794 more Information to that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  10. … [Trackback]

    […] Find More on on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  11. … [Trackback]

    […] Read More Info here on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  12. … [Trackback]

    […] Read More Information here to that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  13. … [Trackback]

    […] Read More here on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  14. … [Trackback]

    […] Find More on on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  15. … [Trackback]

    […] There you will find 27788 more Information to that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  16. fullzstore says:

    … [Trackback]

    […] Find More to that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  17. … [Trackback]

    […] Read More Info here to that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  18. … [Trackback]

    […] Info on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  19. … [Trackback]

    […] Info on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  20. relx says:

    … [Trackback]

    […] Find More on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  21. … [Trackback]

    […] Read More Information here on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  22. … [Trackback]

    […] Read More Information here on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  23. … [Trackback]

    […] Here you will find 64567 additional Information on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  24. … [Trackback]

    […] There you can find 36022 more Information on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  25. … [Trackback]

    […] Read More on on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  26. … [Trackback]

    […] Here you can find 65956 additional Information on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  27. Dark0de says:

    … [Trackback]

    […] Read More here on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  28. … [Trackback]

    […] Find More on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  29. … [Trackback]

    […] Info on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  30. … [Trackback]

    […] Find More on on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  31. dmt for sale says:

    … [Trackback]

    […] Read More to that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  32. … [Trackback]

    […] There you will find 12724 additional Info on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  33. 홀덤 says:

    … [Trackback]

    […] Information to that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  34. … [Trackback]

    […] Information on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  35. … [Trackback]

    […] Read More Info here on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  36. … [Trackback]

    […] Information on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  37. … [Trackback]

    […] Here you can find 21706 more Information on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  38. … [Trackback]

    […] There you can find 20897 more Info on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  39. … [Trackback]

    […] Here you will find 25964 more Info to that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  40. … [Trackback]

    […] Information to that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  41. … [Trackback]

    […] Here you will find 5007 additional Information on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  42. … [Trackback]

    […] Information on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  43. … [Trackback]

    […] Here you can find 68850 more Info on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  44. … [Trackback]

    […] Information on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  45. … [Trackback]

    […] Read More on to that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  46. … [Trackback]

    […] There you can find 29154 additional Info to that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  47. … [Trackback]

    […] Read More Info here on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  48. … [Trackback]

    […] There you can find 53242 more Info to that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  49. … [Trackback]

    […] Find More on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  50. … [Trackback]

    […] Read More Information here on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  51. click says:

    … [Trackback]

    […] Here you will find 573 more Information on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  52. … [Trackback]

    […] There you will find 39373 more Information on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  53. browning m2 says:

    … [Trackback]

    […] There you can find 86646 more Information on that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  54. … [Trackback]

    […] Find More Information here to that Topic: blog.myesr.org/espanol/los-casos-de-dr-pepe-caso-de-torax-4/ […]

  55. Just wish to say your article is as amazing. The clearness in your
    post is simply great and i could assume you’re an expert on this subject.
    Well with your permission let me to grab your feed to keep up to date
    with forthcoming post. Thanks a million and please continue
    the rewarding work.

  56. toto365pro says:

    Hey! Someone in my Myspace group shared this website with us so
    I came to check it out. I’m definitely loving the information. I’m
    book-marking and will be tweeting this to my followers!

    Terrific blog and outstanding design and style.

  57. Hey! This iѕ my fіrst visit to your blog! We are a collection of volunteers and starting а new project іn a community іn the same niche.
    Your blog providеd us beneficial information tߋ wߋrk օn.
    You have done a outstanding job!

Leave a Reply to indukbola.com Cancel reply

Your email address will not be published. Required fields are marked *