Download - 1. radiologia semiologia torax curso
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SEMIOLOGIA TORAXICACURSO REPASO RADIOLOGIADR. LUIS FELIPE ALVA LOPEZJEFE DIVISION IMAGEN CENTRO MEDICO [email protected]
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METODOS DE IMAGENMETODOS DE IMAGEN
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TORAX PA Y LATTORAX PA Y LAT
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TORAX OSEOTORAX OSEO
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APICOGRAMAAPICOGRAMA
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DECUBITO LATERALDECUBITO LATERAL
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TAC LINEALTAC LINEAL
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TORAX INSIGHT TMATTORAX INSIGHT TMAT
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CR900CR900
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RADIOLOGIA DIGITALRADIOLOGIA DIGITAL
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ESOFAGOGRAMAESOFAGOGRAMA
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REFLUJO GASTROESOFAGICOREFLUJO GASTROESOFAGICO
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ANILLO VASCULAR
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ACALASIAACALASIA
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TRANSPOSICION DE COLONTRANSPOSICION DE COLON
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BRONCOGRAFIASBRONCOGRAFIAS
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BRONCOASPIRACIONBRONCOASPIRACION
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NODULO
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TORAX NORMALTORAX NORMAL
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TÓRAX NORMALTÓRAX NORMAL
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TORAX NORMALTORAX NORMAL
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CISURASCISURAS
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CISURASCISURAS
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LINEAS LINEAS MEDIASTINALESMEDIASTINALES
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CLASIFICACIÓN CLASIFICACIÓN MEDIASTINO FELSONMEDIASTINO FELSON
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Extensión lóbulos en Extensión lóbulos en tórax normaltórax normal
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LOBULO SUPERIOR LOBULO SUPERIOR DERECHODERECHO
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LOBULO MEDIOLOBULO MEDIO
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LOBULO INFERIOR LOBULO INFERIOR DERECHODERECHO
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LOBULO SUPERIOR LOBULO SUPERIOR IZQUIERDOIZQUIERDO
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LOBULO INFERIOR LOBULO INFERIOR IZQUIERDOIZQUIERDO
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LOBULO SUPERIORLOBULO SUPERIORS. APICAL S1S. APICAL S1
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LOBULO SUPERIORLOBULO SUPERIORS. POSTERIOR S2S. POSTERIOR S2
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LOBULO SUPERIOR LOBULO SUPERIOR DERECHODERECHOS. ANTERIOR S3S. ANTERIOR S3
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LOBULO MEDIOLOBULO MEDIOS. LATERAL S4S. LATERAL S4
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LOBULO MEDIOLOBULO MEDIOS. MEDIAL S5S. MEDIAL S5
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LOBULO INFERIOR LOBULO INFERIOR DERECHODERECHOS. SUPERIOR S6S. SUPERIOR S6
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LOBULO INFERIOR LOBULO INFERIOR DERECHODERECHOS. MEDIAL BASAL S7S. MEDIAL BASAL S7
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LOBULO INFERIOR LOBULO INFERIOR DERECHODERECHOS. BASAL ANTERIOR S8S. BASAL ANTERIOR S8
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LOBULO INFERIOR LOBULO INFERIOR DERECHODERECHOS. BASAL LATERAL S9S. BASAL LATERAL S9
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LOBULO INFERIOR LOBULO INFERIOR DERECHODERECHOS. BASAL POSTERIOR S10S. BASAL POSTERIOR S10
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LOBULO SUPERIOR LOBULO SUPERIOR IZQUIERDOIZQUIERDOS. APICOPOSTERIOR S. APICOPOSTERIOR S1+S2S1+S2
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LOBULO SUPERIOR LOBULO SUPERIOR IZQUIERDOIZQUIERDOS. ANTERIOR S3S. ANTERIOR S3
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LINGULALINGULAS. SUPERIOR S4S. SUPERIOR S4
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LINGULA LINGULA S. INFERIOR S5S. INFERIOR S5
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LOBULO INFERIOR LOBULO INFERIOR IZQUIERDO IZQUIERDO S. SUPERIOR S6S. SUPERIOR S6
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LOBULO INFERIOR LOBULO INFERIOR IZQUIERDOIZQUIERDOS. BASAL ANTERIOR S8S. BASAL ANTERIOR S8
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LOBULO INFERIOR LOBULO INFERIOR IZQUIERDOIZQUIERDOS. BASILAR LATERAL S9S. BASILAR LATERAL S9
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LOBULO INFERIOR LOBULO INFERIOR IZQUIERDO IZQUIERDO S. BASAL POSTERIOR S10S. BASAL POSTERIOR S10
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SEMIOLOGIA SEMIOLOGIA RADIOLOGICARADIOLOGICA
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EXISTE LA LESION?EXISTE LA LESION? ES INTRAPULMONAR O ES INTRAPULMONAR O
EXTRAPULMONAR?EXTRAPULMONAR? HAY ASIMETRIA?HAY ASIMETRIA? BORRA ALGUNA ESTRUCTURA O BORRA ALGUNA ESTRUCTURA O
CONTORNO?CONTORNO? AUMENTO DENSIDAD PULMONARAUMENTO DENSIDAD PULMONAR DISMINUCION DENSIDAD PULMONARDISMINUCION DENSIDAD PULMONAR PATRON INTERSTICIALPATRON INTERSTICIAL PATRON VASCULARPATRON VASCULAR
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AUMENTO DENSIDAD AUMENTO DENSIDAD OPACIDAD PULMONAROPACIDAD PULMONAR NODULARNODULAR MASAMASA CONSOLIDACIONCONSOLIDACION HEMITORAX OPACOHEMITORAX OPACO
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DISMINUCION DISMINUCION DENSIDAD PULMONARDENSIDAD PULMONAR DIFUSADIFUSA
– ENFISEMAENFISEMA– NEUMOTORAXNEUMOTORAX
FOCALFOCAL– BULASBULAS– QUISTES QUISTES – CAVERNASCAVERNAS
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PATRON INTERSTICIAL PATRON INTERSTICIAL Y VASCULARY VASCULAR LINEALLINEAL RETICULARRETICULAR NODULARNODULAR RETICULONODULARRETICULONODULAR PANALPANAL VASCULARVASCULAR
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PATRONES PATRONES TOMOGRAFICOSTOMOGRAFICOS MOSAICOMOSAICO VIDRIO DESPULIDOVIDRIO DESPULIDO ARBOL EN YEMAARBOL EN YEMA CRAZY PAVINGCRAZY PAVING
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NEUMONIANEUMONIA
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NEUMONIA POR ASPIRACIONNEUMONIA POR ASPIRACION
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EVENTRACION DIAFRAGMATICAEVENTRACION DIAFRAGMATICA
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HERNIA POSTRAUMATICAHERNIA POSTRAUMATICA
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HERNIA DE HERNIA DE BOCHDALEKBOCHDALEK
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HERNIA DE MORGAGNIHERNIA DE MORGAGNI
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HERNIA DE MORGAGNIHERNIA DE MORGAGNI
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HERNIA PARAESOFAGICAHERNIA PARAESOFAGICA
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BRONQUIO TRAQUEALBRONQUIO TRAQUEAL
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HIPOPLASIAHIPOPLASIA PULMONAR PULMONAR
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MASA PULMONAR O MASA PULMONAR O MEDIASTINALMEDIASTINAL
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SIGNO SIGNO CERVICOTORÁCICOCERVICOTORÁCICO MEDIASTINO MEDIASTINO
ANTERIOR:ANTERIOR:– TERMINA A NIVEL TERMINA A NIVEL
CLAVICULACLAVICULA
MEDIASTINO MEDIASTINO POSTERIOR:POSTERIOR:– PASA LA CLAVICULAPASA LA CLAVICULA
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PATRON AOLVEOLAR, PATRON AOLVEOLAR, CONSOLIDACIÓN O CONSOLIDACIÓN O ESPACIO AEREOESPACIO AEREO
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CONSOLIDACIÓNCONSOLIDACIÓN
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CONSOLIDACIÓNCONSOLIDACIÓN
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CONSOLIDACIÓNCONSOLIDACIÓN
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CONSOLIDACIÓNCONSOLIDACIÓN
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BRONCOGRAMA AEREOBRONCOGRAMA AEREO
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ALVEOLARALVEOLAR
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ALVEOLARALVEOLAR
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ALVEOLARALVEOLAR
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ABSCESOABSCESO
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INTERSTICIALINTERSTICIAL
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INTERSTICIALINTERSTICIAL
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S. WESTERMARKS. WESTERMARK
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ENFISEMAENFISEMA
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MILIARMILIAR
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NODULONODULO
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GRANULOMA NPSGRANULOMA NPS
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PATRON MEDIASTINAL PATRON MEDIASTINAL TUMORALTUMORAL
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VIA AEREAVIA AEREACUERPOS EXTRAÑOSCUERPOS EXTRAÑOS
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VIA AEREAVIA AEREA
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BRONQUIECTASIASBRONQUIECTASIAS
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CARDIOMEGALIACARDIOMEGALIA
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CAVERNACAVERNA
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CAVERNACAVERNA
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CAVERNACAVERNA
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CAVERNA OCUPADACAVERNA OCUPADA
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ABSCESOABSCESO
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HERNIA HIATALHERNIA HIATAL
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CAVERNA Y ENFISEMACAVERNA Y ENFISEMA
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BRONQUIECTASIAS BRONQUIECTASIAS CAVERNAS Y ENFISEMACAVERNAS Y ENFISEMA
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BRONQUIECTASIASBRONQUIECTASIAS
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FIBROSISFIBROSIS
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FIBROTORAXFIBROTORAX
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FIBROTORAXFIBROTORAX
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DERRAMEDERRAME
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DERRAMEDERRAME
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HIDRONEUMOTORAXHIDRONEUMOTORAX
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EMPIEMAEMPIEMA
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EMPIEMA CALCIFICADOEMPIEMA CALCIFICADO
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PLEURA CALCIFICADAPLEURA CALCIFICADA
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CACA
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CACA
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TUMORTUMOR
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METASTASISMETASTASIS
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NPSNPS
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MESOTELIOMAMESOTELIOMA
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Lóbulo medioLóbulo medio
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NEUMOTORAXNEUMOTORAX
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TCCTCC VS VS TCHR TCHR
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INTERSTICIO PULMONARINTERSTICIO PULMONAR 1.-PAREDES
ALVEOLARES 2.-SEPTOS
INTERLOBULARES 3.-ESPACIO
SUBPLEURAL 4.-ESPACIO
PERIVASCULAR Y PERIBRONQUIAL
5.-LOBULILLO PULMONAR 2o PEDROSA 2a
Ed, ITHO
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TC MULTICORTE TC MULTICORTE
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PATRONES PATRONES PULMONARES TCHR PULMONARES TCHR MULTICORTEMULTICORTE LINEAL O SEPTALLINEAL O SEPTAL RETICULARRETICULAR NODULARNODULAR
– MILIARMILIAR– NODULARNODULAR– ALVEOLARALVEOLAR
RETICULO NODULARRETICULO NODULAR VIDRIO DESPULIDOVIDRIO DESPULIDO CRAZY PAVINGCRAZY PAVING MOSAICOMOSAICO
CONSOLIDACIÓNCONSOLIDACIÓN ENFISEMAENFISEMA QUISTESQUISTES VIA AEREAVIA AEREA ATELECTASIAATELECTASIA BRONQUIECTASIASBRONQUIECTASIAS CAVERNASCAVERNAS PANALPANAL NPSNPS TUMORTUMOR
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LINEAL O LINEAL O SEPTALSEPTAL
LINEAS A, B O C LINEAS A, B O C DE KERLEY DE KERLEY
EDEMA EDEMA PULMONARPULMONAR
ENFERMEDAD ENFERMEDAD VENO-OCLUSIVA VENO-OCLUSIVA PULMONAR PULMONAR
ICCICC
DR.ALVA
WEISSLER 2000
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PATRÓN INTERSTICIAL PATRÓN INTERSTICIAL LINEALLINEAL
LINFANGITIS CARCINOMATOSA
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LINEALLINEAL
SARCOIDOSIS PULMON REUMATOIDE
ATELECTASIALAMINAR
INTERSTICIO
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ENGROSAMIENTO ENGROSAMIENTO SEPTAL SEPTAL INTERLOBULARINTERLOBULAR
NODULARNODULAR– LINFANGITIS CALINFANGITIS CA– LINFOMALINFOMA– SARCOIDOSISSARCOIDOSIS– SILICOSIS, SILICOSIS,
NEUMOCONIOSISNEUMOCONIOSIS– NI LINFOCÍTICANI LINFOCÍTICA– AMILOIDOSISAMILOIDOSIS
RADIOLOG CLINC N.A 2001
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NEUMONIAS NEUMONIAS IDIOPIDIOP
FPIFPI COLAGENA-VASCCOLAGENA-VASC TOXICIDAD TOXICIDAD
DROGADROGA RADIACIÓNRADIACIÓN ASBESTOSISASBESTOSIS
RETICULAR
RADIOLOG CLINC N.A 2001
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NODULAR O RETICULARNODULAR O RETICULAR
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PATRÓN INTERSTICIAL PATRÓN INTERSTICIAL NODULARNODULAR GRANULOMATOSIS GRANULOMATOSIS
INFECCIOSASINFECCIOSAS– TUBERCULOSISTUBERCULOSIS– MICOBACTERIAS MICOBACTERIAS
ATIPICASATIPICAS– MICOSIS, MICOSIS,
HISTOPLASMOSIS, HISTOPLASMOSIS, NO INFECCIOSOSNO INFECCIOSOS
– SARCOIDOSISSARCOIDOSIS– WEGENERWEGENER– HISTIOCITOSISHISTIOCITOSIS– METASTASISMETASTASIS– NEUMOCONIOSISNEUMOCONIOSIS
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NODULARNODULAR
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NODULARNODULAR
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INFILTRADO INTERSTICIAL INFILTRADO INTERSTICIAL NODULAR POR TUMORNODULAR POR TUMOR
TUMORES INTERSTICIALES– GRANULOMA EOSINOFILO
DISEMINACIÓN LINFANGITICA
REACCION DESMOPLASICA AL TUMOR
WEISSLEDER
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NODULARNODULAR PERILINFÁTICOPERILINFÁTICO
– SARCOIDOSISSARCOIDOSIS DIFUSODIFUSO
– SILICOSIS, SILICOSIS, NEUMOCONIOSISNEUMOCONIOSIS
– TUBERCULOSISTUBERCULOSIS– HONGOSHONGOS– METÁSTASISMETÁSTASIS– HISTIOCITOSISHISTIOCITOSIS
RADIOLOG CLINC N.A 2001
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NODULAR NODULAR PERILINFATICOPERILINFATICO
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NODULARNODULAR CENTRILOBULARCENTRILOBULAR
– NEUMONITIS NEUMONITIS HIPERSENSIBILIDADHIPERSENSIBILIDAD
– BRONQUIOLITISBRONQUIOLITIS BRONCOVASCULARBRONCOVASCULAR
– LINFOPROLIFERATIVOLINFOPROLIFERATIVO– LEUCEMIALEUCEMIA– KAPOSIKAPOSI
CAVITADOCAVITADO– METÁSTASISMETÁSTASIS– WEGENERWEGENER– EMBOLIA SEPTICAEMBOLIA SEPTICA– TB, HONGOSTB, HONGOSRADIOLOG CLINC N.A 2001
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PATRON MILIARPATRON MILIARTUBERCULOSISTUBERCULOSIS
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MILIARMILIAR
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MiliarMiliar Nódulos 1- 3mm Nódulos 1- 3mm
diámetrodiámetro Distribución Distribución
universaluniversal Subpleurales y Subpleurales y
perivascularesperivasculares
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Tree in budTree in bud
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TREE IN TREE IN BUDBUD
INFECCIÓNINFECCIÓN ASPERGILOSIS ASPERGILOSIS
BRONCOPULMONAR BRONCOPULMONAR ALÉRGICAALÉRGICA
FIBROSIS QUISTICAFIBROSIS QUISTICA ASPIRACIÓNASPIRACIÓN PANBRONQUIOLITIS PANBRONQUIOLITIS
DIFUSADIFUSA BRONQUIOLITIS BRONQUIOLITIS
OBLITERANTEOBLITERANTE ASMAASMA
RADIOLOG CLINC N.A 2001
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RETICULONODULARRETICULONODULAR
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RETICULONODULARRETICULONODULAR
ENGROSAMIENTO PERIBRONQUIAL:– EDEMA PULMONAR– VIRUS, N.
MYCOPLASMA, PCP ENGROSAMIENTO
SEPTO INTERLOBULAR (L.B KERLEY):– LINFANGITIS CA– FIBROSIS PULMONAR– ASBESTOSIS
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RETICULONODULARRETICULONODULAR
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RETICULONODULARRETICULONODULARMETÁSTASIS CA RENALMETÁSTASIS CA RENAL
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RETICULAR Y NODULAR RETICULAR Y NODULAR SUBPLEURALSUBPLEURAL SARCOIDOSISSARCOIDOSIS AMILOIDOSISAMILOIDOSIS ASBESTOSISASBESTOSIS
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VIDRIO DESPULIDOVIDRIO DESPULIDO NEUMONIANEUMONIA EDEMAEDEMA HEMORRAGIAHEMORRAGIA NEUMONITIS POR NEUMONITIS POR
HIPERSENSIBILIDAD HIPERSENSIBILIDAD AGUDA Y AGUDA Y SUBAGUDASUBAGUDA
NIDNID PROTEINOSIS PROTEINOSIS
ALVEOLARALVEOLARRADIOLOG CLINC N.A 2001
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VIDRIO DESPULIDOVIDRIO DESPULIDO AUMENTO EN
BORROSIDAD AGUDO ALERGIA, DIP, FPI, VIRUS, PCP,
BOOP NEUMONIA
EOSINOFILA EDEMA PULMONAR
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VIDRIO DESPULIDOVIDRIO DESPULIDO
HEMORRAGIA PULMONAR
NEUMONIA VIRAL PCPTOXICIDAD POR DROGAS
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CRAZY PAVING. PROTEINOSIS CRAZY PAVING. PROTEINOSIS ALVEOLARALVEOLAR
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MOSAICOMOSAICO INFILTRATIVOINFILTRATIVO VIA AEREA VIA AEREA
PEQUEÑAPEQUEÑA ENF VASCULAR ENF VASCULAR
PULMONARPULMONAR
RADIOLOG CLINC N.A 2001
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CENTRILOBULILLAR CENTRILOBULILLAR ALVEOLARALVEOLAR
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NÓDULOS NÓDULOS ALVEOLARESALVEOLARES
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CONSOLIDACIÓNCONSOLIDACIÓN HEMORRAGIAHEMORRAGIA EDEMAEDEMA PROTEINOSIS ALVEOLARPROTEINOSIS ALVEOLAR NEUMONIANEUMONIA N. EOSINOFILICAN. EOSINOFILICA BOOPBOOP NEUMONITIS POR NEUMONITIS POR
HIPERSENSIBILIDAD AGHIPERSENSIBILIDAD AG RADIACIÓNRADIACIÓN INFARTOINFARTO
AGUDA
RADIOLOG CLINC N.A 2001
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CONSOLIDACIÓNCONSOLIDACIÓN CA CA
BRONQUIOLOALVEOLARBRONQUIOLOALVEOLAR LINFOMALINFOMA NEUMONÍA LIPODICANEUMONÍA LIPODICA BOOPBOOP NEUMONIA NEUMONIA
EOSINÓFILICA CRONICAEOSINÓFILICA CRONICA SARCOIDOSISSARCOIDOSIS
CRONICA
RADIOLOG CLINC N.A 2001
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CONSOLIDACIÓN CONSOLIDACIÓN CAVITADACAVITADA
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CONSOLIDACIÓN CONSOLIDACIÓN CAVITADACAVITADA
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ENFISEMAENFISEMA
BULOSO
CENTRILOBULILLAR
PANLOBULILLAR Y PARASEPTAL
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ENFISEMAENFISEMA
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ESPACIOS QUISTICOSESPACIOS QUISTICOS
LINFANGIOLEIOMIOMATOSIS
PCP QUISTICA HISTIOCITOSIS PANALIZACION:
– FPI– ETAPA FINAL
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QUISTICOQUISTICO HISTIOCITOSISHISTIOCITOSIS LINFANGIOLEIMIOMLINFANGIOLEIMIOM
ATOSISATOSIS SARCOIDOSISSARCOIDOSIS N. INTERSTICIAL N. INTERSTICIAL
LINFOCÍTICALINFOCÍTICA PNEUMOCISTIS PNEUMOCISTIS
CARINICARINI PANALPANAL ENFISEMA ENFISEMA
CENTRILOBULILLARCENTRILOBULILLAR
RADIOLOG CLINC N.A 2001
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HISTIOCITOSISHISTIOCITOSIS INFILTRADO INFILTRADO
INTERSTICIAL INTERSTICIAL POLIMORFICO: CELS POLIMORFICO: CELS LANGERHANS, LANGERHANS, EOSINOFILOS Y EOSINOFILOS Y MONONUCLEARES)MONONUCLEARES)
CELS LANGERHANS; CELS LANGERHANS; NUCLEO ENVUELTO NUCLEO ENVUELTO EN FORMA DE CAFEEN FORMA DE CAFE
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LINFANGIOLEIOMIOMATOSILINFANGIOLEIOMIOMATOSISS
CELULAS DE CELULAS DE MÚSCULO LISO EN MÚSCULO LISO EN INTERSTICIO INTERSTICIO PERIBRONQUIOLARPERIBRONQUIOLAR
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QUISTESQUISTES
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BRONQUIECTASIASBRONQUIECTASIAS
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ATELECTASIAATELECTASIA
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CAVITACIONESCAVITACIONES
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CAVERNASCAVERNAS Y QUISTES Y QUISTES
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Caverna y Enfisema TBCaverna y Enfisema TB
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Caverna y EnfisemaCaverna y Enfisema
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CAVERNA OCUPADACAVERNA OCUPADA
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MICETOMAMICETOMA
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ASPERGILOSIS Y ASPERGILOSIS Y ADISONADISON
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FIBROSISFIBROSIS
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FIBROSISFIBROSIS
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PANALIZACION. FIBROSIS PANALIZACION. FIBROSIS PULMONARPULMONAR
DR. ALVA
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NIU USUALNIU USUAL FPIFPI CALAGENA-VASCCALAGENA-VASC ASBESTOSISASBESTOSIS NEUMONITIS NEUMONITIS
HIPERS CRHIPERS CR TOXICIDAD TOXICIDAD
DROGADROGA
PANAL
RADIOLOG CLINC N.A 2001
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FIBROSISFIBROSIS
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LINEAL VASCULAR NODULAR RETICULAR
RETICULONODULAR MILIAR VD CRAZY P PANALAR
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NÓDULO PULMONAR NÓDULO PULMONAR SOLITARIOSOLITARIOTC MULTICORTETC MULTICORTE
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NÓDULO PULMONAR NÓDULO PULMONAR RECONSTRUCCIONESRECONSTRUCCIONES
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NÓDULO PULMONAR NÓDULO PULMONAR SOLITARIOSOLITARIO
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NPSNPS
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TUMORTUMOR
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TUMORTUMOR
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Pcp, tumor Pcp, tumor endobronquialendobronquial
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TUMOR TUMOR ENDOBRONQUIALENDOBRONQUIAL
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TUMOR TUMOR ENDOTRAQUEALENDOTRAQUEAL
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PROTESIS PROTESIS ENDOBRONQUIALENDOBRONQUIAL
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TEPTEP
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VENO Y ANGIO CTVENO Y ANGIO CT
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TUMOR TUMOR ENDOCAVITARIOENDOCAVITARIO
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TUMOR MEDIASTINO TUMOR MEDIASTINO POSTERIORPOSTERIOR
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QUISTE QUISTE BRONCOGÉNICOBRONCOGÉNICO
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ESTENOSIS TRAQUEALESTENOSIS TRAQUEAL
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SARCOMASARCOMA
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TRAQUEOMEGALIATRAQUEOMEGALIA
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TRAQUEA EN SABLETRAQUEA EN SABLE
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GraciasGracias