<transcript><audio_288> del foramen yugular y el principal diagnóstico diferencial es el tumor de saco endolinfático los dos destruían hueso así que había que ver bien el agujero yugular y el saco endolinfático y acá vemos en la tomografía una masa que realmente</transcript><caption><image_289>The image is a black and white MRI scan of a human skull. The scan is divided into two sections, with the top section on the left and the bottom section in the middle. 

The top section of the image shows the skull with a large tumor in the center. The tumor appears to be in the shape of a skull, with a red dot in the top left corner. The skull is surrounded by a black area, which is likely the location of the tumor.

In the top right section, there is a smaller image of the skull, which appears to have a small amount of blood or fluid in it. The red dot is likely a blood vessel, and it is located in the lower part of the neck. The image is labeled with a yellow rectangle, which may be the location where the tumor is located.</caption><transcript><audio_290> con el contraste, en la reconstrucción sagital, fíjense también cómo empieza a invadir a nivel del agujero yugular, cómo empieza a invadir hacia el interior, y en la ventana ósea cómo genera esa distorsión.</transcript><transcript><audio_291> bueno acá dice Joanoma, no se ve, no lo voy a dar a Joanoma porque ya lo venimos viendo un montonazo de veces, la red es volver a repetir lo mismo, básicamente es para diferenciarlo un poco porque se puede dar, porque tenemos</transcript><transcript><audio_292> el yonoma por lo general no genera destrucción ósea lo que hace es agrandar los agujeros tiene cierto realce tiene degeneración quística entonces son bastante más heterogéneos en relación a lo que es el</transcript><transcript><audio_293> Para el anglioma ser hipervascular presenta mucho realce, tiene los vacíos de flujo y este sí destruye el hueso. ¿Te puedo hacer una pregunta? Nada que ver con la patología en general.</transcript> to be  at the level of the insular program and the main differential diagnosis is the tumor of that lymphatic round destroys bone so we had to see the side well but singular and if here we see in the tomography a mass that enhances intensely with the contrast in the sagittal reconstruction, look. also as he says to measure the level of the but singular or December to be interior and in the window that is, how it generated that basically here well here he says I just ca n't see it I'm not going to give it to John Amos well we've already been seeing it mount la  cbs the fed in repeating the same thing basically to differentiate it a little because it can happen we have blacks and also this basically the genome does not generally generate bone destruction what it does is enlarge the soup bowls this one has a certain real cystic degeneration is understood so they are much more in three genes in relation to what is the to garrido more and you are going to do it and see vascular present a lot of real you have the flow gaps and this one does destroy afterwards the question no one but in
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