<transcript><audio_218> Acá más de lo mismo, fíjense bien a nivel supraclavicular, es decir, a nivel bajo en el cuello, fíjense en el lado izquierdo, el conglomerado ganglionar, esto pertenecía a una metástasis, creo que también era de colon o de riñón,</transcript><caption><image_219>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 cross-section of the neck.

The left side of the image shows the head of the patient, with a large, circular structure in the center. The structure appears to be made up of several small, irregularly shaped structures, including a large head, a small, oval-shaped structure, and several smaller, circular structures. The structures are arranged in a symmetrical pattern, with some overlapping each other. The image also shows a small red dot in the bottom right corner, which could be a blood vessel or a vein. The background of both images is black, and the text "METASTASIS" is written in blue at the top.</caption><transcript><audio_220> Y acá teníamos otro caso que presenta un conglomerado ganglionar con densidad líquida, con calcificaciones y en este caso se le hizo un estudio para descartar que no haya ningún musinoso de colono o de ovario, la realidad</transcript><caption><image_221>The image is a black and white MRI scan of the head and neck of a patient named Metastasis. The scan is divided into two sections, with the left side showing the head of the patient and the right side showing a CT scan of their head.

The left side of the image shows the head with a large, open mouth, which appears to be open to the left. The mouth is slightly open, as if it is about to speak. The image is labeled "Metastasis" in blue text at the top. Below the mouth, there is a smaller image of the skull, which is white in color. The skull is surrounded by a thin, circular frame. The background of the scan is black, and the image is displayed on a blue screen with a red dot in the bottom right corner.</caption><transcript><audio_222> El paciente tenía un carcinoma papilar de tiroides. Recordemos que el papilar de tiroides tiene múltiples formas de presentación. Dijimos que podía ser quístico con microcarcificaciones y este era el caso. Y acá les muestro... ¿Te puedo preguntar? Sí. ¿Del fiano qué es lo que dijeron? Porque justo Agustín y yo nos tuvimos y... No, que esto es una metástasis.</transcript><transcript><audio_223> y que no hay que confundirlo con patología de la tiroides, más en el contexto de un paciente que tiene un carcinoma conocido. Bien, y esa es la ubicación, digamos, si ahí se llama del infierno.</transcript><transcript><audio_224> Y se llama Cambio del Fiano. ¿Sí? Ahí se les desconectó a Marce y a Ani.</transcript><transcript><audio_225> que venían del abdomen, esto venía de tiroides, y acá lo que vemos es a nivel del clivo, a nivel del orofaringe, un tumor con invasión del clivo, fíjense que tiene un intenso realce,</transcript> with a thyroid pathology not here more of the same look closely at the supraclavicular level that is to say at a low level in the neck look at the left side the conglomerate song ar this belonged  to a metastasis, I think the colon or kidney way, notice that it is very well based and here we had another case that presents a lymph node conglomerate with liquid density with calcifications and in this case a study was done to rule out that there is no mussi noso of colon or ovary the estuary negative stage with ladies in layman the patient had a papillary carcinoma of the thyroid let us remember that the thyroid role has multiple forms of presentation we said that it could be typical with micro classifications and this was the case since I show you what  It is what it is, just epidermoid and this should not be confused with thyroid pathology and it will be in context a patient from YouTube, a better-known casino and that is the location and glasses and it is called iron yes yes it is characteristic  and well but idea and it's called in exchange for the piano and Marseille was disconnected I don't know good well here we show those metastases that came from the abdomen this came from the thyroid and here what we see is a  level of the level of the oropharynx a tumor with invasion of the club, look at the tense enhancement
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