<caption><image_152>The image is a black and white photograph of an MRI scan of a patient's head and neck. The scan is displayed on a computer screen with a blue background. On the top right corner, there is a red banner with the text "Ganglos Patologicos Invasion Extracapular Bordes Irregulares" which translates to "Invasion Extracapsular Borders Irregulares" in English. Below the banner, there are two images of the patient's brain, one on the left side of the image and the other on the right side. The image appears to be a CT scan of the brain, showing the internal structure of the head. The text is written in white and is in Spanish.</caption><transcript><audio_153> últimas cosas que tenemos que evaluar en los ganglios es la invasión extracapsular. Fíjense este ganglio que perdió totalmente la forma redondeada. Si bien hoy lo veíamos que era patológico, bien redondito, estaba feo pero era redondito, acá ya perdió totalmente</transcript><transcript><audio_154> adquiere un tamaño mayor a 3, también se piensa, ya se lo toma como que ya tiene invasión extracápsula. Y fíjense cómo comprime un poco la yugular, cómo no se nota bien un plano de separación graso con el esternocleido, es totalmente feo, y cuando lo</transcript> and one of the last things that we have to evaluate the lymph nodes in the extracapsular invasion yes, notice this change that completely lost the rounded shape has been and no and we saw that  It was pathological, very round at the base or it came round here, it has completely lost its shape. If when it acquires a size greater than 3, you also think that it is already taken as our capsule already having invasion, and notice how it compresses the jugular a little, as it is not noticeable.  well, a plane of fatty separation with sternocleidomastoid and when we go to
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