<transcript><audio_62> y acá en el medio el manubrio external. Esta es la zona donde vamos a ir a buscar los ángulos mediastínicos superiores. Bien, básicamente esos son los niveles, hay que repasarlos todo el tiempo. ¿Cuál es la manera de estudiarlos</transcript><transcript><audio_63> principalmente por ecografía y después tenemos la tomo y la rezo. La realidad que siempre se va a iniciar con ecografía y luego lo mejor es una tomografía con contraste. Con respecto a la semiología de los ganglios tenemos que evaluar todo esto.</transcript><caption><image_64>The image is a screenshot of a computer screen with a list of criteria for ecograficos. The criteria are written in Spanish and are arranged in a table format. The table is divided into two columns, with the left column listing the criteria and the right column displaying the criteria.

The criteria are:

- Número y distribución:
- Tamáfico
- Forma: This is a table that shows the number of different types of ecologic materials in the image. The first column lists the names of the categories, such as "Hilo", "Eocognicidad", "Necrosis", "Calculación", "Disminación extracapular", "Patron vascular", and "Characteristicas audilares".

At the bottom of the screen, there is a menu bar with various options such as File, Edit, View, and Help. The background of the image is black, and the text is white.</caption><transcript><audio_65> Si bien parece un montón, la realidad es que cuando estamos viendo el ganglio es como que uno termina viendo todo. Bueno. Bien, básicamente hay diferentes características que nos pueden definir un ganglio benigno o de maligno. El benigno va a</transcript> and  here in the middle externally this is the area where we have been looking for the upper mediastinal angles looking for the upper mediastinal angles well basically those are the levels and we have to review them all the time what is the way to study the lymph nodes mainly hemerography then we have the image and the res  or the reality that they always go away and a certain net graph and then the best thing is a tomography with contrast with the help of the semiology of the lymph nodes. We have to evaluate all this, although it seems like a lot, the reality is that when we are looking at the lymph node it is like well basically there are different characteristics that can define us a benign angle from malignant the benign
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