<caption><image_179>The image is a black and white MRI scan of a patient's head and neck. The scan is labeled "ADENITIS TBC" and appears to be a CT scan of the head. The image shows the head in the center of the image, with the head facing towards the left side of the screen. On the right side, there is a red dot, which is likely a blood vessel. The red dot is likely the location of the blood vessel, which may be a tumor or a tumor. The background of the scan is black, and the image is taken from a top-down perspective.</caption><transcript><audio_180> no tiene por qué estar alterada y en este caso ahí tuvo una opacificación de todas las gracias. Más de lo mismo, fíjense cómo tienden a coalescer un ganglio con otro, cómo se empiezan a comunicar. Esto es bien de</transcript><caption><image_181>The image is a screenshot of a medical imaging software called ADENITIS TBC. It shows two MRI images of the brain, one on the left side and the other on the right side. The MRI images are black and white and appear to be scan results. The image is taken from a top-down view of the head and neck, and the brain is shown in the center of the image. The brain appears to be in good condition, with no visible signs of wear or damage.

On the top left corner of the screen, there is a title that reads "ADENITISS TBC" in bold white letters. Below the title, there are several buttons and options for the user to navigate through the software, such as "View", "Edit", and "Help". On the bottom right corner, there has a red button that says "Save" and a "Cancel" button. The background of the screenshot is black, and there are a few icons on the bottom left corner.</caption><transcript><audio_182> asociado un poco a inflamación sobre todo acá adelante del tejido circundante. Más de lo mismo acá lo que muestra básicamente es ese realce grueso de los ángulos necróticos y todo ese tejido inflamatorio adyacente nosotros lo encontramos</transcript><transcript><audio_183> con esto, un paciente que no le duele y viene de una región endémica de tuberculosis es lo primero que debemos pensar. Y acá, cómo se fue coaleciendo ganglio con ganglio y toda esa coalescencia</transcript> soon but it does not have to be altered and in this case there is a pacification of the entire phase more of the same notice how  They have to be one lymph node with another, how do they begin to communicate? This is either a tuberculous process associated a little with inflammation, especially here in front of the surrounding tissue, more of the same here. What it basically shows is that thick enhancement of the microscopic angles.  and all that adjacent inflammatory tissue we find with this a patient who does not hurt and well in Algiers it is the only tuberculosis is the first thing that should be dispensed and here how it went which is being a ganglion a ganglion and all that that
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