<caption><image_198>The image is a black and white MRI scan of a patient's head and neck. The scan is divided into three sections, each showing a different view of the brain. 

The left side of the image shows the head of the patient, with the brain in the center. The brain is shown in three different angles, with a red dot in the middle. The left side shows the brain with a small amount of blood vessels, while the right side shows a large area with a few blood vessels. The image appears to be a CT scan, as indicated by the red dot.

In the center of the scan, there is a larger image of the head, which is a cross-sectional view of a person's brain. The person's face is not visible in the image, but the brain appears to have a prominent head and shoulders. The background of the images is black, and the text "LINFOMA" is written in white at the top of the screen.</caption><transcript><audio_199> ese patrón micro reticular, micronodular de vuelta, ese patrón en empedrado, ¿sí? Bien característico del linfoma. Por tomografía, ¿cómo lo vamos a ver? Fíjense, ganglos bien grandes, aumentados de tamaño en todas las cadenas ganglionares que se les pueda ocurrir, ¿sí?</transcript><transcript><audio_200> característico del linfoma. Obviamente, todas las más causas que siempre venimos viendo van a ser diagnósticos diferenciales. Por lo tanto, cuando tengamos ganglio, veamos una tomografía o una eco y tengamos ganglios, siempre ir a pensarlo</transcript><transcript><audio_201> Acá fíjense en esta tomografía, en el lado derecho tenemos un montonazo de ganglios que son de características, si bien obviamente tienen características malignas, debemos pensar en un informe por la cantidad que hay en la zona, fíjense que</transcript><transcript><audio_202> que son homogéneos, no tienen necrosis y esto es bien característico del linfoma. Pero cuando vamos a este otro lado, fíjense que hay algunos que ya son necrosados, por lo tanto tenemos que pensar que es un linfoma muy invasivo o que es un paciente HIV. Y fíjense, la diferencia</transcript><transcript><audio_203> Este está necrosado, pero está bien delimitado. Es decir, que este no tiene invasiones tracausurales. Pero a diferencia de estos, que también están necrosados, pero fíjense cómo tienen ese actual todo bien irregular, ¿sí?</transcript> here showing that pattern to the micro reticular micro modular back that pattern in cobblestone although characteristic of lymphoma by tomography as we are going to see it, look at very large lymph nodes  They increase in size in all the lymph node chains that may occur, although large, this is very characteristic of the report. Obviously, all the causes that we have always been seeing are going to be differential diagnoses, therefore, when we have lang, we see a tomography of this and we have lymph nodes. always go to think the same thing and contextualize the patient here. Look at this tomography on the right side we have a lot of lymph nodes that have characteristics, although they obviously have malignant characteristics, we must think of a report based on the amount there is in the area. Notice that they are homogeneous.  They do not have necrosis and this is very characteristic of informa, but when we go to this other side, notice that some of them are necrotic, therefore we have to think that it is a very invasive informa or that it is an active patient. Yes, and look at the difference between these.  With this one, this one is in the cruciate but it is well delimited, that is to say, this one does not have an invasion, it is precautionary but unlike these ones, it is also necrotic, but notice how its current one has everything very irregular, if as it
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