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\dgmargin\sectd\ltrsect\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qc\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf1 TOMOGRAFIA COMPUTADORIZADA DE T'd3RAX}{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f1\cs10\cf1
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\loch\af0\dbch\af0\hich\f0\cf2 M'e9todo}{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f0\cs10\cf2\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0
\hich\f0\cf0 Aquisi'e7'e3o helicoidal multidetectores, sem a inje'e7'e3o intravenosa do meio de contraste. }{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24
{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f0\cs10\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf0 Indica'e7'e3o}{\rtlch\af0\afs24
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\loch\af0\dbch\af0\hich\f0\cf0 Paciente com suspeita de pneumonia viral.}{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f0\cs10\cf2
\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf2 An'e1lise}{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f0\cs10\cf2\par}\pard\plain\itap0\s0\sb80
\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf2 Exame comparativo em rela'e7'e3o ao realizado em 20/06/2020,evidencia:}{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\cf2
\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ul\cf0 Achados pulmonares: }{\rtlch\afs24\ltrch\b0\i\fs24\lang1046\langnp1046\f0\cs10\ul\cf0
\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Aumento das opacidades em vidro fosco e focos de consolida'e7'e3o bilaterais, por vezes confluentes e sobrepostas a 'e1reas de espessamento septal, predominando nas regi'f5es perif'e9ricas bilateralmente, associado 'e0 bro\u770 nquios com leve espessamente, assim como algumas a\u769 reas com bronquiectasias de trac\u807 a\u771 o e distor'e7'e3o arquitetural. Extens'e3o do acometimento pulmonar: acentuado (maior que 50%). }
{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Redu'e7'e3o do derrame pleural cissural 'e0 direita e surgimento de derrame pleural 'e0 esquerda.}
{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Bandas parenquimatosas esparsas e bilaterais, predominando nas bases, compat'edveis com estrias residuais/atelectasias subsegmentares. }
{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Pequenos n'f3dulos pulmonares esparsos, alguns calcificados (residuais) e os demais n'e3o calcificados e menores que 0,5 cm (incaracter'edsticos). }
{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Leve espessamento difuso de paredes br'f4nquicas, sugerindo broncopatia inflamat'f3ria. }
{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80
\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ul\cf0 Demais achados: }{\rtlch\afs24\ltrch\b0\i\fs24\lang1046\langnp1046\f0\cs10\ul\cf0\par}\pard\plain\itap0\s0\sb80
\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Discreta ectasia da aorta ascendente.}{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0
\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Ateromatose difusa, inclusive coronariana e visceral. 'c1rea card'edaca aumentada. }
{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Linfonodos mediastinais aumentados em n'famero, sem configurar francas linfonodomegalias. }
{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Linfonodos calcificados subcarinais e no hilo pulmonar direito, residuais.}
{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Traqueia e br'f4nquios principais patentes. }
{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 M'ednima quantidade de secre'e7'e3o na parede posterior da traqueia. }
{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Tubo endotraqueal e sonda esofagiana nomoposicionados.}
{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Cateteres de acesso venoso central com extremidades distais na topografia do 'e1trio direito/ veia cava superior.}
{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Rarefa'e7'e3o 'f3ssea difusa. }
{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Altera'e7'f5es degenerativas da coluna dorsal. }
{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Imagens da transi'e7'e3o toracoabdominal evidenciam: }
{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Divert'edculos duodenais.}
{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Sonda nasog'e1strica.}
{\rtlch\afs24\ltrch\b\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf2\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf2 Conclus'e3o}
{\rtlch\afs24\ltrch\b\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf2\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0
\ulnone\cf1 Os achados pulmonares, embora inespec'edficos, podem representar processo infeccioso de etiologia viral.}{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj
\faauto\rtlch\afs24\ltrch\fs24{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10
\ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i\fs16\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf1 Em pacientes sem neoplasia conhecida, a maioria dos diminutos n'f3dulos pulmonares constitui achado benigno. Radiology 2017;284(1):228-243.}
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\ulnone\cf0 }{\rtlch\afs24\ltrch\b0\i0\fs22\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1039\langnp1039\loch\af0\dbch\af0\hich\f0\ul\cf0 \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab }
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\dgmargin\sectd\ltrsect\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0 \tab \tab \tab }{\rtlch\af0\afs24\ltrch\b\fs24\lang1046\langnp1046\loch\af0\dbch\af0
\hich\f0\cf1 TOMOGRAFIA COMPUTADORIZADA DE T'd3RAX}{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f1\cs10\cf1\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs24\lang1046\langnp1046\loch\af0
\dbch\af0\hich\f0\cf2 M'e9todo}{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f0\cs10\cf2\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf0 Aquisi'e7'e3o helicoidal multidetectores, sem a inje'e7'e3o intravenosa do meio de contraste. }
{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f0\cs10\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0
\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf0 Indica'e7'e3o}{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf0 }{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\cf0
\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf0 Paciente com suspeita de pneumonia viral.}{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\cf0
\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf2 An'e1lise}{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f0\cs10\cf2\par}\pard\plain\itap0\s0\sb80
\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ul\cf2 Achados pulmonares:}{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ul\cf2\par}\pard\plain\itap0\s0\sb80
\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf1 T'eanues opacidades lineares e em vidro fosco subpleurais com predom'ednio na por'e7'e3o posterobasal dos lobos inferiores, que devem corresponder ao dec'fabito / n'e3o expans'e3o pulmonar.}
{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf1 No\u769 dulo pulmonar so\u769 lido circunscrito, n'e3o calcificado, margens irregulares, medindo cerca de 1,0 cm, localizado no segmento basal posterior direito, de natureza indeterminada.}
{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf1 Pequenos n'f3dulos pulmonares esparsos bilaterais, menores que 0,5 cm, alguns calcificados e residuais, outros n'e3o calcificados e inespec'edficos.}
{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf1 Pequenos cistos ae\u769 reos, medindo at'e9 0,9 cm, localizados nos lobos inferiores.}
{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf1 Bandas parenquimatosas fibroatelect'e1sias esparsas, de aspecto residual.}
{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ul\cf1 Demais achados:}
{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ul\cf1\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf2 Grandes vasos do mediastino com calibre normal. Ateromatose a'f3rtica.}
{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf2\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 N'e3o se observam linfonodomegalias mediastinais.}
{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Traqueia e br'f4nquios principais patentes e de calibre normal.}
{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Aus'eancia de derrame pleural ou peric'e1rdico.}
{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Pequena h'e9rnia g'e1strica hiatal.}
{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf2 Espondilose dorsal.}
{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf2\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf2\par}\pard\plain\itap0\s0\sb80
\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf2 Conclus'e3o}{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf2\par}\pard\plain\itap0\s0\sb80
\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf1 N'e3o se observam 'e1reas de consolida'e7'e3o ou opacidades em vidro fosco no par'eanquima pulmonar que sugiram altera'e7'e3o de natureza inflamat'f3ria / infecciosa.}
{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf1 No\u769 dulo pulmonar indeterminado no lobo inferior direito sugerindo-se controle evolutivo.}
{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\tx360\tx2700\tx6480\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs22\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 }
{\rtlch\afs24\ltrch\b0\fs22\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1039\langnp1039\loch\af0\dbch\af0\hich\f0\ul\cf0 \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab }
{\rtlch\afs24\ltrch\b0\fs24\lang1039\langnp1039\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\qc\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs16\lang1039\langnp1039\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Laudo Assinado Eletronicamente}
{\rtlch\afs24\ltrch\b\fs16\lang1039\langnp1039\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\qc\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs16\lang1039\langnp1039\loch\af0\dbch\af0\hich\f0\ulnone\cf0 }{\rtlch\afs24
\ltrch\b\fs16\lang1039\langnp1039\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\qc\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs16\lang1039\langnp1039\loch\af0\dbch\af0\hich\f0\ulnone\cf0 }{\rtlch\afs24\ltrch\b\fs16\lang1039\langnp1039\f0\cs10
\ulnone\cf0\par}\pard\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\qc\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs16\lang1039\langnp1039\loch\af0\dbch\af0\hich\f0\ulnone\cf0 }{\rtlch\afs24\ltrch\b\fs16\lang1039\langnp1039\f0\cs10\ulnone\cf0\par}\pard
\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\qc\faauto\rtlch\afs24\ltrch\fs24{\rtlch\afs24\ltrch\b\fs16\lang1039\langnp1039\f0\cs10\ulnone\cf0\par}{*\latentstyles\lsdstimax267\lsdlockeddef0\lsdsemihiddendef1\lsdunhideuseddef1\lsdqformatdef0\lsdprioritydef99{\lsdlockedexcept}}}
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