<transcript><audio_341> Dije que no se notaba mucho, si miran bien, la carótida izquierda tiene todo ese respeto graso pericarotidio, pero cuando vamos a la carótida derecha, fíjense que tiene como una alteración en la grasa alrededor, no se logra delimitar bien.</transcript><transcript><audio_342> Cuando vamos a la resonancia, en un T1 sin contraste, ya vemos cierta alteración, tal, la pared un poco más gruesa, se pierde un poco la grasita y demás, este es un T1 Fatsat, y cuando le ponen el contraste, fíjense el intenso resbalamiento,</transcript><caption><image_343>The image is a black and white MRI scan of a patient's head and neck. The scan is displayed on a black background with a yellow banner at the top that reads "CAROTIDINIA IDOPATICA AGUDA". Below the banner, there is a smaller image of the head, which appears to be a CT scan. The CT scan shows the head of the patient with a red dot in the center, which is likely the location of the tumor. The image also shows the surrounding area, which may be the brain or spinal cord.</caption><transcript><audio_344> la carotida derecha en relación a la izquierda. Bien, los principales diagnósticos diferenciales son la disección, la aterosclerosis, la vasculitis y un carcinoma epidermoide extra grande.</transcript><caption><image_345>The image is a screenshot of a website called "Carotidina Idiopatica Aguda". The website has a black background with white text. On the left side of the image, there is a large image of a heart with a cross-section of the heart. The heart appears to be in the center of the page, with the cross section on the right side and the heart on the left. 

On the top left corner, there are two smaller images of the same heart, one in black and white and the other in white. The top right corner has a yellow banner with the text "CAROTIDINIA IDOPATICA AGUDA" in white letters. Below the banner, there has a blue banner with text that reads "Diagnosticos Diferencias" which translates to "Diagrams of the Heart" in English.

At the bottom of the screen, there appears to have a menu bar with various options such as "Home", "About", "Settings", and "About". There is also a red button on the bottom right corner.</caption><transcript><audio_346> bibliografías que utilicé y la arteritis</transcript> well, as I told you, it was not very noticeable if you look closely, the left carotid has all that peri-carotid fatty tissue, but when we go to the right carotid, notice that it has an alteration in the fat around it, it cannot be clearly defined, notice.  It is not very clear if when we go to the MRI in a contrast ratio we already see a certain alteration to the slightly thicker wall, if the fat is not lost a little and so on, this is a fatal tone and when the contrast is added, notice the intense  enhance the panela the carotid of choice elderly relationship well the main differential diagnoses in dissection atherosclerosis vasculitis and squamous cell carcinoma distract and these are the main bibliography that I used and I don't
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