<transcript><audio_98> vamos a sospechar algo más reactivo, si se va hacia el triángulo posterior sospechemos que puede ser algo más maligno o tal vez una tuberculosis. Acá en la rezo, fíjense, tenemos las flechas rectas, muestra el glándulo azul</transcript><transcript><audio_99> atrás, por delante, lo que será el nivel 1B, porque estamos por delante del borde postero-vaso-maxilar, tenemos un par de ganglios que están aumentados de tamaño, pero fíjense que ese realce es homogéneo, está bien delimitado,</transcript><transcript><audio_100> que nos haga sospechar que es algo maligno. En este otro lado, la flecha curva, lo que nos muestra es ese hilo ecogénico que veíamos por eco, que es ese realce con el contraste. Esto nos habla bien de benignidad. Y acá atrás, la flecha...</transcript><transcript><audio_101> van también otros ganglos que ya estarían en el nivel, como está por detrás de la zona axilar, estaremos en un nivel 2A. Más de lo mismo, fíjense acá un paciente tenía una faringomidalitis y se</transcript><caption><image_102>The image is a black and white MRI scan of a patient's head and neck. The scan is divided into two sections, with the left side showing the head and the right side showing a CT scan of the brain.

In the center of the image, there is a large, circular structure with a red dot in the center, which appears to be a tumor or a tumor. The tumor is surrounded by a white area, which is likely the nucleus of the tumor. This area is likely where the tumor is located. The image is taken from a top-down view of the head, and the surrounding area is visible in the top left corner. The background of the scan is black, and there are no other images or objects in the image.</caption><transcript><audio_103> ganglios aumentados de tamaño con un realce homogéneo habla bien de un ganglio reactivo es decir reacciona frente a esto más de lo mismo una amigdalitis supurativa con múltiples ganglios ¿sí?</transcript> those areas and we are going to chest are somewhat more reactive and it goes towards the posterior triangle. We suspect  It could be something more malignant, perhaps tuberculosis here in the res or look, we have the straight arrows, our glands, the jaws are pushed back in front, yes, what will be level 1, see why we are coordinating the maxillary straight coastal edge, we have a couple of nodes that are enlarged in size but note that it is real, it is homogeneous, it is well delimited, it does not present any characteristic that makes us suspect that it is something malignant on this other side, what the curved arrow shows us is the biogenic follow that we saw by echo, it is that  enhancement with the contrast this speaks well of benignity and here back the hollow arrows also marked other nodes that would already be at the level up to behind the jaw we will be at a level 2 to 2 more of the same financial that a patient had a  pharyngotonsillitis and bilaterally visualized lymph nodes increase in size with a homogeneous enhancement speaks seeing a reactive lymph node, that is, it reacts to it more of the same.
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