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Masa tubular funcionante relativa: 46% para el riñón derecho y 54%para el riñón izquierdo.\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\informe centellograma con DMSA.pdf\",\n            \"study_date\": \"2024-07-10 00:00:00.000\",\n            \"description\": \"CENTELLOGRAMA RENAL CON DMSA\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"20790273\",\n            \"study_name\": \"\",\n            \"report\": \"Meningitis, ACV, B24x\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\CamScanner 11-08-2024 20.15.pdf\",\n            \"study_date\": \"2024-08-16 00:00:00.000\",\n            \"description\": \"RESUMEN DE HISTORIA CLÍNICA PREVIA\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"49324137\",\n            \"study_name\": \"NULL\",\n            \"report\": \"PRESTACIÓN: Telemetría de miembros inferiores con espinografo.INFORME:Sin alteraciones osteoarticulares evidenciables por este método.Los fémures midieron, desde la cabeza femoral hasta el extremo distal de cóndilo interno, 50,4 cm el derecho y 50,5 cm el izquierdo.Ambas tibias midieron en sentido longitudinal, desde las tangentes a la superficie articular de los platillos tibiales hasta la epífisis distal, 38,1 cm la derecha y 38,3 cm la izquierda.Ejes mecánicos de 88,3 cm el derecho y 89 cm del izquierdo.Cordialmente lo saluda.DRA. PAOLASSO NOELIA DR. CARMONA MARCELOMédico M.P. 33581 Médico M.P. 32895Esp. Diagnóstico por Imágenes Esp. Diagnóstico por ImágenesC.E. 17409\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\Telemetria miembros inferiores - Giusti Celeste.pdf\",\n            \"study_date\": \"2024-08-20 00:00:00.000\",\n            \"description\": \"Telemetría de miembros inferiores\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"47582752\",\n            \"study_name\": \"NULL\",\n            \"report\": \"ANA negativo, ASCA negativo, IgG VH6 (+), vitD 26.8, Zinc 0.69, alb 3.38\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\FALCO VICTORIA.pdf\",\n            \"study_date\": \"2024-09-09 00:00:00.000\",\n            \"description\": \"Laboratorio con ANA, ASCA, VH6\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"57876498\",\n            \"study_name\": \"NULL\",\n            \"report\": \"Paciente de 4 años con APP de estatus epiléptico y estadía en UTIP en Hospital de Niños de Córdoba, con diagnóstico de epilepsia tratada con levetiracetam. Evaluación neurocognitiva con CI 70 (borderline), disfunción ejecutiva, trastorno de la atención, la conducta y la memoria, trastorno del procesamiento sensorial, conductas de evitación, hipersensorialidad. Valoración pedagógica con discurso y léxico acorde edad pero con evitación del contacto visual. Solicito certificado de discapacidad, e interconsulta con neurología. Pendiente ADOS-2 y ADIR.\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\Evalaucion Neurocognitiva- Santino Smit Tapia.pdf\",\n            \"study_date\": \"2024-10-07 00:00:00.000\",\n            \"description\": \"Evaluación neurocognitiva\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"49502378\",\n            \"study_name\": \"TAC DE TORAX SIN CTE.\",\n            \"report\": \"Fibrosis pulmonar, atelectasias, bronquiectasias, patrón en vidrio esmerilado, patrón de mosaico vascular, bullas.\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\TAC DE TORAX BERTOLINI EMILIA.jpeg\",\n            \"study_date\": \"2024-10-21 00:00:00.000\",\n            \"description\": \"TAC de tórax sin contraste\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"57270911\",\n            \"study_name\": \"NULL\",\n            \"report\": \"Niño con microcefalia por toxoplasmosis congénita. Auscultación cardiopulmonar normal, R1NF, R2 desdoblado fisiológico. TA 90/50 mmHg. APP de CIA+CIV corregidas. ECG trazado normal. ASA 2\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\888_20241106_21213110.pdf\",\n            \"study_date\": \"2024-11-06 00:00:00.000\",\n            \"description\": \"ELECTROCARDIOGRAMA PREQUIRÚRGICO\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"54935715\",\n            \"study_name\": \"TAC DE MACIZO FACIAL\",\n            \"report\": \"TAC con hipertrofia de cornetes y mucosa de SPN, hipertrofia de A+A\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\131_20241112_11220832.docx\",\n            \"study_date\": \"2024-05-09 00:00:00.000\",\n            \"description\": \"TAC de Senos Paranasales\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"70370931\",\n            \"study_name\": \"ECOGRAFIA DE CADERAS\",\n            \"report\": \"Eco de caderas normales, cadera derecha ángulo alfa 73º, ángulo beta 35º, cadera izquierda ángulo alfa 67º, ángulo beta 30º.\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\4279_20241112_12532069.docx\",\n            \"study_date\": \"2024-11-12 00:00:00.000\",\n            \"description\": \"ECOGRAFÍA DINÁMICA DE CADERAS SCREENING DISPLACIA CONGÉNITA\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"57072744\",\n            \"study_name\": \"NULL\",\n            \"report\": \"Trastorno del espectro autista. Trastorno específico del habla y del lenguaje. Trastorno de la conducta. Trastorno generalizado del desarrollo. Hiperkinesia. Impulsividad y ansiedad. Hipersensorialidad.\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\149_20241210_10050629.pdf\",\n            \"study_date\": \"2024-12-06 00:00:00.000\",\n            \"description\": \"Evaluación neurocognitiva\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"55458635\",\n            \"study_name\": \"NULL\",\n            \"report\": \"Trazado normal para la edad. ASA 2.\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\2402_20241212_21224173.pdf\",\n            \"study_date\": \"2024-12-12 00:00:00.000\",\n            \"description\": \"ELECTROCARDIOGRAMA INFORMADO\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"12799825\",\n            \"study_name\": \"IRM DE CEREBRO CON CONTRASTE\",\n            \"report\": \"Ovillo vascular que comprime ganglio de Gasser de lado izquierdo.\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\2538_20241223_18421131.docx\",\n            \"study_date\": \"2024-09-13 00:00:00.000\",\n            \"description\": \"RMN de cerebro secuencia FIESTA\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"12799825\",\n            \"study_name\": \"TAC DE CARA\",\n            \"report\": \"Se efectuó Cone Beam con filtro especial, con equipo Siemens Ortophos Plus CD P1, observándose:-Desdentada.-Reabsorción ósea de áreas desdentadas.-Imagen hiperdensa en maxilar inferior derecho zona molares que podría corresponder a condensación ósea sugiero salvo mejor criterio correlacionar con antecedentes clínicos.-Seno maxilar izquierdo parcialmente ocupado.-Ensanchamiento de la membrana sinusal del seno maxilar derecho .-Contenido mineral dentro de las características consideradas como normales.institutoulton.com.arENTREGA DIGITALNº estudio: 692988.13\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\2538_20241223_18451186.pdf\",\n            \"study_date\": \"2024-12-02 00:00:00.000\",\n            \"description\": \"CONE BEAM BOCA COMPLETA\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"70471694\",\n            \"study_name\": \"NULL\",\n            \"report\": \"TSH: NormalTRIPSINA: Normal17-OH-PROG: NormalGALATOSA: NormalFENILALANINA: NormalBIOTINIDASA: Normal\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\4474_20241223_19154076.docx\",\n            \"study_date\": \"2024-11-17 00:00:00.000\",\n            \"description\": \"SCREENING METABÓLICO NEONATAL\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"25237472\",\n            \"study_name\": \"NULL\",\n            \"report\": \"Teratoma diferenciado (15% seminoma clásico, 15% carcinoma embrionario, 5% tumor de saco vitelino). Pieza quirúrgica de 11x8x5 cm, 375g, 70% de necrosis. Con infiltración de cordón espermático.\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\633_20250103_16274022.jpeg\",\n            \"study_date\": \"2024-12-09 00:00:00.000\",\n            \"description\": \"BIOPSIA DE TESTICULO DERECHO\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"25237472\",\n            \"study_name\": \"TAC DE TORAX CON CONTRASTE..\",\n            \"report\": \"Múltiples imágenes nodulares parenquimatosas, la mayor de 43 mm en lóbulo superior derecho, de tipo metastásicas secundarias.\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\633_20250103_16293910.jpeg\",\n            \"study_date\": \"2024-12-09 00:00:00.000\",\n            \"description\": \"TAC DE TÓRAX CON CONTRASTE EV\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"25237472\",\n            \"study_name\": \"TAC DE ABDOMEN\",\n            \"report\": \"Hernia inguinal derecha, y hernia umbilical. Imagenes nodulares en región de tronco celíaco. Conglomerado de adenomegalias retroperitoneales, presuntivamente secundarias metastásicas a TU de testículo derecho.\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\633_20250103_16320452.jpeg\",\n            \"study_date\": \"2024-12-09 00:00:00.000\",\n            \"description\": \"TAC DE ABDOMEN Y PELVIS\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"70291543\",\n            \"study_name\": \"ECOGRAFIA DE CADERAS\",\n            \"report\": \"ECOGRAFIA DE CADERATECNICA: Se exploraron comparativamente las estructuras osteo-cartilaginosas ytejidos blandos de ambas articulaciones coxo-femorales, con transductor lineal deAlta Frecuencia variable, de 5-10 MHz.DESCRIPCION:Cabezas femorales de tamaño, morfología y ecoestructura normales. Núcleos deosificación ausentes. Techos acetabulares óseos y rodetes cartilaginosos sin alteraciones significativas.Porcentaje de cobertura mayor al 75%.No se objetivaron signos de eversión del lábrum. El examen dinámico no reveló desplazamientos anormales de las cabezasfemorales.CONCLUSION:Examen normal, sin evidencias de displasia.\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\3927_20250106_19430056.pdf\",\n            \"study_date\": \"2025-01-06 00:00:00.000\",\n            \"description\": \"ECOGRAFIA DINAMICA DE CADERAS\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"39789651\",\n            \"study_name\": \"RX DE TORAX FRENTE\",\n            \"report\": \"Radiografía de tórax normal\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\375_20250113_17285151.pdf\",\n            \"study_date\": \"2025-01-13 00:00:00.000\",\n            \"description\": \"Rx de tórax Frente y Oblicuo Anterior Izquierdo\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"6442037\",\n            \"study_name\": \"NULL\",\n            \"report\": \"Neuralgia del trigémino. No se observan lesiones oseas como causa directa de neuralgia trigeminal derecha rama media.\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\1955_20250128_11303786.jpg\",\n            \"study_date\": \"2025-01-27 00:00:00.000\",\n            \"description\": \"Panortotomografía de macizo facial\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"50520941\",\n            \"study_name\": \"NULL\",\n            \"report\": \"Resumen de la Situación:Se comunica que Noelia Caro continúa viviendo en el hospital municipal después de agotar todas las instancias familiares y comunitarias.Intervenciones Realizadas:1. Coordinación con la UDER: Se ha trabajado en colaboración con la UDER para garantizar la atención integral de Noelia.2. Acompañamiento terapéutico: Un equipo de acompañantes terapéuticos voluntarios ha estado conteniendo y acompañando a Noelia durante su estadía en el hospital.3. Reinvinculación familiar: Se ha iniciado un proceso de reinvinculación familiar con el objetivo de que Noelia pueda volver a vivir con su familia.4. Comunicación con la escuela especial Dr. Arturo Barbero: Se ha realizado comunicación con la escuela para informar la situación y se ha acordado inscribir a Noelia y que asista hasta que se solucione su situación actual.Seguimiento:1. Continuar con el acompañamiento terapéutico y la contención emocional de Noelia.2. Monitorear el proceso de reinvinculación familiar y brindar apoyo necesario.3. Coordinar con la UDER y otros actores relevantes para garantizar la atención integral de Noelia.\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\780_20250225_20530003.pdf\",\n            \"study_date\": \"2025-02-25 00:00:00.000\",\n            \"description\": \"Informe de intervención por desarrollo social\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"6673081\",\n            \"study_name\": \"NULL\",\n            \"report\": \"Trazado plano luego de retirado marcapasos implantado, se constata fallecimiento\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\2851_20250308_12362257.pdf\",\n            \"study_date\": \"2025-03-08 00:00:00.000\",\n            \"description\": \"ECG postmortem\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"53099495\",\n            \"study_name\": \"NULL\",\n            \"report\": \"Diagnóstico no definido, continúa bajo estudio. Presenta alucinaciones visuales, auditivas y kinestésicas, con trastornos del aprendizaje, la conducta alimentaria, irritabilidad y abulia.\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\961_20250318_18461125.jpeg\",\n            \"study_date\": \"2025-03-18 00:00:00.000\",\n            \"description\": \"Evaluación psicológica\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"25045484\",\n            \"study_name\": \"TAC DE HOMBRO\",\n            \"report\": \"diagg\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\1_20240223_14441502.pdf\",\n            \"study_date\": \"2024-02-23 00:00:00.000\",\n            \"description\": \"descc\",\n            \"professional_solicite\": \"PROFESIONAL DE PRUEBA\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"25045484\",\n            \"study_name\": \"RX DE FEMUR\",\n            \"report\": \"rx\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\1_20240223_14463913.pdf\",\n            \"study_date\": \"2024-02-23 00:00:00.000\",\n            \"description\": \"rx\",\n            \"professional_solicite\": \"PROFESIONAL DE PRUEBA\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": \"\",\n            \"external_study_password\": \"\"\n        },\n        {\n            \"dni_patient\": \"25045484\",\n            \"study_name\": \"ECOGRAFIA DE MIEMBROS\",\n            \"report\": \"ttt\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\1_20240228_09230758.pdf\",\n            \"study_date\": \"2024-02-28 00:00:00.000\",\n            \"description\": \"ttt\",\n            \"professional_solicite\": \"PROFESIONAL DE PRUEBA\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"\",\n            \"type_of_study\": \"\",\n            \"external_study_url\": \"\",\n            \"external_study_user\": 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tórax enfisematoso, se observa imagen de condensación de bordes mal definidos en lóbulo medio de pulmón derecho que se extiende hasta pleura, con enfisema subcutáneo en tejidos blandos de lado derecho y base del cuello ipsilateral.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/3f2d0969680846f99aac240902f3fd78_20250724_143337.jpeg\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"11705116\",\n            \"study_date\": \"2024-05-15 00:00:00.000\",\n            \"study_name\": \"IRM DE CEREBRO\",\n            \"description\": \"Patológico secundario\",\n            \"report\": \"A nivel de la fosa posterior el 4to. ventrículo levemente amplio, de morfología conservada.Aspecto morfológico normal del bulbo y protuberancia.Aspecto normal de las cisternas prebulbar, prepontina y del ángulo pontocerebeloso.No se evidencian alteraciones en la intensidad de señal de ambos hemisferios cerebelosos,como así tampoco del vermis superior e inferior.Acentuado edema vasogénico en proyección frontoparietal derecha destacandose lesiónpseudonodular hiperintensa en T2-FLAIR, de paredes engrosadas y levemente irregulares enforma difusa, presentando área central con señal de aspecto quístico, presentando dichalesión diametros mayores aproximados de 22x14mm, que en contexto clínico, sugiereconsiderar secundarismo.Pequeñas alteraciones focales hiperintensas en T2-FLAIR en sustancia blanca supratentorial,inespecifica, sugestiva de gliosis, de aspecto secuelar-microangiopatico.Sistemas arteriales vértebro basilar y carotídeos permeables.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/c4f297d17a4043cd875bb4825a27a693_20250724_143339.pdf\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"55082491\",\n            \"study_date\": \"2024-06-11 00:00:00.000\",\n            \"study_name\": \"IRM DE CEREBRO\",\n            \"description\": \"Normal\",\n            \"report\": \"Nombre: TABORDA ANGELESSolicitante:GARRUDO PABLO ANDRESEquipo:RMN #2Anatomias:RM: CerebroNOMBRE: TABORDA ANGELES DNI-HC:FECHA: 31-01-2024RMN DE CEREBRO:Se realizó examen por RMN del ENCEFALO, utilizando secuencias T1, T2 y FLAIR en diferentes planos. Se completa con técnica de difusión.Informe:A nivel INFRATENTORIAL:El cuarto ventrículo y los espacios aracnoideos basales se visualizan de morfología y topografía normal.No se identifican anomalías netas de la señal a nivel de tejido nervioso infratentorial.Velamiento parcial por líquido en celdillas mastoideas del peñasco del lado derecho.Presencia de megacisterna magna.A nivel SUPRATENTORIAL:No hay desplazamientos de las estructuras de la línea media.El sistema ventricular supratentorial es de forma, tamaño y situación normal.No se visualizan anomalías netas en la intensidad de la señal del tejido nervioso supratentorial.Surcos corticales de características normales.DR. BERTONA CARLOS DRA. MENDOZA LUCIANAM.P. 20793 M.E. 7221 M.P. 35326 M.E. 17114\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/193b94eb4b1a4b7baa95eea27113258f_20250724_143340.pdf\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"58150207\",\n            \"study_date\": \"2024-07-10 00:00:00.000\",\n            \"study_name\": \"\",\n            \"description\": \"CENTELLOGRAMA RENAL CON DMSA\",\n            \"report\": \"Riñón izquierdo centellográficamente normal. Riñón derecho con probable doble sistema e hipofunción difusa de la mitad inferior, con cicatrices parenquimatosas mesorrenales y polar inferior. Masa tubular funcionante relativa: 46% para el riñón derecho y 54%para el riñón izquierdo.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/2fdfb75c06f547268cd5da5c32ffa189_20250724_143340.pdf\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"20790273\",\n            \"study_date\": \"2024-08-16 00:00:00.000\",\n            \"study_name\": \"\",\n            \"description\": \"RESUMEN DE HISTORIA CLÍNICA PREVIA\",\n            \"report\": \"Meningitis, ACV, B24x\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/4527de8ebf394616b1f6035a8073be5a_20250724_143341.pdf\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"49324137\",\n            \"study_date\": \"2024-08-20 00:00:00.000\",\n            \"study_name\": \"NULL\",\n            \"description\": \"Telemetría de miembros inferiores\",\n            \"report\": \"PRESTACIÓN: Telemetría de miembros inferiores con espinografo.INFORME:Sin alteraciones osteoarticulares evidenciables por este método.Los fémures midieron, desde la cabeza femoral hasta el extremo distal de cóndilo interno, 50,4 cm el derecho y 50,5 cm el izquierdo.Ambas tibias midieron en sentido longitudinal, desde las tangentes a la superficie articular de los platillos tibiales hasta la epífisis distal, 38,1 cm la derecha y 38,3 cm la izquierda.Ejes mecánicos de 88,3 cm el derecho y 89 cm del izquierdo.Cordialmente lo saluda.DRA. 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Diagnóstico por ImágenesC.E. 17409\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/d483c97288ac450697e8820a58c0fc02_20250724_143342.pdf\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"47582752\",\n            \"study_date\": \"2024-09-09 00:00:00.000\",\n            \"study_name\": \"NULL\",\n            \"description\": \"Laboratorio con ANA, ASCA, VH6\",\n            \"report\": \"ANA negativo, ASCA negativo, IgG VH6 (+), vitD 26.8, Zinc 0.69, alb 3.38\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/9369c269d3e94629b920bb5b5c2a95e3_20250724_143343.pdf\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"57876498\",\n            \"study_date\": \"2024-10-07 00:00:00.000\",\n            \"study_name\": \"NULL\",\n            \"description\": \"Evaluación neurocognitiva\",\n            \"report\": \"Paciente de 4 años con APP de estatus epiléptico y estadía en UTIP en Hospital de Niños de Córdoba, con diagnóstico de epilepsia tratada con levetiracetam. Evaluación neurocognitiva con CI 70 (borderline), disfunción ejecutiva, trastorno de la atención, la conducta y la memoria, trastorno del procesamiento sensorial, conductas de evitación, hipersensorialidad. Valoración pedagógica con discurso y léxico acorde edad pero con evitación del contacto visual. Solicito certificado de discapacidad, e interconsulta con neurología. Pendiente ADOS-2 y ADIR.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/7cb441f3b93d48679e6fc4d330636a27_20250724_143343.pdf\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"49502378\",\n            \"study_date\": \"2024-10-21 00:00:00.000\",\n            \"study_name\": \"TAC DE TORAX SIN CTE.\",\n            \"description\": \"TAC de tórax sin contraste\",\n            \"report\": \"Fibrosis pulmonar, atelectasias, bronquiectasias, patrón en vidrio esmerilado, patrón de mosaico vascular, bullas.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/7dcb85028bac46d9b742522740770040_20250724_143344.jpeg\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"57270911\",\n            \"study_date\": \"2024-11-06 00:00:00.000\",\n            \"study_name\": \"NULL\",\n            \"description\": \"ELECTROCARDIOGRAMA PREQUIRÚRGICO\",\n            \"report\": \"Niño con microcefalia por toxoplasmosis congénita. Auscultación cardiopulmonar normal, R1NF, R2 desdoblado fisiológico. TA 90/50 mmHg. APP de CIA+CIV corregidas. ECG trazado normal. ASA 2\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/d1084329c73e4ea9a8a57f8ba90a05b2_20250724_143344.pdf\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"54935715\",\n            \"study_date\": \"2024-05-09 00:00:00.000\",\n            \"study_name\": \"TAC DE MACIZO FACIAL\",\n            \"description\": \"TAC de Senos Paranasales\",\n            \"report\": \"TAC con hipertrofia de cornetes y mucosa de SPN, hipertrofia de A+A\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/fc79e6657d6443729608f775b2a18ece_20250724_143345.docx\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70370931\",\n            \"study_date\": \"2024-11-12 00:00:00.000\",\n            \"study_name\": \"ECOGRAFIA DE CADERAS\",\n            \"description\": \"ECOGRAFÍA DINÁMICA DE CADERAS SCREENING DISPLACIA CONGÉNITA\",\n            \"report\": \"Eco de caderas normales, cadera derecha ángulo alfa 73º, ángulo beta 35º, cadera izquierda ángulo alfa 67º, ángulo beta 30º.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/948b6f3b3aba41a09b9522147104e414_20250724_143345.docx\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"57072744\",\n            \"study_date\": \"2024-12-06 00:00:00.000\",\n            \"study_name\": \"NULL\",\n            \"description\": \"Evaluación neurocognitiva\",\n            \"report\": \"Trastorno del espectro autista. Trastorno específico del habla y del lenguaje. Trastorno de la conducta. Trastorno generalizado del desarrollo. Hiperkinesia. Impulsividad y ansiedad. Hipersensorialidad.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/f3229f5ab094463994848a690a425de6_20250724_143345.pdf\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"55458635\",\n            \"study_date\": \"2024-12-12 00:00:00.000\",\n            \"study_name\": \"NULL\",\n            \"description\": \"ELECTROCARDIOGRAMA INFORMADO\",\n            \"report\": \"Trazado normal para la edad. ASA 2.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/3945421626254c8d92f667c42868cec5_20250724_143346.pdf\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"12799825\",\n            \"study_date\": \"2024-09-13 00:00:00.000\",\n            \"study_name\": \"IRM DE CEREBRO CON CONTRASTE\",\n            \"description\": \"RMN de cerebro secuencia FIESTA\",\n            \"report\": \"Ovillo vascular que comprime ganglio de Gasser de lado izquierdo.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/03f243059f6d4bb190dac4d34b8cea22_20250724_143346.docx\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"12799825\",\n            \"study_date\": \"2024-12-02 00:00:00.000\",\n            \"study_name\": \"TAC DE CARA\",\n            \"description\": \"CONE BEAM BOCA COMPLETA\",\n            \"report\": \"Se efectuó Cone Beam con filtro especial, con equipo Siemens Ortophos Plus CD P1, observándose:-Desdentada.-Reabsorción ósea de áreas desdentadas.-Imagen hiperdensa en maxilar inferior derecho zona molares que podría corresponder a condensación ósea sugiero salvo mejor criterio correlacionar con antecedentes clínicos.-Seno maxilar izquierdo parcialmente ocupado.-Ensanchamiento de la membrana sinusal del seno maxilar derecho .-Contenido mineral dentro de las características consideradas como normales.institutoulton.com.arENTREGA DIGITALNº estudio: 692988.13\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/ec8a696ae8d24ebdbc7bc95c11e93b7b_20250724_143347.pdf\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70471694\",\n            \"study_date\": \"2024-11-17 00:00:00.000\",\n            \"study_name\": \"NULL\",\n            \"description\": \"SCREENING METABÓLICO NEONATAL\",\n            \"report\": \"TSH: NormalTRIPSINA: Normal17-OH-PROG: NormalGALATOSA: NormalFENILALANINA: NormalBIOTINIDASA: Normal\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/88503e5bb31f4021b7b623563291558f_20250724_143347.docx\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25237472\",\n            \"study_date\": \"2024-12-09 00:00:00.000\",\n            \"study_name\": \"NULL\",\n            \"description\": \"BIOPSIA DE TESTICULO DERECHO\",\n            \"report\": \"Teratoma diferenciado (15% seminoma clásico, 15% carcinoma embrionario, 5% tumor de saco vitelino). Pieza quirúrgica de 11x8x5 cm, 375g, 70% de necrosis. Con infiltración de cordón espermático.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/f981c7ca70cc49c8a4873d22e85063e8_20250724_143347.jpeg\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25237472\",\n            \"study_date\": \"2024-12-09 00:00:00.000\",\n            \"study_name\": \"TAC DE TORAX CON CONTRASTE..\",\n            \"description\": \"TAC DE TÓRAX CON CONTRASTE EV\",\n            \"report\": \"Múltiples imágenes nodulares parenquimatosas, la mayor de 43 mm en lóbulo superior derecho, de tipo metastásicas secundarias.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/f8cce5be93ca40599d05737064bb388e_20250724_143348.jpeg\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25237472\",\n            \"study_date\": \"2024-12-09 00:00:00.000\",\n            \"study_name\": \"TAC DE ABDOMEN\",\n            \"description\": \"TAC DE ABDOMEN Y PELVIS\",\n            \"report\": \"Hernia inguinal derecha, y hernia umbilical. 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Conglomerado de adenomegalias retroperitoneales, presuntivamente secundarias metastásicas a TU de testículo derecho.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/ed87a68a6ab741cc9e9e2a72690b45aa_20250724_143348.jpeg\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70291543\",\n            \"study_date\": \"2025-01-06 00:00:00.000\",\n            \"study_name\": \"ECOGRAFIA DE CADERAS\",\n            \"description\": \"ECOGRAFIA DINAMICA DE CADERAS\",\n            \"report\": \"ECOGRAFIA DE CADERATECNICA: Se exploraron comparativamente las estructuras osteo-cartilaginosas ytejidos blandos de ambas articulaciones coxo-femorales, con transductor lineal deAlta Frecuencia variable, de 5-10 MHz.DESCRIPCION:Cabezas femorales de tamaño, morfología y ecoestructura normales. Núcleos deosificación ausentes. Techos acetabulares óseos y rodetes cartilaginosos sin alteraciones significativas.Porcentaje de cobertura mayor al 75%.No se objetivaron signos de eversión del lábrum. 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No se observan lesiones oseas como causa directa de neuralgia trigeminal derecha rama media.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/0880a085788b4442b668ee033cb3615c_20250724_143350.jpg\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"50520941\",\n            \"study_date\": \"2025-02-25 00:00:00.000\",\n            \"study_name\": \"NULL\",\n            \"description\": \"Informe de intervención por desarrollo social\",\n            \"report\": \"Resumen de la Situación:Se comunica que Noelia Caro continúa viviendo en el hospital municipal después de agotar todas las instancias familiares y comunitarias.Intervenciones Realizadas:1. Coordinación con la UDER: Se ha trabajado en colaboración con la UDER para garantizar la atención integral de Noelia.2. Acompañamiento terapéutico: Un equipo de acompañantes terapéuticos voluntarios ha estado conteniendo y acompañando a Noelia durante su estadía en el hospital.3. Reinvinculación familiar: Se ha iniciado un proceso de reinvinculación familiar con el objetivo de que Noelia pueda volver a vivir con su familia.4. Comunicación con la escuela especial Dr. Arturo Barbero: Se ha realizado comunicación con la escuela para informar la situación y se ha acordado inscribir a Noelia y que asista hasta que se solucione su situación actual.Seguimiento:1. Continuar con el acompañamiento terapéutico y la contención emocional de Noelia.2. Monitorear el proceso de reinvinculación familiar y brindar apoyo necesario.3. Coordinar con la UDER y otros actores relevantes para garantizar la atención integral de Noelia.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/beffc8861f1441b89308cb071c7a8863_20250724_143350.pdf\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"6673081\",\n            \"study_date\": \"2025-03-08 00:00:00.000\",\n            \"study_name\": \"NULL\",\n            \"description\": \"ECG postmortem\",\n            \"report\": \"Trazado plano luego de retirado marcapasos implantado, se constata fallecimiento\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/10e20d6bf8c24ef68e92ac3816d9789a_20250724_143351.pdf\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"53099495\",\n            \"study_date\": \"2025-03-18 00:00:00.000\",\n            \"study_name\": \"NULL\",\n            \"description\": \"Evaluación psicológica\",\n            \"report\": \"Diagnóstico no definido, continúa bajo estudio. 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\"description\": \"Rx de tórax de frente\",\n            \"report\": \"Telerradiografía de tórax de frente, en decúbito dorsal, tórax enfisematoso, se observa imagen de condensación de bordes mal definidos en lóbulo medio de pulmón derecho que se extiende hasta pleura, con enfisema subcutáneo en tejidos blandos de lado derecho y base del cuello ipsilateral.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/89c7a8a80b5646bab5ae317ac3d4642b_20250724_151223.jpeg\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"11705116\",\n            \"study_date\": \"2024-05-15 00:00:00.000\",\n            \"study_name\": \"IRM DE CEREBRO\",\n            \"description\": \"Patológico secundario\",\n            \"report\": \"A nivel de la fosa posterior el 4to. ventrículo levemente amplio, de morfología conservada.Aspecto morfológico normal del bulbo y protuberancia.Aspecto normal de las cisternas prebulbar, prepontina y del ángulo pontocerebeloso.No se evidencian alteraciones en la intensidad de señal de ambos hemisferios cerebelosos,como así tampoco del vermis superior e inferior.Acentuado edema vasogénico en proyección frontoparietal derecha destacandose lesiónpseudonodular hiperintensa en T2-FLAIR, de paredes engrosadas y levemente irregulares enforma difusa, presentando área central con señal de aspecto quístico, presentando dichalesión diametros mayores aproximados de 22x14mm, que en contexto clínico, sugiereconsiderar secundarismo.Pequeñas alteraciones focales hiperintensas en T2-FLAIR en sustancia blanca supratentorial,inespecifica, sugestiva de gliosis, de aspecto secuelar-microangiopatico.Sistemas arteriales vértebro basilar y carotídeos permeables.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/9b73273a804e40b4ba1e961d5de99273_20250724_151225.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"55082491\",\n            \"study_date\": \"2024-06-11 00:00:00.000\",\n            \"study_name\": \"IRM DE CEREBRO\",\n            \"description\": \"Normal\",\n            \"report\": \"Nombre: TABORDA ANGELESSolicitante:GARRUDO PABLO ANDRESEquipo:RMN #2Anatomias:RM: CerebroNOMBRE: TABORDA ANGELES DNI-HC:FECHA: 31-01-2024RMN DE CEREBRO:Se realizó examen por RMN del ENCEFALO, utilizando secuencias T1, T2 y FLAIR en diferentes planos. Se completa con técnica de difusión.Informe:A nivel INFRATENTORIAL:El cuarto ventrículo y los espacios aracnoideos basales se visualizan de morfología y topografía normal.No se identifican anomalías netas de la señal a nivel de tejido nervioso infratentorial.Velamiento parcial por líquido en celdillas mastoideas del peñasco del lado derecho.Presencia de megacisterna magna.A nivel SUPRATENTORIAL:No hay desplazamientos de las estructuras de la línea media.El sistema ventricular supratentorial es de forma, tamaño y situación normal.No se visualizan anomalías netas en la intensidad de la señal del tejido nervioso supratentorial.Surcos corticales de características normales.DR. BERTONA CARLOS DRA. MENDOZA LUCIANAM.P. 20793 M.E. 7221 M.P. 35326 M.E. 17114\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/eaccf9422573485e99ae71b4cfaba117_20250724_151226.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"58150207\",\n            \"study_date\": \"2024-07-10 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"CENTELLOGRAMA RENAL CON DMSA\",\n            \"report\": \"Riñón izquierdo centellográficamente normal. Riñón derecho con probable doble sistema e hipofunción difusa de la mitad inferior, con cicatrices parenquimatosas mesorrenales y polar inferior. Masa tubular funcionante relativa: 46% para el riñón derecho y 54%para el riñón izquierdo.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/cb3af96301d04d51b48201a57c99a344_20250724_151226.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"20790273\",\n            \"study_date\": \"2024-08-16 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"RESUMEN DE HISTORIA CLÍNICA PREVIA\",\n            \"report\": \"Meningitis, ACV, B24x\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/fb8e3e75e9bd4c3f809c9ce433685a37_20250724_151227.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"49324137\",\n            \"study_date\": \"2024-08-20 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"Telemetría de miembros inferiores\",\n            \"report\": \"PRESTACIÓN: Telemetría de miembros inferiores con espinografo.INFORME:Sin alteraciones osteoarticulares evidenciables por este método.Los fémures midieron, desde la cabeza femoral hasta el extremo distal de cóndilo interno, 50,4 cm el derecho y 50,5 cm el izquierdo.Ambas tibias midieron en sentido longitudinal, desde las tangentes a la superficie articular de los platillos tibiales hasta la epífisis distal, 38,1 cm la derecha y 38,3 cm la izquierda.Ejes mecánicos de 88,3 cm el derecho y 89 cm del izquierdo.Cordialmente lo saluda.DRA. PAOLASSO NOELIA DR. CARMONA MARCELOMédico M.P. 33581 Médico M.P. 32895Esp. Diagnóstico por Imágenes Esp. Diagnóstico por ImágenesC.E. 17409\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/20c80e59996a42ae9582573c8631040d_20250724_151228.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"47582752\",\n            \"study_date\": \"2024-09-09 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"Laboratorio con ANA, ASCA, VH6\",\n            \"report\": \"ANA negativo, ASCA negativo, IgG VH6 (+), vitD 26.8, Zinc 0.69, alb 3.38\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/b290fb4de861466984ef625c9732ddd3_20250724_151228.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"57876498\",\n            \"study_date\": \"2024-10-07 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"Evaluación neurocognitiva\",\n            \"report\": \"Paciente de 4 años con APP de estatus epiléptico y estadía en UTIP en Hospital de Niños de Córdoba, con diagnóstico de epilepsia tratada con levetiracetam. Evaluación neurocognitiva con CI 70 (borderline), disfunción ejecutiva, trastorno de la atención, la conducta y la memoria, trastorno del procesamiento sensorial, conductas de evitación, hipersensorialidad. Valoración pedagógica con discurso y léxico acorde edad pero con evitación del contacto visual. Solicito certificado de discapacidad, e interconsulta con neurología. Pendiente ADOS-2 y ADIR.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/e796020c8e9d42119cccdaebaa840222_20250724_151229.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"49502378\",\n            \"study_date\": \"2024-10-21 00:00:00.000\",\n            \"study_name\": \"TAC DE TORAX SIN CTE.\",\n            \"description\": \"TAC de tórax sin contraste\",\n            \"report\": \"Fibrosis pulmonar, atelectasias, bronquiectasias, patrón en vidrio esmerilado, patrón de mosaico vascular, bullas.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/42c5d57942f8427a9f296cf7547db82f_20250724_151229.jpeg\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"57270911\",\n            \"study_date\": \"2024-11-06 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"ELECTROCARDIOGRAMA PREQUIRÚRGICO\",\n            \"report\": \"Niño con microcefalia por toxoplasmosis congénita. Auscultación cardiopulmonar normal, R1NF, R2 desdoblado fisiológico. TA 90/50 mmHg. APP de CIA+CIV corregidas. ECG trazado normal. ASA 2\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/d99f00720ad74422b1a974f370e72f45_20250724_151230.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"54935715\",\n            \"study_date\": \"2024-05-09 00:00:00.000\",\n            \"study_name\": \"TAC DE MACIZO FACIAL\",\n            \"description\": \"TAC de Senos Paranasales\",\n            \"report\": \"TAC con hipertrofia de cornetes y mucosa de SPN, hipertrofia de A+A\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/312150ba0fad48d79c21cf28ac15de14_20250724_151230.docx\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70370931\",\n            \"study_date\": \"2024-11-12 00:00:00.000\",\n            \"study_name\": \"ECOGRAFIA DE CADERAS\",\n            \"description\": \"ECOGRAFÍA DINÁMICA DE CADERAS SCREENING DISPLACIA CONGÉNITA\",\n            \"report\": \"Eco de caderas normales, cadera derecha ángulo alfa 73º, ángulo beta 35º, cadera izquierda ángulo alfa 67º, ángulo beta 30º.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/0c8d2f97a5ad4b15be424409293bcfa9_20250724_151231.docx\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"57072744\",\n            \"study_date\": \"2024-12-06 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"Evaluación neurocognitiva\",\n            \"report\": \"Trastorno del espectro autista. Trastorno específico del habla y del lenguaje. Trastorno de la conducta. Trastorno generalizado del desarrollo. Hiperkinesia. Impulsividad y ansiedad. Hipersensorialidad.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/56a4f9facd8b41d793bff5b26faf8ae1_20250724_151231.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"55458635\",\n            \"study_date\": \"2024-12-12 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"ELECTROCARDIOGRAMA INFORMADO\",\n            \"report\": \"Trazado normal para la edad. ASA 2.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/227725a42f6d4327b5c5961af097fb10_20250724_151231.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"12799825\",\n            \"study_date\": \"2024-09-13 00:00:00.000\",\n            \"study_name\": \"IRM DE CEREBRO CON CONTRASTE\",\n            \"description\": \"RMN de cerebro secuencia FIESTA\",\n            \"report\": \"Ovillo vascular que comprime ganglio de Gasser de lado izquierdo.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/0128443d34e74b3b8e2ede555229d58f_20250724_151232.docx\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"12799825\",\n            \"study_date\": \"2024-12-02 00:00:00.000\",\n            \"study_name\": \"TAC DE CARA\",\n            \"description\": \"CONE BEAM BOCA COMPLETA\",\n            \"report\": \"Se efectuó Cone Beam con filtro especial, con equipo Siemens Ortophos Plus CD P1, observándose:-Desdentada.-Reabsorción ósea de áreas desdentadas.-Imagen hiperdensa en maxilar inferior derecho zona molares que podría corresponder a condensación ósea sugiero salvo mejor criterio correlacionar con antecedentes clínicos.-Seno maxilar izquierdo parcialmente ocupado.-Ensanchamiento de la membrana sinusal del seno maxilar derecho .-Contenido mineral dentro de las características consideradas como normales.institutoulton.com.arENTREGA DIGITALNº estudio: 692988.13\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/2855718432104f4bbd9f1f53472952ce_20250724_151232.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70471694\",\n            \"study_date\": \"2024-11-17 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"SCREENING METABÓLICO NEONATAL\",\n            \"report\": \"TSH: NormalTRIPSINA: Normal17-OH-PROG: NormalGALATOSA: NormalFENILALANINA: NormalBIOTINIDASA: Normal\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/fada6750c76c49f0b9d5c4dbd4a30b38_20250724_151233.docx\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25237472\",\n            \"study_date\": \"2024-12-09 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"BIOPSIA DE TESTICULO DERECHO\",\n            \"report\": \"Teratoma diferenciado (15% seminoma clásico, 15% carcinoma embrionario, 5% tumor de saco vitelino). Pieza quirúrgica de 11x8x5 cm, 375g, 70% de necrosis. Con infiltración de cordón espermático.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/da2558e808d14f7f9245b6e666c73484_20250724_151233.jpeg\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25237472\",\n            \"study_date\": \"2024-12-09 00:00:00.000\",\n            \"study_name\": \"TAC DE TORAX CON CONTRASTE..\",\n            \"description\": \"TAC DE TÓRAX CON CONTRASTE EV\",\n            \"report\": \"Múltiples imágenes nodulares parenquimatosas, la mayor de 43 mm en lóbulo superior derecho, de tipo metastásicas secundarias.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/5a512b5fbde943d6b58c16bfc63c20fc_20250724_151234.jpeg\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25237472\",\n            \"study_date\": \"2024-12-09 00:00:00.000\",\n            \"study_name\": \"TAC DE ABDOMEN\",\n            \"description\": \"TAC DE ABDOMEN Y PELVIS\",\n            \"report\": \"Hernia inguinal derecha, y hernia umbilical. Imagenes nodulares en región de tronco celíaco. Conglomerado de adenomegalias retroperitoneales, presuntivamente secundarias metastásicas a TU de testículo derecho.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/ba5d0fc99c904f06abbb591b9bb6c2f6_20250724_151234.jpeg\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70291543\",\n            \"study_date\": \"2025-01-06 00:00:00.000\",\n            \"study_name\": \"ECOGRAFIA DE CADERAS\",\n            \"description\": \"ECOGRAFIA DINAMICA DE CADERAS\",\n            \"report\": \"ECOGRAFIA DE CADERATECNICA: Se exploraron comparativamente las estructuras osteo-cartilaginosas ytejidos blandos de ambas articulaciones coxo-femorales, con transductor lineal deAlta Frecuencia variable, de 5-10 MHz.DESCRIPCION:Cabezas femorales de tamaño, morfología y ecoestructura normales. Núcleos deosificación ausentes. Techos acetabulares óseos y rodetes cartilaginosos sin alteraciones significativas.Porcentaje de cobertura mayor al 75%.No se objetivaron signos de eversión del lábrum. El examen dinámico no reveló desplazamientos anormales de las cabezasfemorales.CONCLUSION:Examen normal, sin evidencias de displasia.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/84bc20ff429840018ad7430fbbbea98c_20250724_151234.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"39789651\",\n            \"study_date\": \"2025-01-13 00:00:00.000\",\n            \"study_name\": \"RX DE TORAX FRENTE\",\n            \"description\": \"Rx de tórax Frente y Oblicuo Anterior Izquierdo\",\n            \"report\": \"Radiografía de tórax normal\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/e9a9d57c36464d4ca169941bbb304727_20250724_151235.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"6442037\",\n            \"study_date\": \"2025-01-27 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"Panortotomografía de macizo facial\",\n            \"report\": \"Neuralgia del trigémino. No se observan lesiones oseas como causa directa de neuralgia trigeminal derecha rama media.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/6fb49a0b261d4e0f96ca586863d86035_20250724_151236.jpg\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"50520941\",\n            \"study_date\": \"2025-02-25 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"Informe de intervención por desarrollo social\",\n            \"report\": \"Resumen de la Situación:Se comunica que Noelia Caro continúa viviendo en el hospital municipal después de agotar todas las instancias familiares y comunitarias.Intervenciones Realizadas:1. Coordinación con la UDER: Se ha trabajado en colaboración con la UDER para garantizar la atención integral de Noelia.2. Acompañamiento terapéutico: Un equipo de acompañantes terapéuticos voluntarios ha estado conteniendo y acompañando a Noelia durante su estadía en el hospital.3. Reinvinculación familiar: Se ha iniciado un proceso de reinvinculación familiar con el objetivo de que Noelia pueda volver a vivir con su familia.4. Comunicación con la escuela especial Dr. Arturo Barbero: Se ha realizado comunicación con la escuela para informar la situación y se ha acordado inscribir a Noelia y que asista hasta que se solucione su situación actual.Seguimiento:1. Continuar con el acompañamiento terapéutico y la contención emocional de Noelia.2. Monitorear el proceso de reinvinculación familiar y brindar apoyo necesario.3. Coordinar con la UDER y otros actores relevantes para garantizar la atención integral de Noelia.\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/a5e4050fe9a644698116eceaddb0a155_20250724_151236.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"6673081\",\n            \"study_date\": \"2025-03-08 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"ECG postmortem\",\n            \"report\": \"Trazado plano luego de retirado marcapasos implantado, se constata fallecimiento\",\n            \"professional_solicite\": \"Rios Carignano Jonathan\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/09f415095edd4a0cb4596226f9a0be8a_20250724_151236.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"53099495\",\n            \"study_date\": \"2025-03-18 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"Evaluación psicológica\",\n            \"report\": \"Diagnóstico no definido, continúa bajo estudio. 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\"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25045484\",\n            \"study_date\": \"2024-02-28 00:00:00.000\",\n            \"study_name\": \"TAC DE CUELLO\",\n            \"description\": \"cuello\",\n            \"report\": \"cuello\",\n            \"professional_solicite\": \"PROFESIONAL DE PRUEBA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/6447a1b9a4ec4407940ce90c94090965_20250724_151239.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25045484\",\n            \"study_date\": \"2024-02-28 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bordes mal definidos en lóbulo medio de pulmón derecho que se extiende hasta pleura, con enfisema subcutáneo en tejidos blandos de lado derecho y base del cuello ipsilateral.\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/273d5a66e1d0466398c1ee545b19d0e8_20250728_112909.jpeg\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"11705116\",\n            \"study_date\": \"2024-05-15 00:00:00.000\",\n            \"study_name\": \"IRM DE CEREBRO\",\n            \"description\": \"Patológico secundario\",\n            \"report\": \"A nivel de la fosa posterior el 4to. ventrículo levemente amplio, de morfología conservada.Aspecto morfológico normal del bulbo y protuberancia.Aspecto normal de las cisternas prebulbar, prepontina y del ángulo pontocerebeloso.No se evidencian alteraciones en la intensidad de señal de ambos hemisferios cerebelosos,como así tampoco del vermis superior e inferior.Acentuado edema vasogénico en proyección frontoparietal derecha destacandose lesiónpseudonodular hiperintensa en T2-FLAIR, de paredes engrosadas y levemente irregulares enforma difusa, presentando área central con señal de aspecto quístico, presentando dichalesión diametros mayores aproximados de 22x14mm, que en contexto clínico, sugiereconsiderar secundarismo.Pequeñas alteraciones focales hiperintensas en T2-FLAIR en sustancia blanca supratentorial,inespecifica, sugestiva de gliosis, de aspecto secuelar-microangiopatico.Sistemas arteriales vértebro basilar y carotídeos permeables.\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/6cc8b45142634a88b77ee99298e018ce_20250728_112911.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"55082491\",\n            \"study_date\": \"2024-06-11 00:00:00.000\",\n            \"study_name\": \"IRM DE CEREBRO\",\n            \"description\": \"Normal\",\n            \"report\": \"Nombre: TABORDA ANGELESSolicitante:GARRUDO PABLO ANDRESEquipo:RMN #2Anatomias:RM: CerebroNOMBRE: TABORDA ANGELES DNI-HC:FECHA: 31-01-2024RMN DE CEREBRO:Se realizó examen por RMN del ENCEFALO, utilizando secuencias T1, T2 y FLAIR en diferentes planos. Se completa con técnica de difusión.Informe:A nivel INFRATENTORIAL:El cuarto ventrículo y los espacios aracnoideos basales se visualizan de morfología y topografía normal.No se identifican anomalías netas de la señal a nivel de tejido nervioso infratentorial.Velamiento parcial por líquido en celdillas mastoideas del peñasco del lado derecho.Presencia de megacisterna magna.A nivel SUPRATENTORIAL:No hay desplazamientos de las estructuras de la línea media.El sistema ventricular supratentorial es de forma, tamaño y situación normal.No se visualizan anomalías netas en la intensidad de la señal del tejido nervioso supratentorial.Surcos corticales de características normales.DR. BERTONA CARLOS DRA. MENDOZA LUCIANAM.P. 20793 M.E. 7221 M.P. 35326 M.E. 17114\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/c09e387ea6c24cfe9eb824874109da3d_20250728_112911.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"58150207\",\n            \"study_date\": \"2024-07-10 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"CENTELLOGRAMA RENAL CON DMSA\",\n            \"report\": \"Riñón izquierdo centellográficamente normal. Riñón derecho con probable doble sistema e hipofunción difusa de la mitad inferior, con cicatrices parenquimatosas mesorrenales y polar inferior. Masa tubular funcionante relativa: 46% para el riñón derecho y 54%para el riñón izquierdo.\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/f4d186a60c2e45a2b4885f419a0b93ac_20250728_112911.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"20790273\",\n            \"study_date\": \"2024-08-16 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"RESUMEN DE HISTORIA CLÍNICA PREVIA\",\n            \"report\": \"Meningitis, ACV, B24x\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/fb5f01672c0242d3aed89d89d98e0593_20250728_112912.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"49324137\",\n            \"study_date\": \"2024-08-20 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"Telemetría de miembros inferiores\",\n            \"report\": \"PRESTACIÓN: Telemetría de miembros inferiores con espinografo.INFORME:Sin alteraciones osteoarticulares evidenciables por este método.Los fémures midieron, desde la cabeza femoral hasta el extremo distal de cóndilo interno, 50,4 cm el derecho y 50,5 cm el izquierdo.Ambas tibias midieron en sentido longitudinal, desde las tangentes a la superficie articular de los platillos tibiales hasta la epífisis distal, 38,1 cm la derecha y 38,3 cm la izquierda.Ejes mecánicos de 88,3 cm el derecho y 89 cm del izquierdo.Cordialmente lo saluda.DRA. PAOLASSO NOELIA DR. CARMONA MARCELOMédico M.P. 33581 Médico M.P. 32895Esp. Diagnóstico por Imágenes Esp. Diagnóstico por ImágenesC.E. 17409\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/a2beed4d3acb41c39e13918617be0fea_20250728_112913.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"47582752\",\n            \"study_date\": \"2024-09-09 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"Laboratorio con ANA, ASCA, VH6\",\n            \"report\": \"ANA negativo, ASCA negativo, IgG VH6 (+), vitD 26.8, Zinc 0.69, alb 3.38\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/15a2af537a664610ad3ec35c8204ced7_20250728_112914.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"57876498\",\n            \"study_date\": \"2024-10-07 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"Evaluación neurocognitiva\",\n            \"report\": \"Paciente de 4 años con APP de estatus epiléptico y estadía en UTIP en Hospital de Niños de Córdoba, con diagnóstico de epilepsia tratada con levetiracetam. Evaluación neurocognitiva con CI 70 (borderline), disfunción ejecutiva, trastorno de la atención, la conducta y la memoria, trastorno del procesamiento sensorial, conductas de evitación, hipersensorialidad. Valoración pedagógica con discurso y léxico acorde edad pero con evitación del contacto visual. Solicito certificado de discapacidad, e interconsulta con neurología. Pendiente ADOS-2 y ADIR.\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/4f4593b28fc443b1b47f776ca67d8842_20250728_112914.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"49502378\",\n            \"study_date\": \"2024-10-21 00:00:00.000\",\n            \"study_name\": \"TAC DE TORAX SIN CTE.\",\n            \"description\": \"TAC de tórax sin contraste\",\n            \"report\": \"Fibrosis pulmonar, atelectasias, bronquiectasias, patrón en vidrio esmerilado, patrón de mosaico vascular, bullas.\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/1cec6caaeb1541c09a2d79365dedc0c2_20250728_112915.jpeg\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"57270911\",\n            \"study_date\": \"2024-11-06 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"ELECTROCARDIOGRAMA PREQUIRÚRGICO\",\n            \"report\": \"Niño con microcefalia por toxoplasmosis congénita. Auscultación cardiopulmonar normal, R1NF, R2 desdoblado fisiológico. TA 90/50 mmHg. APP de CIA+CIV corregidas. ECG trazado normal. ASA 2\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/2c4e3769c1f44ba7ad3b41df280e9836_20250728_112915.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"54935715\",\n            \"study_date\": \"2024-05-09 00:00:00.000\",\n            \"study_name\": \"TAC DE MACIZO FACIAL\",\n            \"description\": \"TAC de Senos Paranasales\",\n            \"report\": \"TAC con hipertrofia de cornetes y mucosa de SPN, hipertrofia de A+A\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/b623edc985fa4f54ace5a7daab820ad7_20250728_112916.docx\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70370931\",\n            \"study_date\": \"2024-11-12 00:00:00.000\",\n            \"study_name\": \"ECOGRAFIA DE CADERAS\",\n            \"description\": \"ECOGRAFÍA DINÁMICA DE CADERAS SCREENING DISPLACIA CONGÉNITA\",\n            \"report\": \"Eco de caderas normales, cadera derecha ángulo alfa 73º, ángulo beta 35º, cadera izquierda ángulo alfa 67º, ángulo beta 30º.\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/dabf502cb5ee424cbef2e80b2bf5a611_20250728_112916.docx\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"57072744\",\n            \"study_date\": \"2024-12-06 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"Evaluación neurocognitiva\",\n            \"report\": \"Trastorno del espectro autista. Trastorno específico del habla y del lenguaje. Trastorno de la conducta. Trastorno generalizado del desarrollo. Hiperkinesia. Impulsividad y ansiedad. Hipersensorialidad.\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/b32136e9522f4092b560f7068f0aaf51_20250728_112916.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"55458635\",\n            \"study_date\": \"2024-12-12 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"ELECTROCARDIOGRAMA INFORMADO\",\n            \"report\": \"Trazado normal para la edad. ASA 2.\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/e7a46d5e360b481bbf90791daecb7d12_20250728_112917.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"12799825\",\n            \"study_date\": \"2024-09-13 00:00:00.000\",\n            \"study_name\": \"IRM DE CEREBRO CON CONTRASTE\",\n            \"description\": \"RMN de cerebro secuencia FIESTA\",\n            \"report\": \"Ovillo vascular que comprime ganglio de Gasser de lado izquierdo.\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/b1933c75cf1e4e428bb905793cf17598_20250728_112917.docx\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"12799825\",\n            \"study_date\": \"2024-12-02 00:00:00.000\",\n            \"study_name\": \"TAC DE CARA\",\n            \"description\": \"CONE BEAM BOCA COMPLETA\",\n            \"report\": \"Se efectuó Cone Beam con filtro especial, con equipo Siemens Ortophos Plus CD P1, observándose:-Desdentada.-Reabsorción ósea de áreas desdentadas.-Imagen hiperdensa en maxilar inferior derecho zona molares que podría corresponder a condensación ósea sugiero salvo mejor criterio correlacionar con antecedentes clínicos.-Seno maxilar izquierdo parcialmente ocupado.-Ensanchamiento de la membrana sinusal del seno maxilar derecho .-Contenido mineral dentro de las características consideradas como normales.institutoulton.com.arENTREGA DIGITALNº estudio: 692988.13\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/216da289f56e4a6ebb9c442bcff95e98_20250728_112918.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70471694\",\n            \"study_date\": \"2024-11-17 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"SCREENING METABÓLICO NEONATAL\",\n            \"report\": \"TSH: NormalTRIPSINA: Normal17-OH-PROG: NormalGALATOSA: NormalFENILALANINA: NormalBIOTINIDASA: Normal\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/64b11b257dc64dafa406ab895046e048_20250728_112918.docx\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25237472\",\n            \"study_date\": \"2024-12-09 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"BIOPSIA DE TESTICULO DERECHO\",\n            \"report\": \"Teratoma diferenciado (15% seminoma clásico, 15% carcinoma embrionario, 5% tumor de saco vitelino). Pieza quirúrgica de 11x8x5 cm, 375g, 70% de necrosis. Con infiltración de cordón espermático.\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/6543455356cb4e1095ffbca22f9a8e78_20250728_112919.jpeg\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25237472\",\n            \"study_date\": \"2024-12-09 00:00:00.000\",\n            \"study_name\": \"TAC DE TORAX CON CONTRASTE..\",\n            \"description\": \"TAC DE TÓRAX CON CONTRASTE EV\",\n            \"report\": \"Múltiples imágenes nodulares parenquimatosas, la mayor de 43 mm en lóbulo superior derecho, de tipo metastásicas secundarias.\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/7601b7434cd245a79a85db000fea0600_20250728_112919.jpeg\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25237472\",\n            \"study_date\": \"2024-12-09 00:00:00.000\",\n            \"study_name\": \"TAC DE ABDOMEN\",\n            \"description\": \"TAC DE ABDOMEN Y PELVIS\",\n            \"report\": \"Hernia inguinal derecha, y hernia umbilical. Imagenes nodulares en región de tronco celíaco. Conglomerado de adenomegalias retroperitoneales, presuntivamente secundarias metastásicas a TU de testículo derecho.\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/c3f8a43206f24d40b409052941e4e724_20250728_112919.jpeg\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70291543\",\n            \"study_date\": \"2025-01-06 00:00:00.000\",\n            \"study_name\": \"ECOGRAFIA DE CADERAS\",\n            \"description\": \"ECOGRAFIA DINAMICA DE CADERAS\",\n            \"report\": \"ECOGRAFIA DE CADERATECNICA: Se exploraron comparativamente las estructuras osteo-cartilaginosas ytejidos blandos de ambas articulaciones coxo-femorales, con transductor lineal deAlta Frecuencia variable, de 5-10 MHz.DESCRIPCION:Cabezas femorales de tamaño, morfología y ecoestructura normales. Núcleos deosificación ausentes. Techos acetabulares óseos y rodetes cartilaginosos sin alteraciones significativas.Porcentaje de cobertura mayor al 75%.No se objetivaron signos de eversión del lábrum. El examen dinámico no reveló desplazamientos anormales de las cabezasfemorales.CONCLUSION:Examen normal, sin evidencias de displasia.\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/d5cd52e4bf64486cbb34b08d963702d8_20250728_112920.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"39789651\",\n            \"study_date\": \"2025-01-13 00:00:00.000\",\n            \"study_name\": \"RX DE TORAX FRENTE\",\n            \"description\": \"Rx de tórax Frente y Oblicuo Anterior Izquierdo\",\n            \"report\": \"Radiografía de tórax normal\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/9818d86016904031b0864e4fd9e452ea_20250728_112920.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"6442037\",\n            \"study_date\": \"2025-01-27 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"Panortotomografía de macizo facial\",\n            \"report\": \"Neuralgia del trigémino. No se observan lesiones oseas como causa directa de neuralgia trigeminal derecha rama media.\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/38b41d9d40674536a32e218b28d56a89_20250728_112921.jpg\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"50520941\",\n            \"study_date\": \"2025-02-25 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"Informe de intervención por desarrollo social\",\n            \"report\": \"Resumen de la Situación:Se comunica que Noelia Caro continúa viviendo en el hospital municipal después de agotar todas las instancias familiares y comunitarias.Intervenciones Realizadas:1. Coordinación con la UDER: Se ha trabajado en colaboración con la UDER para garantizar la atención integral de Noelia.2. Acompañamiento terapéutico: Un equipo de acompañantes terapéuticos voluntarios ha estado conteniendo y acompañando a Noelia durante su estadía en el hospital.3. Reinvinculación familiar: Se ha iniciado un proceso de reinvinculación familiar con el objetivo de que Noelia pueda volver a vivir con su familia.4. Comunicación con la escuela especial Dr. Arturo Barbero: Se ha realizado comunicación con la escuela para informar la situación y se ha acordado inscribir a Noelia y que asista hasta que se solucione su situación actual.Seguimiento:1. Continuar con el acompañamiento terapéutico y la contención emocional de Noelia.2. Monitorear el proceso de reinvinculación familiar y brindar apoyo necesario.3. Coordinar con la UDER y otros actores relevantes para garantizar la atención integral de Noelia.\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/91a43ef1bb0b412b9ae065552b219f20_20250728_112921.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"6673081\",\n            \"study_date\": \"2025-03-08 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"ECG postmortem\",\n            \"report\": \"Trazado plano luego de retirado marcapasos implantado, se constata fallecimiento\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/f1e2db51be6e48cfa1996919d6caa936_20250728_112922.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"53099495\",\n            \"study_date\": \"2025-03-18 00:00:00.000\",\n            \"study_name\": \"nan\",\n            \"description\": \"Evaluación psicológica\",\n            \"report\": \"Diagnóstico no definido, continúa bajo estudio. Presenta alucinaciones visuales, auditivas y kinestésicas, con trastornos del aprendizaje, la conducta alimentaria, irritabilidad y abulia.\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"Rios Carignano Jonathan\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/4eb2be111d08445d80b72ec3486be282_20250728_112922.jpeg\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25045484\",\n            \"study_date\": \"2024-02-23 00:00:00.000\",\n            \"study_name\": \"TAC DE HOMBRO\",\n            \"description\": \"descc\",\n            \"report\": \"diagg\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"PROFESIONAL DE PRUEBA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/acf95c0ad3d2461c84e98658fa032db9_20250728_112923.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25045484\",\n            \"study_date\": \"2024-02-23 00:00:00.000\",\n            \"study_name\": \"RX DE FEMUR\",\n            \"description\": \"rx\",\n            \"report\": \"rx\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"PROFESIONAL DE PRUEBA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/3d513a01452649a38c6fa887cf7f197c_20250728_112923.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25045484\",\n            \"study_date\": \"2024-02-28 00:00:00.000\",\n            \"study_name\": \"ECOGRAFIA DE MIEMBROS\",\n            \"description\": \"ttt\",\n            \"report\": \"ttt\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"PROFESIONAL DE PRUEBA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/fcdc83415b61494993db2a8d3006028e_20250728_112924.pdf\",\n            \"municipality\": \"La Francia\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25045484\",\n            \"study_date\": \"2024-02-28 00:00:00.000\",\n            \"study_name\": \"RX DE CODO FRENTE Y PERFIL\",\n            \"description\": \"oooooo\",\n            \"report\": \"oooooo\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"PROFESIONAL DE PRUEBA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-la-francia/04094326b6ed4d47ad202e1d1eba66d1_20250728_112924.pdf\",\n            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Vasos ok, cruces AV conservados.DX: Fondo de ojos normal.Fecha: 12/12/2024                                              Latino, Santiago                                                                               Oftalmología                                                                                  MP: 31520/5\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/92e6346aed304754907e44b418c63f85_20251022_115453.png\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"22384002\",\n            \"study_date\": \"2024-12-16 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"INFORME OFTALMOLÓGICOAPELLIDO y NOMBRE: Gutierrez, VivianaDNI: 22.384.002FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal. 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Vasos tortuosos.DX: Retinopatia DBT no proliferativa severa. 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Vasos ok, cruces AV conservados.DX: Fondo de ojos normal.Fecha: 12/12/2024                                              Latino, Santiago                                                                               Oftalmología                                                                                  MP: 31520/5\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/53819585e6114da9acc7ace73664b98c_20251022_115454.png\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"31062497\",\n            \"study_date\": \"2024-12-16 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"INFORME OFTALMOLÓGICOAPELLIDO y NOMBRE: Reina, LeonorDNI: 31.062.497FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal. Vasos ok, cruces AV conservados.DX: Fondo de ojos normal.Fecha: 12/12/2024                                              Latino, Santiago                                                                               Oftalmología                                                                                  MP: 31520/5\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/74a9d362a23140acaf9c25cceb9c2225_20251022_115455.png\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"27795434\",\n            \"study_date\": \"2024-12-16 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"INFORME OFTALMOLÓGICOAPELLIDO y NOMBRE: Sarmiento, FlorenciaDNI: 27.795.434 FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal. Vasos ok, cruces AV conservados.DX: Fondo de ojos normal.Fecha: 12/12/2024                                              Latino, Santiago                                                                               Oftalmología                                                                                  MP: 31520/5\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/fd8488a7e82242d8bc3440b019976251_20251022_115456.png\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"23503091\",\n            \"study_date\": \"2024-12-16 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"INFORME OFTALMOLÓGICOAPELLIDO y NOMBRE: Pereyra, Maria AlejandraDNI: 23.503.091FONDO DE OJOS: Nervios ópticos de bordes netos, colorrosado, excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloraciónnormal.Vasos ok, cruces AV conservados.DX: Fondo de ojos normal.Fecha: 12/12/2024 Latino, SantiagoOftalmologíaMP: 31520/5\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/5282f136548c43d498b15d14d85d5c52_20251022_115456.png\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"16465132\",\n            \"study_date\": \"2024-12-16 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"INFORME OFTALMOLÓGICOAPELLIDO y NOMBRE: Pascasio, CeliaDNI: 16.465.132FONDO DE OJOS: Nervios ópticos de bordes netos, colorrosado, excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloraciónnormal.Vasos ok, cruces AV conservados.DX: Fondo de ojos normal.Fecha: 12/12/2024 Latino, SantiagoOftalmologíaMP: 31520/5\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/bde8d2b891f34351a5af0d7049a517e6_20251022_115456.docx\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"12189541\",\n            \"study_date\": \"2024-10-03 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"nervios ópticos de bordes netos, color rosado, excavación fisiológicaMaculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal. Zonas de atrofia corioretinal (posible miopía elevada).Vasos ok, cruces AV conservados\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/96ad3726bdfc44e6a7ad4e16ae7fe214_20251022_115457.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"23497548\",\n            \"study_date\": \"2024-10-03 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"fondo de ojos: Nervios ópticos de bordes color rosado, excavacion fisiologicaMáculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloracion normalVasos ok, cruceas AV conservados Dx: Fondo de ojos normal3/10/24\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/74ab5db2eb1c4544a12da6e41810033e_20251022_115457.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"24617999\",\n            \"study_date\": \"2024-10-03 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"fondo de ojos: Nervios ópticos de bordes netos con atrofia peri papilar color rosado, excavación fisiológicaMáculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal con zonas de atrofia corioretinalVasos ok, cruceas AV conservados Dx: Fondo de ojos normal compatible con miopía elevada3/10/24\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/ede33f455cce4e028cd2725a65cd2333_20251022_115458.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"16575058\",\n            \"study_date\": \"2024-10-10 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"fondo de ojos: Nervios ópticos de bordes color rosado, excavación fisiológicaMáculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normalVasos ok, cruces AV conservados Dx: Fondo de ojos normal3/10/24\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/e1ccdd65b66a46fca194009a62d6f546_20251022_115458.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"27545286\",\n            \"study_date\": \"2024-10-03 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"fondo de ojos: Nervios ópticos de bordes color rosado, excavación fisiológicaMáculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal. 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          \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"BERTOLINO SANDRO23835355NERVIOS OPTICOS DE BORDES, COLOR ROSADO, EXCAVACION FISIOLOGICAMACULAS LIBRES, REFLEJO FOVEOLAR +RETINA APLICADA, SIN HEMORRAGIAS, SIN EXUDADOS, COLORACION NORMAL.VASOS OK, CRUCES AV CONSERVADOSDX: FONDO DE OJOS NORMAL\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/7aec51612aca443f85e5360f0382286c_20251022_115501.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"14119851\",\n            \"study_date\": 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    \"study_date\": \"2024-11-20 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"MORENO ALMA70222725NERVIOS OPTICOS DE BORDES, COLOR ROSADO EXCAVACIÓN FISIOLOGICAMACULAS LIBRES, REFLEJO FOVEOLAR +RETINA APLICADA, SIN HEMORRAGIAS, SIN EXUDADOS, COLOFRACION NORMALVASOS OK, CRUCES AV CONSERVADOSDX: DENTRO DE LOS LIMITES NORMALES20/11/24 DR ALFREDO AYASSA\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/ff06ca1e773e40ff9d3def1207678255_20251022_115503.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"33045688\",\n            \"study_date\": \"2024-12-02 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"BOCALON, MARCOS33045688NERVIOS OPTICOS DE BORDES, COLOR ROSADO, EXCAVACIÓN FISIOLOGICAMACULAS LIBRES, REFLEJO FOVEOLAR +RETINA APLICADA, HEMORRAGIAS AISLADAS EN UN CUADRANT, SIN EXUDADOS, COLORACIÓN NORMALVASOS OK, CRUCES AV CONSERVADOS.DX: RETINOPATIA DBT NO PROLIFERATIVA LEVE20/11/24ALFREDO AYASSA\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/ae288bc57eb34ef7abac1ba2159d939b_20251022_115503.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"21693863\",\n            \"study_date\": \"2024-11-27 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"INFORME OFTALMOLÓGICOAPELLIDO y NOMBRE: Torres, MarcelaDNI: 21.693.863FONDO DE OJOS: Nervios ópticos de bordes, color rosado,excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloraciónnormal.Vasos ok, cruces AV conservados.DX: Fondo de ojos normal.Fecha: 14/11/2024 Latino, Santiago\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": 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31520/5\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/58a5d6af5eb948aaa68ac20813a1b2ca_20251022_115504.png\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"31608649\",\n            \"study_date\": \"2024-11-14 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"INFORME OFTALMOLÓGICOAPELLIDO y NOMBRE: Celayes, SusanaDNI: 31.606.649FONDO DE OJOS: Nervios ópticos de bordes, color rosado,excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloraciónnormal.Vasos ok, cruces AV conservados.DX: Fondo de ojos normal.Fecha: 14/11/2024 Latino, SantiagoOftalmologíaMP: 31520/5\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/2dbb3ada7a9847b8b4e7492ad2718c1a_20251022_115505.png\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"18526074\",\n            \"study_date\": \"2024-11-14 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"INFORME OFTALMOLÓGICOAPELLIDO y NOMBRE: Gonzalez, 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31520/5\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/20898903d04c4c7d9a632fcc72ecb454_20251022_115507.png\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"23295332\",\n            \"study_date\": \"2024-11-14 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"INFORME OFTALMOLÓGICOAPELLIDO y NOMBRE: Corpus, MariaDNI: 23.295.332FONDO DE OJOS: Nervios ópticos de bordes, color rosado,excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloraciónnormal.Vasos ok, cruces AV conservados.DX: Fondo de ojos normal.Fecha: 14/11/2024 Latino, SantiagoOftalmologíaMP: 31520/5\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/3fc94cb518b44a108bbc4944014a5423_20251022_115507.png\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"22893227\",\n            \"study_date\": \"2024-11-14 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"INFORME OFTALMOLÓGICOAPELLIDO y NOMBRE: Odelli, 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reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: Fondo de ojos normal.9/10/2024  Dr Ayassa Alfredo mp 298169/9\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/d4ad853be3814be194839a77b6796c89_20251022_115514.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70469434\",\n            \"study_date\": \"2024-10-09 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"DNI:70469434FONDO DE OJOS: Nervios ópticos  de bordes color rosado,excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: Fondo de ojos normal.9/10/2024  Dr Ayassa Alfredo mp 298169/9\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/ea0177da0d574202bbfc3f059e3a1eb8_20251022_115515.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"22078726\",\n            \"study_date\": \"2024-10-09 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"DNI:22078726FONDO DE OJOS: Nervios ópticos  de bordes color rosado,excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: Fondo de ojos normal.9/10/2024  Dr Ayassa Alfredo mp 298169/9\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/9e39970eeb804971a5a49510ca16efad_20251022_115517.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"30006587\",\n            \"study_date\": \"2024-10-09 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"DNI:30006587FONDO DE OJOS: Nervios ópticos  de bordes color rosado,excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: Fondo de ojos normal.9/10/2024  Dr Ayassa Alfredo mp 298169/9\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/cd9aec6983ec438b985dc8effcae96e9_20251022_115518.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"22041857\",\n            \"study_date\": \"2024-10-09 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"DNI:22041857FONDO DE OJOS: Nervios ópticos  de bordes color rosado,excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: Fondo de ojos normal.9/10/2024  Dr Ayassa Alfredo mp 298169/9\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/9113c76b29394a07beb900c14e7335a5_20251022_115519.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25347537\",\n            \"study_date\": \"2024-10-09 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"DNI:25347537FONDO DE OJOS: Nervios ópticos  de bordes color rosado,excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: Fondo de ojos normal.9/10/2024  Dr Ayassa Alfredo mp 298169/9\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": 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      \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/b1361c9e3bc74aeb911abd415ca87961_20251022_115529.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"40677739\",\n            \"study_date\": \"2024-08-19 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"INFORME OFTALMOLOGICODNI: 40677739FONDO DE OJOSnervios ópticos de bordes netos, color rosado, excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservadosDX: Fondo de ojos normalfecha: 8/8/24  Dr. Latino Santiago mp 31520\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/f450dcd8f0c84d27aab537fe01971a06_20251022_115530.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"16180549\",\n            \"study_date\": \"2024-06-22 16:01:08.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"NOMBRE Y APELLIDO: FERREYRA  MONICA DNI:16180549FONDO DE OJOS:Nervios ópticos de bordes netos, color rosado, excavación fisiología.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal. Nevus cercano a arcda temporal inferior 2DD ojo derecho.Vasos ok, cruces AV conservados.Dx: Fondo de ojos normal25/7/24 Dr Latino\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/95064fd8955f4ebc9d662279e3bc6cd7_20251022_115530.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"11395584\",\n            \"study_date\": \"2024-07-17 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"INFORME OFTALMOLOGICO:Apellido y Nombre: CASTRO ROBERTOFondo de ojosNervios ópticos de bordes netos, color rosado, excavación fisiológicaMaculas libres, reflejo foveolar +Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: Fondo de ojos normalDr. Latino Santiago mp31520\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/16c082b6157e41fcb478f2f09f5c4148_20251022_115531.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"16981928\",\n            \"study_date\": \"2024-07-11 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"INFORME OFTALMOLOGICO:Apellido y Nombre: Reina JorgeFondo de ojosNervios ópticos de bordes netos, color rosado, excavación fisiológicaMaculas libres, reflejo foveolar +Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: Fondo de ojos normalDr. Latino Santiago mp31520\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/e6d4fc880c2e453ea44c76e7cbb245a1_20251022_115531.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"28626340\",\n            \"study_date\": \"2024-07-04 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"fondo de ojos: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Máculas libres, reflejo foveolar +. 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          \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/15df9a998c864ff09a41ecf1fed107af_20251022_115552.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"21995776\",\n            \"study_date\": \"2024-07-26 07:13:01.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"INFORME OFTALMOLOGICODNI: 21995776FONDO DE OJOSnervios ópticos de bordes netos, color rosado, excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservadosDX: Fondo de ojos normalfecha: 8/8/24  Dr. Latino Santiago mp 31520\",\n            \"professional_solicite\": \"OCAMPO MARTIN EZEQUIEL\",\n     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normalfecha: 8/8/24  Dr. Latino Santiago mp 31520\",\n            \"professional_solicite\": \"OCAMPO MARTIN EZEQUIEL\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/446476d68c3c443d844a7d4fb924a95f_20251022_115555.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"26129158\",\n            \"study_date\": \"2024-07-26 07:13:01.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"INFORME OFTALMOLOGICODN: 26129158FONDO DE OJOSnervios ópticos de bordes netos, color rosado, excavación fisiológica.Máculas libres, reflejo 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\"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/fc2e160745eb42a79a87fb88e77eb9a9_20251022_115607.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"13015560\",\n            \"study_date\": \"2024-03-25 07:17:35.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"fondo de ojosnervios ópticos de bordes netos, color rosado, excavación fisiologica.Máculas libres, reflejo foveolar +Retina aplicada, sin hemorragias, sin exudados, coloracion normalVasos ok, cruces AV conservados.DX: fondo de ojos normal27/06/2024 Dr Latino\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/17850d09af8c419e9756dae1bb3114e5_20251022_115607.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"22068521\",\n            \"study_date\": \"2024-03-25 07:17:35.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"fondo de ojosnervios ópticos de bordes netos, color rosado, excavación fisiologica.Máculas libres, reflejo foveolar +Retina aplicada, sin hemorragias, sin exudados, coloracion normalVasos ok, cruces AV conservados.DX: fondo de ojos normal27/06/2024 Dr 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\"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/909280670a374568be454c3e58aff660_20251022_115611.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"16982101\",\n            \"study_date\": \"2024-05-23 06:38:40.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"Informe oftalmológico: APELLIDO Y NOMBRE: VILLARROEL, JORGEDNI: 16982101FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservadosDX. fondo de ojos normalFecha:16/06/2024 Dr SANTIAGO LATINO\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/80dafd7a2e35451281984040012e2e0a_20251022_115612.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"13205794\",\n            \"study_date\": \"2024-04-17 06:38:45.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"Informe oftalmológico: APELLIDO Y NOMBRE: GIMENEZ, MARIODNI: 13205794FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservadosDX. fondo de ojos normalFecha:16/06/2024 Dr SANTIAGO LATINO\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/2c98c941070047abb0078d8e754efe67_20251022_115612.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25532395\",\n            \"study_date\": \"2024-04-17 06:38:45.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"Informe oftalmológico: APELLIDO Y NOMBRE: ONTIVERO, CAMILADNI: 25532395FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservadosDX. fondo de ojos normalFecha:16/06/2024 Dr SANTIAGO LATINO\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/5404a7bdf4864883841e942f4f117f09_20251022_115612.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"16053158\",\n            \"study_date\": \"2024-04-15 06:48:21.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"INFORME OFTALMOLÓGICO:APELLIDO Y NOMBRE: MOSCHINI, MARCELA DNI: 16053158FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiologica.Maculas libres, reflejo foveolar +Retina aplicada, sin hemorragia puntiforme en ojo izquierdo en retina periferica,sin exudados, coloración normal.Vasos ok, cruses AV conservados.DX: RP DBT no proliferada leveFecha: 04/04/24               Dr. Santiago Latino\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/9c821a718a0c4ab5a59d86e87fad0db3_20251022_115613.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"17371340\",\n            \"study_date\": \"2024-12-13 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": null,\n            \"report\": \"INFORME OFTALMOLÓGICOAPELLIDO y NOMBRE: Arenas, AdrianDNI: 17.371.340FONDO DE OJOS: Nervios ópticos de bordes netos, coloralgo pálido, excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloraciónnormal.Vasos ok, cruces AV conservados.DX: Fondo de ojos normal.Fecha: 12/12/2024 Latino, SantiagoOftalmologíaMP: 31520/5\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"RICCA NICOLAS\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/d5150fa8274d49538192249fe504b9a8_20251022_115613.png\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25045205\",\n            \"study_date\": \"2024-07-16 07:02:57.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"PAP Y COLPOSCOPIA\",\n            \"report\": \"INFORME OFTALMOLOGICO:Apellido y Nombre: DE LIMA SARAFondo de ojosNervios ópticos de bordes netos, color rosado, excavación fisiológicaMaculas libres, reflejo foveolar +Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: Fondo de ojos normalDr. Latino Santiago mp31520\",\n            \"professional_solicite\": \"REARTES CELESTE\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/df867f79f436489e9d55e4593fe8e84b_20251022_115614.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"20667334\",\n            \"study_date\": \"2024-07-17 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLOGICO:Apellido y Nombre: Silva Orellano SilviaFondo de ojosNervios ópticos de bordes netos, color rosado, excavación fisiológicaMaculas libres, reflejo foveolar +Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: Fondo de ojos normalDr. Latino Santiago mp31520\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/43926ecea3e4460287e0fec637d72d88_20251022_115614.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"95096017\",\n            \"study_date\": \"2024-04-08 14:19:46.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLOGICO:Apellido y Nombre: LOPEZ HERNANDEZ MINERVAFondo de ojosNervios ópticos de bordes netos, color rosado, excavación fisiológicaMaculas libres, reflejo foveolar +Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: Fondo de ojos normalDr. Latino Santiago mp31520\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/208fb416ad7b4c0b83fcfb03df219aed_20251022_115615.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"31601384\",\n            \"study_date\": \"2024-07-17 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLOGICO:Apellido y Nombre: Lopez MiguelFondo de ojosNervios ópticos de bordes netos, color rosado, excavación fisiológicaMaculas libres, reflejo foveolar +Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: Fondo de ojos normalDr. Latino Santiago mp31520\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/583b55f18c254d8685146800ad49adab_20251022_115615.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"22078673\",\n            \"study_date\": \"2024-07-04 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"fondo de ojos, nervios ópticos de bordes netos, color rosado, excavación fisiologíca.Máculas libres, reflejo foveolar+Retina aplicada, hemorragias aisladas en 2/4, sin exudados, coloración normalVasos ok, cruses conservadosDx: RP DBT no proliferativa leve/moderada\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/910230e8924c4b008817fd7beca7b231_20251022_115616.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70221032\",\n            \"study_date\": \"2024-06-24 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"Informe oftalmológico: APELLIDO Y NOMBRE: TORANZA, BASTIANDNI: 70221032FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservadosDX. fondo de ojos normalFecha:12/06/2024 Dr Alfredo Ayassa\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": 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null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/4d3ff920370544a39b36e30a2deeade5_20251022_115619.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70099713\",\n            \"study_date\": \"2024-04-22 14:25:30.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: ROCHA, BELTRANDNI:70099713FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 15/05/2024 DR.AYASSA ALFREDO\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/b14ea89bb15041c7a80144574b8995a3_20251022_115619.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"59660530\",\n            \"study_date\": \"2024-04-22 14:25:30.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLOGICOAPELLIDO Y NOMBRE:BRACAMONTE PALACIOS, OLIVERDNI:59660530FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación 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AYASSA ALFREDO\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/28c4d2dec89440c6ad7491ef7a91588c_20251022_115620.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"59898281\",\n            \"study_date\": \"2024-04-22 14:25:30.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: PALACIOS, TADEODNI:59898281FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 15/05/2024 DR. ALFREDO AYASSA\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/b7c2273969c648a69f082a0b5a11210f_20251022_115620.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70100680\",\n            \"study_date\": \"2024-04-22 14:25:30.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: VERDUN, JANODNI:70100680FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 24/04/2024 DR. AYASSA ALFREDO\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/c675601dc64841968f84c7bb369b44c9_20251022_115621.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70099765\",\n            \"study_date\": \"2024-04-22 14:25:30.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: LUNA LUCIANODNI:70099765FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 18/04/2024 DR. 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LATINO SANTIAGO\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/b45b1e9c626c4b4387fdb3e360a344c4_20251022_115622.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"16981792\",\n            \"study_date\": \"2024-04-22 14:25:30.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: MORENO, SILVIADNI:16981792FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, escasas hemorragias puntiformes, exudados duros (2 en ojo izquierdo), coloración normal.Vasos ok, cruces AV conservados DX: Retinopatía DBT no proliferativa moderada.FECHA 18/04/2024 DR. LATINO SANTIAGO\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/96ebba0bb9314af7bf3c355a339609f2_20251022_115622.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25493415\",\n            \"study_date\": \"2024-04-22 14:25:30.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"APELLIDO Y NOMBRE: LUDUEÑA PEDRODNI:25493415FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 18/04/2024 DR. LATINO SANTIAGO\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/38bcb29938ae4125a3e20b1f2373462b_20251022_115623.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"28064943\",\n            \"study_date\": \"2024-04-22 14:25:30.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: GAUNA, CARINADNI:28064943FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 18/04/2024 DR. LATINO SANTIAGO INFORME OFTALMOLOGICO\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/f0a7f6cb16a74ad58ff89d4bc940c18d_20251022_115623.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"13015428\",\n            \"study_date\": \"2024-04-22 14:25:30.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: ARCE, GERARDODNI:13015428FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 18/04/2024 DR. LATINO SANTIAGO\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/9f3537467a504993ad4abde99d2ffe28_20251022_115624.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"30057340\",\n            \"study_date\": \"2024-04-22 14:25:30.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"DR LATINOINFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: TAHAN, ELIZABETHDNI:30057340FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 18/04/2024 DR. LATINO SANTIAGO\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/6776ed498ba844299dc4835c82cea963_20251022_115624.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"59302360\",\n            \"study_date\": \"2024-05-06 06:39:41.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"DR LATINOINFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: CAMPOS, AMBARDNI:59793364FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 24/04/2024 DR. ALFREDO AYASSA\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/33cee9fd464547098e7f8b3a2193e818_20251022_115624.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70168518\",\n            \"study_date\": \"2024-05-06 06:39:41.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"DR LATINOINFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: GONZALEZ, HANNADNI:70165518FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 24/04/2024 DR. ALFREDO AYASSA\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/999ced67ab194a94a04feb447adee652_20251022_115625.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"59534153\",\n            \"study_date\": \"2024-05-17 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"DR LATINOINFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: QUISPE, DELFINADNI:59534153FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 24/04/2024 DR. AYSSA ALFREDO\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/cf6effbaa06c478f8bdcc3ba032449ca_20251022_115625.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70100657\",\n            \"study_date\": \"2024-05-17 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"DR LATINOINFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: ARIAS, JUAN AMADODNI:70100657FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 24/04/2024 DR. ALFREDO AYASSA\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/cb8183ec2f624f9b92249968a332c8fe_20251022_115626.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70100614\",\n            \"study_date\": \"2024-05-17 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"DR LATINOINFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: MARCOANTONIO, LLUADNI:70100614FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 24/04/2024 DR. ALFREDO AYASSA\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/b188d6057257436c96eaf3b7fb2f28e9_20251022_115626.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"58313684\",\n            \"study_date\": \"2024-05-17 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"DR LATINOINFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: RODRIGUEZ CARDOZO, DYLAN DNI:58313684FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados CICLO OD:+0.50-2.00*2° OI:+0.50-1.75*175°DX: FONDO DE OJOS NORMAL FECHA 24/04/2024 DR. SANTIAGO AYASSA\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/a6d43305969c43d1a5513b842b78341b_20251022_115626.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"56456558\",\n            \"study_date\": \"2024-05-17 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"DR LATINOINFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: TAHAN, ELIZABETHDNI:30057340FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados ciclo OD+0.25-1.75*152° OI:+0.75-1.00*32°DX: FONDO DE OJOS NORMAL FECHA 18/04/2024 DR. LATINO SANTIAGO\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/f7adbac76c1d4210bed1de5e59fec2f9_20251022_115627.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70099697\",\n            \"study_date\": \"2024-05-17 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"DR LATINOINFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: MONGE VAZQUEZ, RAFAELDNI:70099697FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 24/04/2024 Alfredo Ayassa\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/85924f2656d74d47bbf9e6f89feef0db_20251022_115627.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"42071651\",\n            \"study_date\": \"2024-04-24 12:36:34.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"DR LATINOINFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: COÑUECAR, ROMINADNI:42071651FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 02/05/2024 DR. LATINO SANTIAGO\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/ef32c0649c3e4e52b0a78347a658de81_20251022_115628.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"16151305\",\n            \"study_date\": \"2024-04-24 12:36:34.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"DR LATINOINFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: CÓRDOBA, ALFREDODNI:16151305FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, escass hemorragias perifericas, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: rp DBT no proliferativa leve.FECHA 18/04/2024 DR. LATINO SANTIAGO\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/1f514810e3af416abee99d88d1105fcd_20251022_115628.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"14217675\",\n            \"study_date\": \"2024-05-07 07:28:28.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"DR LATINOINFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: PALMA, DANIELDNI:14217675FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 02/05/2024 DR. LATINO SANTIAGO\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/5e2034089ad94aee8c5f3d0ff3606a1b_20251022_115629.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"29739873\",\n            \"study_date\": \"2024-05-07 07:28:28.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"DR LATINOINFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: ZABALA, FRANCODNI:29739873FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 02/05/2024 DR. LATINO SANTIAGO\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/a5c28b6711fa4db89ab5973edb2dfd38_20251022_115629.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25532232\",\n            \"study_date\": \"2024-03-06 10:50:25.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"DR LATINOINFORME OFTALMOLOGICOAPELLIDO Y NOMBRE: SENA, CARLOSDNI:25532232FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL Paralisis VI para craneal, sugiero evaluar con neurologó.FECHA 02/05/2024 DR. LATINO SANTIAGO\",\n            \"professional_solicite\": \"MARTINEZ RETA DAVID RAMON\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/82232562838044a08871d025d07c3f7f_20251022_115629.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70100684\",\n            \"study_date\": \"2024-05-09 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"APELLIDO Y NOMBRE: Rodríguez Alaniz, SimónDNI:70100684FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados DX: FONDO DE OJOS NORMAL FECHA 24/04/2024  DR. AYASSA ALFREDO.\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/4e6c8683fa02468d95c4d7987d3710d5_20251022_115630.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"22394492\",\n            \"study_date\": \"2024-03-25 07:25:44.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLÓGICO:APELLIDO Y NOMBRE: CERMINATO, FERNANDODNI: 22394492FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiologica.Maculas libres, reflejo foveolar +Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruses AV conservados.DX: Fondo de ojos normalFecha: 04/04/24               Dr. Santiago Latino\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/8bffa8dd5c9b40aabb83041b60fb3b95_20251022_115630.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"22932590\",\n            \"study_date\": \"2024-04-15 06:48:21.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLÓGICO:APELLIDO Y NOMBRE: NAVARRETE, SERGIODNI: 22932590FONDO DE OJOS: Nervios ópticos de bordes netos, color algo pálido, excavación 0,5 ambos ojos.Maculas libres, reflejo foveolar +Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados.DX: Sugiero control de presión ocular por posible glaucoma. Resto normalFecha: 04/04/24               Dr. Santiago Latino\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/1b7cee834e3b49b480df1379d8affcd8_20251022_115631.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"20600808\",\n            \"study_date\": \"2024-04-15 06:48:21.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLÓGICO:APELLIDO Y NOMBRE: GNEMMI, MARÍADNI: 20600808FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiologica.Maculas libres, reflejo foveolar +Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruses AV conservados.DX: Fondo de ojos normalFecha: 04/04/24               Dr. Santiago Latino\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/91291fa5fd0e496ead203807e188e80a_20251022_115631.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"23497441\",\n            \"study_date\": \"2024-04-15 06:48:21.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n         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\"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/3107281c90e3440bad9f2449531fdd2c_20251022_115635.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"20849755\",\n            \"study_date\": \"2024-03-15 12:28:54.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLÓGICO:APELLIDO Y NOMBRE: Márquez, HugoDNI: 20849755FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +-Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruses AV conservados.DX: Fondo de ojos normalFecha: 14/03/24               Dr. Santiago Latino\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/c490b6a0fd2c41be98798850536dce4c_20251022_115636.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25888175\",\n            \"study_date\": \"2024-03-15 12:28:54.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLÓGICO:APELLIDO Y NOMBRE: BARALE, VILMADNI: 25888175FONDO DE OJOS: Nervios ópticos de bordes netos, color 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\"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLÓGICO:APELLIDO Y NOMBRE: Cervino, ReneDNI: 17430033FONDO DE OJOS: Nervios ópticos de bordes netos, color rosado, excavación fisiológica.Maculas libres, reflejo foveolar +-Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados.DX: Fondo de ojos normalFecha: 14/03/24               Dr. Santiago Latino\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/9de92a90a8714828b1d56e557d4695f4_20251022_115637.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n   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Másculas libres, reflejo foveolar+.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados.Dx: fondo de ojos normal20/03/24  Dr. Alfredo Ayassa MP29819\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/937c1d7f1c3143a182f7fb33abfd119c_20251022_115645.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"70099753\",\n            \"study_date\": \"2024-04-08 00:00:00.000\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"description\": \"fondo de ojos\",\n            \"report\": \"INFORME OFTALMOLOGICO:APELLIDO Y NOMBRE: Cuello Mena, Salvador70.099.753Fondo de ojos: Nervios ópticos de bordes netos, color rosado, excavación fisiológica. Másculas libres, reflejo foveolar+.Retina aplicada, sin hemorragias, sin exudados, coloración normal.Vasos ok, cruces AV conservados.Dx: fondo de ojos normal20/03/24  Dr. Alfredo Ayassa MP29819\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/1a54e57563af4124b1f394db5f973884_20251022_115646.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"28980972\",\n            \"study_date\": \"2024-09-06 08:58:39.000\",\n            \"study_name\": \"ECOGRAFIA DE HOMBRO\",\n            \"description\": \"HOMBRO IZQUIERDO\",\n            \"report\": 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}{\\\\f0 }{\\\\f0 La articulación acromioclavicular es de características normales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSIÓN:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\tab\\\\f0 }{\\\\f0 Estudio ecográfico sin evidencia de alteraciones.}{\\\\f0 \\\\line \\\\tab }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"OCAMPO MARTIN EZEQUIEL\",\n            \"professional_efector\": \"OCAMPO MARTIN EZEQUIEL\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": 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riñon derecho dos formaciones quísticas simples midiendo un quiste cortical de 2 cm en polo inferior y otro parapielico de 1.3 cm en su diámetro longitudinal\\\\par }{\\\\f0 }{\\\\f0 El Riñón derecho mide 10.5 x 4.5}{\\\\f0  }{\\\\f0  cm en}{\\\\f0  }{\\\\f0  su diámetro longitudinal y anteroposterior,}{\\\\f0  }{\\\\f0  con un espesor cortical de 1.6 cm y el Riñón izquierdo mide 9.6 x 5.5 cm}{\\\\f0   }{\\\\f0 su diámetro longitudinal y anteroposterior,}{\\\\f0  }{\\\\f0  con un espesor cortical de 1.6 cm\\\\par }{\\\\f0 }{\\\\f0 Vías urinarias no dilatadas.\\\\par }{\\\\f0 }{\\\\f0 Vejiga de paredes levemente engrosadas midiendo a nivel posterior 1 cm de espesor.\\\\par }{\\\\f0 }{\\\\f0 Próstata de dimensiones normales para la edad del paciente.\\\\par }{\\\\f0 }{\\\\f0 Diámetro transversal: 3.7 cm\\\\par }{\\\\f0 }{\\\\f0 Diámetro longitudinal: 3.1 cm\\\\par }{\\\\f0 }{\\\\f0 Diámetro antero-posterior: 3.2 cm\\\\par }{\\\\f0 }{\\\\f0 Peso aproximado: 19.5}{\\\\f0   }{\\\\f0 grs\\\\par }{\\\\f0 }{\\\\f0 Vesículas seminales de morfología y dimensiones normales\\\\par }{\\\\f0 }{\\\\f0 Volumen vesical pre-miccional: 125 cc.\\\\par }{\\\\f0 }{\\\\f0 Volumen vesical post-miccional: no significativo.\\\\par }{\\\\f0 }{\\\\f0 CONCLUSIÓN:\\\\par }{\\\\f0 }{\\\\f0 Engrosamiento parietal vesical , quiste cortical y parapielico en riñon derecho.\\\\par }}\",\n            \"professional_solicite\": \"REARTES CELESTE\",\n            \"professional_efector\": \"REARTES CELESTE\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/31f6400d165f4dc7a1182751037727b5_20251022_115652.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"16103123\",\n            \"study_date\": \"2024-06-22 16:01:08.000\",\n            \"study_name\": \"RX DE AMBOS TOBILLOS\",\n            \"description\": null,\n            \"report\": \"NOMBRE Y APELLIDO: Gianoni Pedro DNI:16103123FONDO DE OJOS:Nervios ópticos de bordes netos, color rosado, excavación fisiología.Máculas libres, reflejo foveolar +.Retina aplicada, sin hemorragias, sin exudados, coloración normal. Nevus cercano a arcda temporal inferior 2DD ojo derecho.Vasos ok, cruces AV conservados.Dx: Fondo de ojos normal25/7/24 Dr Latino\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/cc0c4ad1ed104723a3952469ee98d700_20251022_115654.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"39325052\",\n            \"study_date\": \"2024-06-24 00:00:00.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": null,\n            \"report\": \"Informe oftalmológico: APELLIDO Y NOMBRE: CHIECHI, SHEILADNI: 39325052FONDO DE OJOS: 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null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/cd0bfb52cb734f1890b78220b5ca9257_20251022_115657.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"27795142\",\n            \"study_date\": \"2024-05-24 07:24:40.000\",\n            \"study_name\": \"RX DE TOBILLO\",\n            \"description\": \"FRENTE Y PERFIL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE:MELANO FRANCO}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:        22-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 Rx TOBILLO FRENTE Y PERFIL}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 No se identifican signos de lesión ósea de origen traumático.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Presencia de espolón calcáneo.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Presencia de esteofito de tracción en zona de inserción de Aquiles.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0              }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                         }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/407e9d0e6cdd4065a64f023d44956551_20251022_115658.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"48450911\",\n            \"study_date\": \"2024-05-24 07:17:52.000\",\n            \"study_name\": \"ECOGRAFIA OBSTETRICA\",\n            \"description\": \"TERCER TRIMESTRE\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{}{\\\\b\\\\fs48\\\\f0 \\\\b\\\\fs48\\\\f0  }{\\\\f0 }{\\\\fs48\\\\f0 \\\\line \\\\line }{\\\\f0 }{}{\\\\b\\\\fs48\\\\f0 \\\\b\\\\fs48\\\\f0  }{\\\\f0 }{\\\\fs48\\\\f0 \\\\line \\\\line }{\\\\f0 }{}{\\\\b\\\\fs48\\\\f0 \\\\b\\\\fs48\\\\f0  }{\\\\f0 }{\\\\fs48\\\\f0 \\\\line \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE:}{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0    MUGUEL MILAGROS}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA: 22-05-24                                      }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                                   }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 ECOGRAFIA OBSTETRICA PARA CONTROL DE GESTACION}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0                                                                         }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Feto único, podalico, con dorso a la izquierda, con movimientos y latidos cardíacos presentes con una frecuencia de 149 LPM.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Diámetros fetales:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 DBP: 5.68 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Circunferencia cefálica: 20.6 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Circunferencia abdominal: 19.4 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 LF: 4.09 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 La biometría fetal corresponde a una gestación de 23 semanas 2 días.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El peso fetal aproximado es de 612 grs.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Placenta anterior, grado 0 de maduración, con un espesor de 2.9 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Líquido amniótico claro, en cantidad suficiente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 FPP: 16-09-24}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\fs22\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\fs22\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\tab\\\\f0 }{\\\\f0 Gestación única, con buena vitalidad y biometría fetal acorde a 23 semanas 2 días.}{\\\\f0 \\\\line \\\\tab }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs24\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs24\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\fs22\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            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12:33:31.000\",\n            \"study_name\": \"ECOGRAFIA ABDOMINAL.\",\n            \"description\": \"DOPPLER\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0  \\\\par }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: LUDUEÑA MARTHA}{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:      22-05-24                   }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA ABDOMINAL COMPLETA}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 La porción visualizada del hígado es de morfología conservada, con aumento de su ecogenicidad en forma difusa, en relación a esteatosis hepática difusa severa (grado III).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Vía biliar intra y extra hepática de calibre normal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Vesícula biliar de paredes regulares, contenido homogéneo sin signos de litiasis.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El páncreas no se visualiza por importante interposición de asas intestinales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ambos riñones son de morfología, tamaño y ecoestructura conservada, sin dilatación de sus vías excretoras.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Riñón derecho midió 10.4 x 4.5  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Riñón izquierdo: 10 x 5.5  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Vejiga de paredes y luz conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El bazo es de tamaño conservado y ecoestructura homogénea. Mide 12 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Aorta de trayecto y calibre normal en su porción abdominal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\fs22\\\\f0 CONCLUSIÓN:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\fs22\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Esteatosis hepática difusa severa (grado III).}{\\\\f0 }{\\\\fs24\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\fs24\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 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\\\\line \\\\line \\\\line Antecedentes de tiroidectomía total.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Estructuras vasculares de calibre y trayecto conservados.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 No se identifican  imágenes nodulares solidas ni quísticas  en topografía de la losh}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 No se identifican adenopatías al momento del examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Piel y tejido celular sub cutáneo de  características ecográficas conservadas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 \\\\line \\\\line Atentamente}{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs24\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 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\"study_name\": \"RX DE MANO FRENTE Y PERFIL\",\n            \"description\": \".\",\n            \"report\": \".\",\n            \"professional_solicite\": null,\n            \"professional_efector\": \"QUINTEROS MELINA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/7bf1e0564ff741e1891de4ac217a72f2_20251022_115703.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"44657519\",\n            \"study_date\": \"2024-04-17 06:50:37.000\",\n            \"study_name\": \"RX AMBAS RODILLAS\",\n            \"description\": \"RODILLA DERECHA\",\n            \"report\": 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\\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/01b347bdb573493c8349d3b5f84df5bd_20251022_115704.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"43062894\",\n            \"study_date\": \"2024-04-12 13:57:51.000\",\n            \"study_name\": \"ECOGRAFIA OBSTETRICA.\",\n            \"description\": \"TERCER TRIMESTRE\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE:}{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0   MINUET VERONICA}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA: 12-04-24                                      }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                                   }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 ECOGRAFIA OBSTETRICA PARA CONTROL DE GESTACION}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0                                                                         }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Feto único, transverso  con dorso inferior, cefálico a la derecha, con movimientos y latidos cardíacos presentes con una frecuencia de 158 LPM.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Diámetros fetales:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 DBP:3.35  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Circunferencia cefálica: 12.27 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Circunferencia abdominal: 10.16 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 LF: 2.46 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 La biometría fetal corresponde a una gestación de 16 semanas 4 días.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El peso fetal aproximado es de 166 grs.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Placenta anterior, grado 0 de maduración, con un espesor de 1 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Líquido amniótico claro, en cantidad suficiente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FPP: 23-09-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\fs22\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\fs22\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\tab\\\\f0 }{\\\\f0 Gestación única, con buena vitalidad y biometría fetal acorde a 16 semanas 4 días.}{\\\\f0 \\\\line \\\\tab }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 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\"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/3204ccd6e84c446cbbdcb42a531e9ace_20251022_115713.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"35638211\",\n            \"study_date\": \"2024-04-04 00:00:00.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": \"PAPANICOLUAOU\",\n            \"report\": \"Estudio : PAPANICOLAOU Fecha de Informe: 28-03-24 Protocolo N°: 14701Perteneciente a CANDIA VANESA Número de documento: 35.638.211Fecha de extracción: 8-03-24 Edad: 33 años FUM:\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/c1e12e22bcd34626a1196612ca37ce27_20251022_115713.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"44606330\",\n            \"study_date\": \"2024-04-04 00:00:00.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": \"papanicolaou\",\n            \"report\": \"Estudio : PAPANICOLAOU Fecha de Informe: 28-03-24 Protocolo N°: 14700Perteneciente a ROSSO GIULIANA Número de documento: 44.606.330Fecha de extracción: 11-03-24 Edad: 21 años FUM: 1-03-24\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/bfb0f89cdcaa4fba92fd4a88be77c364_20251022_115713.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"37288065\",\n            \"study_date\": \"2024-04-04 00:00:00.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": \"papanicolaou\",\n            \"report\": \"Estudio : PAPANICOLAOU Fecha de Informe: 28-03-24 Protocolo N°: 14699Perteneciente a FERREYRA KAREN Número de documento: 37.288.065Fecha de extracción: 22-03-24 Edad: 30 años FUM: 20-11-23\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/4f624b966b5e43888d3f6f7f5e3691f1_20251022_115714.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"23497680\",\n            \"study_date\": \"2024-04-03 11:17:57.000\",\n            \"study_name\": \"RX DE TORAX DE FRENTE Y PERFIL\",\n            \"description\": \"ECOCARDIOGRAMA DOPPLER COLOR\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 INFORME DE ECOCARDIOGRAMA DOPPLER COLOR}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 PACIENTE: ALBA, FABIANA BEATRIZ FECHA: 25/03/2024}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 EDAD: 50 AÑOS VENTANA: ACEPTABLE}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 DIAGNOSTICO: CONTROL CV ASC: 1.91 M2}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 BIDIMENSIONAL:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 VID: 5.45 CM (VN: 3.9-5.3 ?y 4.2-5.84cm ?) VDD (4C): 3.22 CM (VN: 2.4-4.1cm)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 VIS: 3.35 CM (VN: 2.2-3.5 ?y 2.5-4.0cm ?)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 MOV.SEP. NORMAL}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 SIVD: 1.00 CM (VN: 0.6-1.0cm)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 A.IZQ.: AREA: 18 cm2}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 PPVID: 1.15 CM (VN: 0.6-1.0cm) AORTA: 2.65 CM (VN: -4.0cm)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 FA.: 38% (VN: 25-45%) PERICARDIO: NORMAL}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 FEVI. 68 % (VN: = 55%) A.DER. Normal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 MASA VI: 121 g/m2 (VN: < 95?, < 115 ?) EPR: 0.42 (VN: < 0.42)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 CONCLUSIONES:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  BIDIMENSIONAL:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? HIPERTROFIA EXCENTRICA DE VENTRICULO IZQUIERDO CON FUNCION SISTOLICA CONSERVADA. FEY:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 68%.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? AURICULA IZQUIERDA DE TAMAÑO NORMAL. AREA: 18 cm2}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? CAVIDADES DERECHAS NO DILATADAS, SE ESTIMA FUNCION SISTOLICA DE VENTRICULO DERECHO}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 NORMAL. (TAPSE: 2.46 cm).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? SEPTUM IV E IA INDEMNES.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? MOTILIDAD PARIETAL SEGMENTARIA EN REPOSO NORMAL.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? RAIZ AORTICA NO DILATADA.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? NO SE EVIDENCIA DERRAME PERICARDICO.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 DOPPLER:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? VALVULA MITRAL: DE MORFOLOGIA NORMAL, SE CONSTATA INSUFICIENCIA LEVE.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? VALVULA PULMONAR: NORMOINSERTA, NORMOFUNCIONANTE.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? VALVULA TRICUSPIDE: NORMOINSERTA, NO SE CONSTATA INSUFICIENCIA SIGNIFICATIVA.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? VALVULA AORTICA: TRICUSPIDE, APERTURA CONSERVADA, SIN INSUFICIENCIA.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? PATRON DE RELAJACION PROLONGADO –ONDA E<A – DDVI GI- (ESTIMADO POR DOPPLER}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 TRANSMITRAL).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? FUNCION SISTOLICA DE VI ESTIMADA POR DOPPLER TISULAR NORMAL (9.56cm/s).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? FUNCION SISTOLICA DE VD ESTIMADA POR DOPPLER TISULAR NORMAL (14.69 cm/s).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  Dr. Martinez David}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Esp. en Cardiologia}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  MP:34849 – C.E.:17686 }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/e5b65a034aec450f9ac26fc5d321a082_20251022_115714.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"24230498\",\n            \"study_date\": \"2024-04-03 11:16:13.000\",\n            \"study_name\": \"RX DE TORAX DE FRENTE Y PERFIL\",\n            \"description\": \"ECOCARDIOGRAMA DOPPLER COLOR\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA INFORME DE ECOCARDIOGRAMA DOPPLER COLOR PACIENTE: VELASCO, PAULO FECHA: 25/03/2024 EDAD: 49 AÑOS VENTANA: ACEPTABLE DIAGNOSTICO: CONTROL CV ASC: 2.29 M2 BIDIMENSIONAL: VID: 5.46 CM (VN: 3.9-5.3 ?y 4.2-5.84cm ?) VDD (4C): 3.47 CM (VN: 2.4-4.1cm) VIS: 3.00 CM (VN: 2.2-3.5 ?y 2.5-4.0cm ?) MOV.SEP. NORMAL SIVD: 1.32 CM (VN: 0.6-1.0cm) A.IZQ.: AREA: 23 cm2 PPVID: 1.44 CM (VN: 0.6-1.0cm) AORTA: 3.12 CM (VN: -4.0cm) FA.: 45% (VN: 25-45%) PERICARDIO: NORMAL FEVI. 75 % (VN: = 55%) A.DER. Normal. MASA VI: 142 g/m2 (VN: < 95?, < 115 ?) EPR: 0.53 (VN: < 0.42) CONCLUSIONES: BIDIMENSIONAL: ? HIPERTROFIA CONCENTRICA DE VENTRICULO IZQUIERDO CON FUNCION SISTOLICA CONSERVADA. FEY: 75%. ? DILATACION LEVE DE AURICULA IZQUIERDA. AREA: 23 cm2 ? CAVIDADES DERECHAS NO DILATADAS, SE ESTIMA FUNCION SISTOLICA DE VENTRICULO DERECHO NORMAL. (TAPSE: 2.64 cm). ? SEPTUM IV E IA INDEMNES. ? MOTILIDAD PARIETAL SEGMENTARIA EN REPOSO NORMAL. ? RAIZ AORTICA NO DILATADA. ? NO SE EVIDENCIA DERRAME PERICARDICO. DOPPLER: ? VALVULA MITRAL: DE MORFOLOGIA NORMAL, SE CONSTATA INSUFICIENCIA LEVE. ? VALVULA PULMONAR: NORMOINSERTA, NORMOFUNCIONANTE. ? VALVULA TRICUSPIDE: NORMOINSERTA, NO SE CONSTATA INSUFICIENCIA. ? VALVULA AORTICA: TRICUSPIDE, APERTURA CONSERVADA, SIN INSUFICIENCIA. ? PATRON DE RELAJACION PSEUDONORMAL – DDVI GII- (ESTIMADO POR DOPPLER TRANSMITRAL). ? FUNCION SISTOLICA DE VI ESTIMADA POR DOPPLER TISULAR NORMAL (10.4cm/s). ? FUNCION SISTOLICA DE VD ESTIMADA POR DOPPLER TISULAR NORMAL (14.05 cm/s). Dr. Martinez David Esp. en Cardiologia MP:34849 – C.E.:17686 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/230a88e5d6844d3ca7bd2e1902655038_20251022_115715.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"20078383\",\n            \"study_date\": \"2024-04-03 11:14:33.000\",\n            \"study_name\": \"RX DE TORAX DE FRENTE Y PERFIL\",\n            \"description\": \"vasos de cuello\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA INFORME DE ECODOPPLER DE VASOS DEL CUELLO PACIENTE: GONZALEZ, SANDRA FECHA: 25/03/2024 EDAD: 55 AÑOS VENTANA: ACEPTABLE DIAGNOSTICO: CHEQUEO CV INTERPRETACION: LADO DERECHO: ? CARÓTIDA COMUN: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. Se observa complejo intima-media anormal (0.12 cm). ? BULBO DERECHO: Superficie endoluminal regular, no se visualiza placa. ? CARÓTIDA INTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? CARÓTIDA EXTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? VERTEBRAL: Flujo anterógrado durante todo el ciclo cardíaco, que no se modifica con la rotación del cuello. Origen vascular visualizado y evaluado de características anatómicas y hemodinámicas normales. ? TBC: No se observa placa ateromatosa. LADO IZQUIERDO: ? CARÓTIDA COMUN: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. Se observa complejo intima-media anormal (0.11 cm). ? BULBO IZQUIERDO: De morfología normal, se observan placa de aspecto CALCICA, no se constatan signos de vulnerabilidad, (diámetro mayor de estenosis 29.06%). ? CARÓTIDA INTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? CARÓTIDA EXTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? VERTEBRAL: Flujo anterógrado durante todo el ciclo cardíaco, que no se modifica con la rotación del cuello. CONCLUSIONES: ? COMPLEJO INTIMA MEDIA CAROTIDEO DERECHO E IZQUIERDO ANORMAL. ? BULBO CAROTIDEO IZQUIERDO: PRESENTA PLACA DE ASPECTO CALCICA, NO OBSTRUCTIVA, SIN SIGNOS DE VULNERABILIDAD, FLUJOS DISTALES CONSERVADOS. ? CIRCULACIÓN VERTEBRAL EXTRACRANEAL DENTRO DE LÍMITES NORMALES. Dr. Martinez David Esp. en Cardiologia MP:34849 – C.E.:17686 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/9ebf180509fd4590a032d8af5a229993_20251022_115716.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"20078383\",\n            \"study_date\": \"2024-04-03 11:13:20.000\",\n            \"study_name\": \"RX DE TORAX DE FRENTE Y PERFIL\",\n            \"description\": \"ECOCARDIOGRAMA DOPPLER COLOR\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA INFORME DE ECOCARDIOGRAMA DOPPLER COLOR PACIENTE: GONZALEZ, SANDRA FECHA: 25/03/2024 EDAD: 55 AÑOS VENTANA: ACEPTABLE DIAGNOSTICO: CONTROL CV ASC: 1.85 M2 BIDIMENSIONAL: VID: 5.85 CM (VN: 3.9-5.3 ?y 4.2-5.84cm ?) VDD (4C): 3. CM (VN: 2.4-4.1cm) VIS: 3.90 CM (VN: 2.2-3.5 ?y 2.5-4.0cm ?) MOV.SEP. NORMAL SIVD: 1.00 CM (VN: 0.6-1.0cm) A.IZQ.: AREA: 17 cm2 PPVID: 1.00 CM (VN: 0.6-1.0cm) AORTA: 1.95 CM (VN: -4.0cm) FA.: 33% (VN: 25-45%) PERICARDIO: NORMAL FEVI. 61 % (VN: = 55%) A.DER. Normal. MASA VI: 127 g/m2 (VN: < 95?, < 115 ?) EPR: 0.34 (VN: < 0.42) CONCLUSIONES: BIDIMENSIONAL: ? HIPERTROFIA EXCENTRICA DE VENTRICULO IZQUIERDO CON FUNCION SISTOLICA CONSERVADA. FEY: 61%. ? AURICULA IZQUIERDA DE TAMAÑO NORMAL. AREA: 17 cm2 ? CAVIDADES DERECHAS NO DILATADAS, SE ESTIMA FUNCION SISTOLICA DE VENTRICULO DERECHO NORMAL. (TAPSE: 2.64 cm). ? SEPTUM IV E IA INDEMNES. ? MOTILIDAD PARIETAL SEGMENTARIA EN REPOSO NORMAL. ? RAIZ AORTICA NO DILATADA. ? NO SE EVIDENCIA DERRAME PERICARDICO. DOPPLER: ? VALVULA MITRAL: DE MORFOLOGIA NORMAL, SE CONSTATA INSUFICIENCIA LEVE. ? VALVULA PULMONAR: NORMOINSERTA, NORMOFUNCIONANTE. ? VALVULA TRICUSPIDE: NORMOINSERTA, SE CONSTATA INSUFICIENCIA DE GRADO LEVE, SE ESTIMA PSAP: 14.36 MMHG. ? VALVULA AORTICA: TRICUSPIDE, APERTURA CONSERVADA, SIN INSUFICIENCIA. ? PATRON DE RELAJACION PSEUDONORMAL – DDVI GII- (ESTIMADO POR DOPPLER TRANSMITRAL). ? FUNCION SISTOLICA DE VI ESTIMADA POR DOPPLER TISULAR NORMAL (10.6cm/s). ? FUNCION SISTOLICA DE VD ESTIMADA POR DOPPLER TISULAR NORMAL (14 cm/s). Dr. Martinez David Esp. en Cardiologia MP:34849 – C.E.:17686\\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/48bdbfb83e654e988f624c1b806cd580_20251022_115716.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"45352452\",\n            \"study_date\": \"2024-04-03 11:12:05.000\",\n            \"study_name\": \"RX DE TORAX DE FRENTE Y PERFIL\",\n            \"description\": \"ECOCARDIOGRAMA DOPPLER COLOR\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA INFORME DE ECOCARDIOGRAMA DOPPLER COLOR PACIENTE: MERCADO, ELIAS BENJAMIN FECHA: 25/03/2024 EDAD: 20 AÑOS VENTANA: ACEPTABLE DIAGNOSTICO: CONTROL CV ASC: 1.69 M2 BIDIMENSIONAL: VID: 5.15 CM (VN: 3.9-5.3 ?y 4.2-5.84cm ?) VDD (4C): 2.89 CM (VN: 2.4-4.1cm) VIS: 3.25 CM (VN: 2.2-3.5 ?y 2.5-4.0cm ?) MOV.SEP. NORMAL SIVD: 0.75 CM (VN: 0.6-1.0cm) A.IZQ.: AREA: 14 cm2 PPVID: 0.85 CM (VN: 0.6-1.0cm) AORTA: 2.15 CM (VN: -4.0cm) FA.: 37% (VN: 25-45%) PERICARDIO: NORMAL FEVI. 66 % (VN: = 55%) A.DER. Normal. MASA VI: 84 g/m2 (VN: < 95?, < 115 ?) EPR: 0.33 (VN: < 0.42) CONCLUSIONES: BIDIMENSIONAL: ? GEOMETRIA NORMAL DE VENTRICULO IZQUIERDO CON FUNCION SISTOLICA CONSERVADA. FEY: 66%. ? AURICULA IZQUIERDA DE TAMAÑO NORMAL. AREA: 14 cm2 ? CAVIDADES DERECHAS NO DILATADAS, SE ESTIMA FUNCION SISTOLICA DE VENTRICULO DERECHO NORMAL. (TAPSE: 2.78 cm). ? SEPTUM IV INDEMNE. ? SEPTUM INTERAURICULAR PRESENTA PROTRUSION ANEURISUMATICA (TIPO 1R) CON SHUNTS DE IZQUIERDA A DERECHA. ? MOTILIDAD PARIETAL SEGMENTARIA EN REPOSO NORMAL. ? RAIZ AORTICA NO DILATADA. ? NO SE EVIDENCIA DERRAME PERICARDICO. DOPPLER: ? VALVULA MITRAL: DE MORFOLOGIA NORMAL, SE CONSTATA INSUFICIENCIA LEVE. ? VALVULA PULMONAR: NORMOINSERTA, NORMOFUNCIONANTE. ? VALVULA TRICUSPIDE: NORMOINSERTA, NO SE CONSTATA INSUFICIENCIA SIGNIFICATIVA. ? VALVULA AORTICA: TRICUSPIDE, APERTURA CONSERVADA, SIN INSUFICIENCIA. ? PATRON DE RELAJACION NORMAL –ONDA E>A- (ESTIMADO POR DOPPLER TRANSMITRAL). ? FUNCION SISTOLICA DE VI ESTIMADA POR DOPPLER TISULAR NORMAL (10.95cm/s). ? FUNCION SISTOLICA DE VD ESTIMADA POR DOPPLER TISULAR NORMAL (15.8 cm/s). Dr. Martinez David Esp. en Cardiologia MP:34849 – C.E.:17686 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/7b1ce34cb5e24671ab374a695a8f22f8_20251022_115717.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"20623413\",\n            \"study_date\": \"2024-04-03 11:10:13.000\",\n            \"study_name\": \"RX DE TORAX DE FRENTE Y PERFIL\",\n            \"description\": \"ECOCARDIOGRAMA DOPPLER COLOR\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{ASISTENCIA PÚBLICA – VILLA MARIA INFORME DE ECOCARDIOGRAMA DOPPLER COLOR PACIENTE: SEGOVIA, CARLOS FECHA: 25/03/2024 EDAD: 55 AÑOS VENTANA: ACEPTABLE DIAGNOSTICO: CONTROL CV ASC: 1.65 M2 BIDIMENSIONAL: VID: 4.55 CM (VN: 3.9-5.3 ?y 4.2-5.84cm ?) VDD (4C): 2.60 CM (VN: 2.4-4.1cm) VIS: 3.15 CM (VN: 2.2-3.5 ?y 2.5-4.0cm ?) MOV.SEP. NORMAL SIVD: 0.80 CM (VN: 0.6-1.0cm) A.IZQ.: AREA: 13 cm2 PPVID: 1.00 CM (VN: 0.6-1.0cm) AORTA: 3.10 CM (VN: -4.0cm) FA.: 31% (VN: 25-45%) PERICARDIO: NORMAL FEVI. 58 % (VN: = 50%) A.DER. Normal. MASA VI: 81 g/m2 (VN: < 95?, < 115 ?) EPR: 0.44 (VN: < 0.42) CONCLUSIONES: BIDIMENSIONAL: ? REMODELADO CONCENTRICO DE VENTRICULO IZQUIERDO CON FUNCION SISTOLICA CONSERVADA. FEY: 58%. ? AURICULA IZQUIERDA DE TAMAÑO NORMAL. AREA: 13 cm2 ? CAVIDADES DERECHAS NO DILATADAS, SE ESTIMA FUNCION SISTOLICA DE VENTRICULO DERECHO NORMAL. (TAPSE: 2.03 cm). ? SEPTUM IV E IA INDEMNES. ? MOTILIDAD PARIETAL SEGMENTARIA EN REPOSO NORMAL. ? RAIZ AORTICA NO DILATADA. ? NO SE EVIDENCIA DERRAME PERICARDICO. DOPPLER: ? VALVULA MITRAL: DE MORFOLOGIA NORMAL, SE CONSTATA INSUFICIENCIA LEVE. ? VALVULA PULMONAR: NORMOINSERTA, NORMOFUNCIONANTE. ? VALVULA TRICUSPIDE: NORMOINSERTA, SE CONSTATA INSUFICIENCIA LEVE, SE ESTIMA PSAP: 23.81 MMHG. ? VALVULA AORTICA: TRICUSPIDE, APERTURA CONSERVADA, SIN INSUFICIENCIA. ? PATRON DE RELAJACION PSEUDONORMAL/ DDVI G II (ESTIMADO POR DOPPLER TRANSMITRAL). ? FUNCION SISTOLICA DE VI ESTIMADA POR DOPPLER TISULAR NORMAL (11.6cm/s). ? FUNCION SISTOLICA DE VD ESTIMADA POR DOPPLER TISULAR NORMAL (13.31 cm/s). Dr. Martinez David Esp. en Cardiologia MP:34849 – C.E.:17686 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/e564c115d48b4ab8b2f72e0e7ce0c693_20251022_115717.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"20714134\",\n            \"study_date\": \"2024-03-21 07:10:58.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": \"papanicolaou\",\n            \"report\": \"Estudio : PAPANICOLAOU Fecha de Informe: 26-03-24 Protocolo N°: 14698Perteneciente a ULLA 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14696Perteneciente a LUJAN MARIA DE LOS ANGELES Número de documento: 34.345.141Fecha de extracción: 20-03-24 Edad: 35 años FUM: 12-03-24\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/cdaa637503e549f1b875ac59bcaca863_20251022_115719.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"23181287\",\n            \"study_date\": \"2024-03-14 08:38:01.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": \"papanicolaou\",\n            \"report\": \"Estudio : PAPANICOLAOU Fecha de Informe: 26-03-24 Protocolo N°: 14695Perteneciente a DEL PRADO VERONICA ANAHI Número de documento: 23.181.287Fecha de extracción: 20-03-24 Edad: 51 años FUM: 2020\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/dbf0f0032d5d4315bc8564fd6d31a1e0_20251022_115719.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"33003943\",\n            \"study_date\": \"2024-03-27 06:07:23.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": \"papanicolaou\",\n            \"report\": \"Estudio : PAPANICOLAOU 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PAPANICOLAOU Fecha de Informe: 25-03-24 Protocolo N°: 14693Perteneciente a RAMIREZ GARZON MARIA A Número de documento: 95.165.850Fecha de extracción: 19-03-24 Edad: 33 años FUM: 10-03-24\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/bb884e6e3e5b485394b84927e7418820_20251022_115720.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"47207669\",\n            \"study_date\": \"2024-03-27 06:07:23.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": \"papanicolaou\",\n            \"report\": \"Estudio : PAPANICOLAOU Fecha de Informe: 25-03-24 Protocolo N°: 14692Perteneciente a MANSILLA VALENTINA Número de documento: 47.207.669Fecha de extracción: 19-03-24 Edad: 17 años FUM: 03-24\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/b150c995812b457bb9197a5259c917eb_20251022_115721.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"20324148\",\n            \"study_date\": \"2024-03-27 06:07:23.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": \"papanicolaou\",\n            \"report\": \"Estudio : PAPANICOLAOU Fecha de Informe: 25-03-24 Protocolo N°: 14691Perteneciente a COLOMINO NANCY GRISELDA Número de documento: 20.324.148Fecha de extracción: 19-03-24 Edad: 55 años FUM: 08-2023\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/577529784d9044919080e467c0e1daf3_20251022_115721.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"24363048\",\n            \"study_date\": \"2024-03-27 06:07:23.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": \"PAPANICLAOU\",\n            \"report\": \"Estudio : PAPANICOLAOU Fecha de Informe: 25-03-24 Protocolo N°: 14690Perteneciente a SCHARFF NORA ALEJANDRA Número de documento: 24.363.048Fecha de extracción: 18-03-24 Edad: 48 años FUM: 47 años\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/fc476406ec4e4f4f914d330f98189b3a_20251022_115721.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"33592138\",\n            \"study_date\": \"2024-03-27 06:07:23.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": \"papanicolaou\",\n            \"report\": \"Estudio : PAPANICOLAOU Fecha de Informe: 22-03-24 Protocolo N°: 14689Perteneciente a MARTINEZ DAIANA SOLEDAD Número de documento: 33.592.138Fecha de extracción: 18-03-24 Edad: 35 años FUM: Sin datos\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/e23e1e196a9845e5b94a86679ade7977_20251022_115722.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"44606302\",\n            \"study_date\": \"2024-03-27 06:07:23.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": \"papanicolaou\",\n            \"report\": \"Estudio : PAPANICOLAOU Fecha de Informe: 22-03-24 Protocolo N°: 14688Perteneciente a COSTA KAMIENSKI MARIA V. Número de documento: 44.606.302Fecha de extracción: 18-03-24 Edad: 21 años FUM: 10-03-24\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/3c22b39365a44333a1f66e9052425571_20251022_115722.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"38022049\",\n            \"study_date\": \"2024-03-27 06:07:23.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": \"papanicolaou\",\n            \"report\": \"Estudio : PAPANICOLAOU Fecha de Informe: 22-03-24 Protocolo N°: 14687Perteneciente a NERI 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14686Perteneciente a ETCHEGARAY MARCELA Número de documento: 25.289.485Fecha de extracción: 18-03-24 Edad: 47 años FUM:\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/cfa681eff116420c8e4997e6ccce8827_20251022_115723.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"23648356\",\n            \"study_date\": \"2024-03-27 06:07:23.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": \"PAPANICOLUAU\",\n            \"report\": \"Estudio : PAPANICOLAOU Fecha de Informe: 22-03-24 Protocolo 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22-03-24 Protocolo N°: 14683Perteneciente a ROMERO BRENDA A. 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14679Perteneciente a ROCA ROMINA ANABELA Número de documento: 30.849.026Fecha de extracción: 13-03-24 Edad: 38 años FUM: 3-03-24\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/5a83dd0f128141dbaea2be067c7568db_20251022_115726.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"27108903\",\n            \"study_date\": \"2024-04-01 00:00:00.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": \"papanicolaou\",\n            \"report\": \"Estudio : PAPANICOLAOU Fecha de Informe: 21-03-24 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14677Perteneciente a MARTINEZ TERESA Número de documento: 94.901.006Fecha de extracción: 13-03-24 Edad: 33 años FUM: 6-03-24\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/504c8118472d4b57bfa9ce99a87ba7d8_20251022_115727.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"36793983\",\n            \"study_date\": \"2024-04-01 00:00:00.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": \"papanicolaou\",\n            \"report\": \"Estudio : PAPANICOLAOU Fecha de Informe: 21-03-24 Protocolo N°: 14676Perteneciente a SUAREZ MAGALI Número de documento: 36.793.983Fecha de extracción: 13-03-24 Edad: 31 años FUM: 25-2-24\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/3d89edfbd16546ec85fd8e82087dd2a3_20251022_115727.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"27898058\",\n            \"study_date\": \"2024-03-15 09:27:02.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": \"papanicolaou\",\n            \"report\": \"Estudio : PAPANICOLAOU Fecha de Informe: 21-03-24 Protocolo N°: 14675Perteneciente a ACUÑA NATALIA Número de documento: 27.898.058Fecha de extracción: 12-03-24 Edad: 43 años FUM: 2 a, 6m\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/14f119d9744f46d59e37568766264255_20251022_115728.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"31300167\",\n            \"study_date\": \"2024-03-15 09:27:02.000\",\n            \"study_name\": \"Colposcopia\",\n            \"description\": \"papanicolaou\",\n            \"report\": \"Estudio : PAPANICOLAOU Fecha de Informe: 19-03-24 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\"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA INFORME DE ECOCARDIOGRAMA DOPPLER COLOR PACIENTE: CARDOZO, MATIAS FECHA: 11/03/2024 EDAD: 16 AÑOS VENTANA: ACEPTABLE DIAGNOSTICO: CONTROL CV ASC: 1.75 M2 BIDIMENSIONAL: VID: 4.30 CM (VN: 3.9-5.3 ?y 4.2-5.84cm ?) VDD (4C): 2.51 CM (VN: 2.4-4.1cm) VIS: 2.52 CM (VN: 2.2-3.5 ?y 2.5-4.0cm ?) MOV.SEP. NORMAL SIVD: 0.75 CM (VN: 0.6-1.0cm) A.IZQ.: AREA:11 cm2 PPVID: 0.85 CM (VN: 0.6-1.0cm) AORTA: 2.25 CM (VN: -4.0cm) FA.: 33.72% (VN: 25-45%) PERICARDIO: NORMAL FEVI. 63 % (VN: = 50%) A.DER. Normal. MASA VI: 78 g/m2 (VN: < 95?, < 115 ?) EPR: 0.36 (VN: < 0.42) CONCLUSIONES: BIDIMENSIONAL: ? GEOMETRIA NORMAL DE VENTRICULO IZQUIERDO CON FUNCION SISTOLICA CONSERVADA. FEY: 63%. ? AURICULA IZQUIERDA DE TAMAÑO NORMAL. AREA: 11 cm2 ? CAVIDADES DERECHAS NO DILATADAS, SE ESTIMA FUNCION SISTOLICA DE VENTRICULO DERECHO NORMAL. (TAPSE: 2.30 cm). ? SEPTUM IV E IA INDEMNES. ? MOTILIDAD PARIETAL SEGMENTARIA EN REPOSO NORMAL. ? RAIZ AORTICA NO DILATADA. ? NO SE EVIDENCIA DERRAME PERICARDICO. DOPPLER: ? VALVULA MITRAL: DE MORFOLOGIA NORMAL, SE CONSTATA INSUFICIENCIA LEVE. ? VALVULA PULMONAR: NORMOINSERTA, NORMOFUNCIONANTE. ? VALVULA TRICUSPIDE: NORMOINSERTA, NO SE CONSTATA INSUFICIENCIA SIGNIFICATIVA. ? VALVULA AORTICA: TRICUSPIDE, APERTURA CONSERVADA, NO SE CONSTATA INSUFICIENCIA. ? PATRON DE RELAJACION NORMAL- ONDA E>A (ESTIMADO POR DOPPLER TRANSMITRAL). ? FUNCION SISTOLICA DE VI ESTIMADA POR DOPPLER TISULAR NORMAL (10.81 cm/s). ? FUNCION SISTOLICA DE VD ESTIMADA POR DOPPLER TISULAR NORMAL (14.14 cm/s). Dr. Martinez David Esp. en Cardiologia MP:34849 – C.E.:17686\\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/51555fd0bafd49e0b673297e44eaf5be_20251022_115729.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"17207935\",\n            \"study_date\": \"2024-03-15 12:37:56.000\",\n            \"study_name\": \"ECO DOPPLER\",\n            \"description\": \"ECOCARDIOGRAMA DOPPLER COLOR\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\fs20\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 INFORME DE ECOCARDIOGRAMA DOPPLER COLOR}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 PACIENTE: ROVERE, NELIDA FECHA: 11/03/2024}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 EDAD: 58 AÑOS VENTANA: ACEPTABLE}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 DIAGNOSTICO: CONTROL CV ASC: 1.71 M2}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 BIDIMENSIONAL:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 VID: 4.30 CM (VN: 3.9-5.3 ?y 4.2-5.84cm ?) VDD (4C): 2.59 CM (VN: 2.4-4.1cm)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 VIS: 2.55 CM (VN: 2.2-3.5 ?y 2.5-4.0cm ?)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 MOV.SEP. NORMAL}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 SIVD: 0.90 CM (VN: 0.6-1.0cm)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 A.IZQ.: AREA: 11 cm2}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 PPVID: 1.25 CM (VN: 0.6-1.0cm) AORTA: 2.15 CM (VN: -4.0cm)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 FA.: 40% (VN: 25-45%) PERICARDIO: NORMAL}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 FEVI. 71 % (VN: = 50%) A.DER. Normal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 MASA VI: 91 g/m2 (VN: < 95?, < 115 ?) EPR: 0.58 (VN: < 0.42)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 CONCLUSIONES:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  BIDIMENSIONAL:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? REMODELADO CONCENTRICO DE VENTRICULO IZQUIERDO CON FUNCION SISTOLICA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 CONSERVADA. FEY: 71%.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? AURICULA IZQUIERDA DE TAMANO NORMAL. AREA: 11 cm2}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? CAVIDADES DERECHAS NO DILATADAS, SE ESTIMA FUNCION SISTOLICA DE VENTRICULO}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 DERECHO NORMAL. (TAPSE: 2.25 cm).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? SEPTUM IV E IA INDEMNES.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? MOTILIDAD PARIETAL SEGMENTARIA EN REPOSO NORMAL.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? RAIZ AORTICA NO DILATADA.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? NO SE EVIDENCIA DERRAME PERICARDICO.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 DOPPLER:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? VALVULA MITRAL: DE MORFOLOGIA NORMAL, SE CONSTATA INSUFICIENCIA LEVE.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? VALVULA PULMONAR: NORMOINSERTA, NORMOFUNCIONANTE.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? VALVULA TRICUSPIDE: NORMOINSERTA, NO SE CONSTATA INSUFICIENCIA.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? VALVULA AORTICA: TRICUSPIDE, APERTURA CONSERVADA, NO SE CONSTATA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 INSUFICIENCIA.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? PATRON DE RELAJACION PROLONGADO- DDVI GI – ONDA E<A (ESTIMADO POR DOPPLER}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 TRANSMITRAL).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? FUNCION SISTOLICA DE VI ESTIMADA POR DOPPLER TISULAR NORMAL (8.59 cm/s).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? FUNCION SISTOLICA DE VD ESTIMADA POR DOPPLER TISULAR NORMAL (13.72 cm/s).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  Dr. Martinez David}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 Esp. en Cardiologia}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  MP:34849 – C.E.:17686}{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/3c582399164e4579a82e1281cae78ee0_20251022_115730.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"94453104\",\n            \"study_date\": \"2024-03-15 12:36:25.000\",\n            \"study_name\": \"ECO DOPPLER\",\n            \"description\": \"ECOCARDIOGRAMA DOPPLER COLOR\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\fs20\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 INFORME DE ECOCARDIOGRAMA DOPPLER COLOR}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 PACIENTE: LEDESMA, IRENE FECHA: 11/03/2024}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 EDAD: 43 AÑOS VENTANA: ACEPTABLE}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 DIAGNOSTICO: CONTROL CV ASC: 1.53 M2}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 BIDIMENSIONAL:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 VID: 5.25 CM (VN: 3.9-5.3 ?y 4.2-5.84cm ?) VDD (4C): 2.97 CM (VN: 2.4-4.1cm)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 VIS: 3.15 CM (VN: 2.2-3.5 ?y 2.5-4.0cm ?)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 MOV.SEP. NORMAL}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 SIVD: 0.95 CM (VN: 0.6-1.0cm)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 A.IZQ.: AREA: 17 cm2}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 PPVID: 1.05 CM (VN: 0.6-1.0cm) AORTA: 3.05 CM (VN: -4.0cm)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 FA.: 40% (VN: 25-45%) PERICARDIO: NORMAL}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 FEVI. 70 % (VN: = 50%) A.DER. Normal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 MASA VI: 128 g/m2 (VN: < 95?, < 115 ?) EPR: 0.40 (VN: < 0.42)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 CONCLUSIONES:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  BIDIMENSIONAL:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? HIPERTROFIA EXCENTRICA DE VENTRICULO IZQUIERDO CON FUNCION SISTOLICA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 CONSERVADA. FEY: 70%.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? AURICULA IZQUIERDA DE TAMANO NORMAL. AREA: 17 cm2}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? CAVIDADES DERECHAS NO DILATADAS, SE ESTIMA FUNCION SISTOLICA DE VENTRICULO}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 DERECHO NORMAL. (TAPSE: 2.27 cm).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? SEPTUM IV E IA INDEMNES.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? MOTILIDAD PARIETAL SEGMENTARIA EN REPOSO NORMAL.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? RAIZ AORTICA NO DILATADA.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? NO SE EVIDENCIA DERRAME PERICARDICO.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 DOPPLER:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? VALVULA MITRAL: DE MORFOLOGIA NORMAL, SE CONSTATA INSUFICIENCIA LEVE.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? VALVULA PULMONAR: NORMOINSERTA, NORMOFUNCIONANTE.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? VALVULA TRICUSPIDE: NORMOINSERTA, SE CONSTATA INSUFICIENCIA DE GRADO LEVE, SE}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ESTIMA PSAP: 26.75 MMHG.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? VALVULA AORTICA: TRICUSPIDE, APERTURA CONSERVADA, NO SE CONSTATA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 INSUFICIENCIA.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? PATRON DE RELAJACION PROLONGADO, ONDA E<A // DDVI GI (ESTIMADO POR DOPPLER}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 TRANSMITRAL).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? FUNCION SISTOLICA DE VI ESTIMADA POR DOPPLER TISULAR NORMAL (8.45cm/s).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ? FUNCION SISTOLICA DE VD ESTIMADA POR DOPPLER TISULAR NORMAL (14.55 cm/s).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  Dr. Martinez David}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 Esp. en Cardiologia}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  MP:34849 – C.E.:17686}{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/bf214862fa3342058a27e8442ee9a505_20251022_115731.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25532430\",\n            \"study_date\": \"2024-03-15 12:35:10.000\",\n            \"study_name\": \"ECO DOPPLER\",\n            \"description\": \"ECOCARDIOGRAMA DOPPLER COLOR\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 INFORME DE ECOCARDIOGRAMA DOPPLER COLOR}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 PACIENTE: ARABAOLASA, ANALIA FECHA: 11/03/2024}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 EDAD: 47 AÑOS VENTANA: ACEPTABLE}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 DIAGNOSTICO: CONTROL CV ASC: 1.87 M2}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 BIDIMENSIONAL:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 VID: 4.70 CM (VN: 3.9-5.3 ?y 4.2-5.84cm ?) VDD (4C): 2.71 CM (VN: 2.4-4.1cm)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 VIS: 2.75 CM (VN: 2.2-3.5 ?y 2.5-4.0cm ?)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 MOV.SEP. NORMAL}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 SIVD: 1.00 CM (VN: 0.6-1.0cm)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 A.IZQ.: AREA: 17 cm2}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 PPVID: 1.15 CM (VN: 0.6-1.0cm) AORTA: 3.05 CM (VN: -4.0cm)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 FA.: 41% (VN: 25-45%) PERICARDIO: NORMAL}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 FEVI. 72 % (VN: = 50%) A.DER. Normal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 MASA VI: 97 g/m2 (VN: < 95?, < 115 ?) EPR: 0.49 (VN: < 0.42)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 CONCLUSIONES:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  BIDIMENSIONAL:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? HIPERTROFIA CONCENTRICA LEVE DE VENTRICULO IZQUIERDO CON FUNCION SISTOLICA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 CONSERVADA. FEY: 72%.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? AURICULA IZQUIERDA DE TAMANO NORMAL. AREA: 17 cm2}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? CAVIDADES DERECHAS NO DILATADAS, SE ESTIMA FUNCION SISTOLICA DE VENTRICULO}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 DERECHO NORMAL. (TAPSE: 2.27 cm).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? SEPTUM IV E IA INDEMNES.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? MOTILIDAD PARIETAL SEGMENTARIA EN REPOSO NORMAL.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? RAIZ AORTICA NO DILATADA.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? NO SE EVIDENCIA DERRAME PERICARDICO.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 DOPPLER:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? VALVULA MITRAL: DE MORFOLOGIA NORMAL, SE CONSTATA INSUFICIENCIA LEVE.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? VALVULA PULMONAR: NORMOINSERTA, NORMOFUNCIONANTE.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? VALVULA TRICUSPIDE: NORMOINSERTA, NO SE CONSTATA INSUFICIENCIA.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? VALVULA AORTICA: TRICUSPIDE, APERTURA CONSERVADA, NO SE CONSTATA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 INSUFICIENCIA.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? PATRON DE RELAJACION PROLONGADO, ONDA E<A // DDVI GI (ESTIMADO POR DOPPLER}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 TRANSMITRAL).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? FUNCION SISTOLICA DE VI ESTIMADA POR DOPPLER TISULAR NORMAL (10.95 cm/s).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? FUNCION SISTOLICA DE VD ESTIMADA POR DOPPLER TISULAR NORMAL (14.55 cm/s).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  Dr. Martinez David}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Esp. en Cardiologia}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  MP:34849 – C.E.:17686}{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/9115c5b1e59d4244abc4fee40242d772_20251022_115731.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"29739886\",\n            \"study_date\": \"2024-03-15 12:34:02.000\",\n            \"study_name\": \"ECO DOPPLER\",\n            \"description\": \"ECOCARDIOGRAMA DOPPLER COLOR\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA INFORME DE ECOCARDIOGRAMA DOPPLER COLOR PACIENTE: FERRARI, MARCELO JAVIER FECHA: 11/03/2024 EDAD: 41 AÑOS VENTANA: ACEPTABLE DIAGNOSTICO: CONTROL CV ASC: 1.88 M2 BIDIMENSIONAL: VID: 8.10 CM (VN: 3.9-5.3 ?y 4.2-5.84cm ?) VDD (4C): 2.74 CM (VN: 2.4-4.1cm) VIS: 6.60 CM (VN: 2.2-3.5 ?y 2.5-4.0cm ?) MOV.SEP. NORMAL SIVD: 0.80 CM (VN: 0.6-1.0cm) A.IZQ.: AREA: 21 cm2 PPVID: 1.15 CM (VN: 0.6-1.0cm) AORTA: 2.15 CM (VN: -4.0cm) FA.: 18% (VN: 25-45%) PERICARDIO: NORMAL FEVI. 37 % (VN: = 50%) A.DER. Normal. MASA VI: 214 g/m2 (VN: < 95?, < 115 ?) EPR: 0.38 (VN: < 0.42) CONCLUSIONES: BIDIMENSIONAL: ? HIPERTROFIA EXCENTRICA SEVERA DE VENTRICULO IZQUIERDO CON DETERIORO MODERADO DE LA FRACCION DE EYECCION. FEY: 37%. ? DILATACION LEVE DE AURICULA IZQUIERDA. AREA: 21 cm2 ? CAVIDADES DERECHAS NO DILATADAS, SE ESTIMA FUNCION SISTOLICA DE VENTRICULO DERECHO NORMAL. (TAPSE: 2.25 cm). ? SEPTUM IV E IA INDEMNES. ? MOTILIDAD SEPTAL DE TIPO PARADOJAL (BRI) ? RAIZ AORTICA NO DILATADA. ? NO SE EVIDENCIA DERRAME PERICARDICO. DOPPLER: ? VALVULA MITRAL: DE MORFOLOGIA NORMAL, SE CONSTATA INSUFICIENCIA LEVE. ? VALVULA PULMONAR: NORMOINSERTA, NORMOFUNCIONANTE. ? VALVULA TRICUSPIDE: NORMOINSERTA, NO SE CONSTATA INSUFICIENCIA. ? VALVULA AORTICA: TRICUSPIDE, APERTURA CONSERVADA, NO SE CONSTATA INSUFICIENCIA. ? PATRON DE RELAJACION PROLONGADO /DDVI GI / ONDA E>A (ESTIMADO POR DOPPLER TRANSMITRAL). ? FUNCION SISTOLICA DE VI ESTIMADA POR DOPPLER TISULAR NORMAL (9.29 cm/s). ? FUNCION SISTOLICA DE VD ESTIMADA POR DOPPLER TISULAR NORMAL (13 cm/s). Dr. Martinez David Esp. en Cardiologia MP:34849 – C.E.:17686 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/a3db684b1d6d46c587efdf641689ae37_20251022_115732.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"16336787\",\n            \"study_date\": \"2024-03-15 12:32:55.000\",\n            \"study_name\": \"ECO DOPPLER\",\n            \"description\": \"ECOCARDIOGRAMA VASOS DE CUELLO\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA INFORME DE ECODOPPLER DE VASOS DEL CUELLO PACIENTE: ALMADA, MIGUEL ANGEL FECHA: 11/03/2024 EDAD: 61 AÑOS VENTANA: ACEPTABLE DIAGNOSTICO: CHEQUEO CV INTERPRETACION: LADO DERECHO: ? CARÓTIDA COMUN: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. Se observa complejo intima-media anormal (0.10 cm). ? BULBO DERECHO: De morfología normal, no se observan placas ateromatosas. ? CARÓTIDA INTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? CARÓTIDA EXTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? VERTEBRAL: Flujo anterógrado durante todo el ciclo cardíaco, que no se modifica con la rotación del cuello. Origen vascular visualizado y evaluado de características anatómicas y hemodinámicas normales. ? TBC: No se observa placa ateromatosa. LADO IZQUIERDO: ? CARÓTIDA COMUN: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. Se observa complejo intima-media anormal (0.11 cm). ? BULBO IZQUIERDO: De morfología normal, no se observan placas ateromatosas. ? CARÓTIDA INTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? CARÓTIDA EXTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? VERTEBRAL: Flujo anterógrado durante todo el ciclo cardíaco, que no se modifica con la rotación del cuello. CONCLUSIONES: ? COMPLEJO INTIMA MEDIA CAROTIDEO DERECHO E IZQUIERDO ANORMAL. ? CIRCULACIÓN VERTEBRAL EXTRACRANEAL DENTRO DE LÍMITES NORMALES. Dr. Martinez David Esp. en Cardiologia MP:34849 – C.E.:17686\\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/39bfc98127024022902fccde5ea61eb4_20251022_115733.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"16336787\",\n            \"study_date\": \"2024-03-15 12:31:52.000\",\n            \"study_name\": \"ECO DOPPLER\",\n            \"description\": \"ECOCARDIOGRAMA DOPPLER COLOR\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 INFORME DE ECOCARDIOGRAMA DOPPLER COLOR}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 PACIENTE: ALMADA, MIGUEL ANGEL FECHA: 11/03/2024}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 EDAD: 61 AÑOS VENTANA: ACEPTABLE}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 DIAGNOSTICO: CONTROL CV ASC: 2.14 M2}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 BIDIMENSIONAL:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 VID: 5.33 CM (VN: 3.9-5.3 ?y 4.2-5.84cm ?) VDD (4C): 2.66 CM (VN: 2.4-4.1cm)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 VIS: 3.46 CM (VN: 2.2-3.5 ?y 2.5-4.0cm ?)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 MOV.SEP. NORMAL}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 SIVD: 1.30 CM (VN: 0.6-1.0cm)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 A.IZQ.: AREA: 20 cm2}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 PPVID: 1.19 CM (VN: 0.6-1.0cm) AORTA: 3.06 CM (VN: -4.0cm)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 FA.: 35% (VN: 25-45%) PERICARDIO: NORMAL}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 FEVI. 64 % (VN: = 50%) A.DER. Normal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 MASA VI: 128 g/m2 (VN: < 95?, < 115 ?) EPR: 0.45 (VN: < 0.42)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 CONCLUSIONES:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  BIDIMENSIONAL:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? HIPERTROFIA CONCENTRICA DE VENTRICULO IZQUIERDO CON FUNCION SISTOLICA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 CONSERVADA. FEY: 64%.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? AURICULA IZQUIERDA DE TAMANO NORMAL. AREA: 20 cm2}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? CAVIDADES DERECHAS NO DILATADAS, SE ESTIMA FUNCION SISTOLICA DE VENTRICULO}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 DERECHO NORMAL. (TAPSE: 2.07 cm).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? SEPTUM IV E IA INDEMNES.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? MOTILIDAD PARIETAL SEGMENTARIA EN REPOSO NORMAL.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? RAIZ AORTICA NO DILATADA.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? NO SE EVIDENCIA DERRAME PERICARDICO.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 DOPPLER:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? VALVULA MITRAL: DE MORFOLOGIA NORMAL, SE CONSTATA INSUFICIENCIA LEVE.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? VALVULA PULMONAR: NORMOINSERTA, NORMOFUNCIONANTE.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? VALVULA TRICUSPIDE: NORMOINSERTA, SE CONSTATA INSUFICIENCIA DE GRADO LEVE, SE}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ESTIMA PSAP: 20 MMHG.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? VALVULA AORTICA: TRICUSPIDE, APERTURA CONSERVADA, NO SE CONSTATA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 INSUFICIENCIA.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? PATRON DE RELAJACION PROLONGADO, ONDA E<A // DDVI GI (ESTIMADO POR DOPPLER}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 TRANSMITRAL).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? FUNCION SISTOLICA DE VI ESTIMADA POR DOPPLER TISULAR NORMAL (9.01cm/s).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 ? FUNCION SISTOLICA DE VD ESTIMADA POR DOPPLER TISULAR NORMAL (14.41 cm/s).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  Dr. Martinez David}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Esp. en Cardiologia}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  MP:34849 – C.E.:17686 }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/3ce67ae3e54a4163966cd873711fd2a6_20251022_115733.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"17430033\",\n            \"study_date\": \"2024-03-15 12:28:54.000\",\n            \"study_name\": \"ECO DOPPLER\",\n            \"description\": \"ECOCARDIOGRAMA VASOS DE CUELLO\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA INFORME DE ECODOPPLER DE VASOS DEL CUELLO PACIENTE: CERVINO, RENE HECTOR FECHA: 11/03/2024 EDAD: 58 AÑOS VENTANA: ACEPTABLE DIAGNOSTICO: CHEQUEO CV INTERPRETACION: LADO DERECHO: ? CARÓTIDA COMUN: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. Se observa complejo intima-media anormal (0.11 cm). ? BULBO DERECHO: De morfología normal, no se observan placas ateromatosas. ? CARÓTIDA INTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? CARÓTIDA EXTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? VERTEBRAL: Flujo anterógrado durante todo el ciclo cardíaco, que no se modifica con la rotación del cuello. Origen vascular visualizado y evaluado de características anatómicas y hemodinámicas normales. ? TBC: No se observa placa ateromatosa. LADO IZQUIERDO: ? CARÓTIDA COMUN: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. Se observa complejo intima-media anormal (0.12 cm). ? BULBO IZQUIERDO: De morfología normal, no se observan placas ateromatosas. ? CARÓTIDA INTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? CARÓTIDA EXTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? VERTEBRAL: Flujo anterógrado durante todo el ciclo cardíaco, que no se modifica con la rotación del cuello. CONCLUSIONES: ? COMPLEJO INTIMA MEDIA CAROTIDEO DERECHO E IZQUIERDO ANORMAL. ? CIRCULACIÓN VERTEBRAL EXTRACRANEAL DENTRO DE LÍMITES NORMALES. SE OBSERVAN NODULO TIROIDEO, SE SUGIERE CONFRONTAR CON METODO COMPLEMENTARIO MAS ESPECIFICO. Dr. Martinez David Esp. en Cardiologia MP:34849 – C.E.:17686\\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/8df6ee665bd0453db7c2d9377c0c096b_20251022_115734.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"17430033\",\n            \"study_date\": \"2024-03-15 12:27:55.000\",\n            \"study_name\": \"ECO DOPPLER\",\n            \"description\": \"ECOCARDIOGRAMA DOPPLER\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA INFORME DE ECOCARDIOGRAMA DOPPLER COLOR PACIENTE: CERVINO RENE HECTOR FECHA: 11/03/2024 EDAD: 58 AÑOS VENTANA: ACEPTABLE DIAGNOSTICO: CONTROL CV ASC: 2.16 M2 BIDIMENSIONAL: VID: 6.63 CM (VN: 3.9-5.3 ?y 4.2-5.84cm ?) VDD (4C): 3.07 CM (VN: 2.4-4.1cm) VIS: 4.19 CM (VN: 2.2-3.5 ?y 2.5-4.0cm ?) MOV.SEP. NORMAL SIVD: 1.30 CM (VN: 0.6-1.0cm) A.IZQ.: AREA: 21 cm2 PPVID: 1.30 CM (VN: 0.6-1.0cm) AORTA: 2.55 CM (VN: -4.0cm) FA.: 36% (VN: 25-45%) PERICARDIO: NORMAL FEVI. 65 % (VN: = 50%) A.DER. Normal. MASA VI: 160 g/m2 (VN: < 95?, < 115 ?) EPR: 0.36 (VN: < 0.42) CONCLUSIONES: BIDIMENSIONAL: ? HIPERTROFIA EXCENTRICA DE VENTRICULO IZQUIERDO CON FUNCION SISTOLICA CONSERVADA. FEY: 65%. ? DILATACION LEVE DE AURICULA IZQUIERDA. AREA: 21 cm2 ? CAVIDADES DERECHAS NO DILATADAS, SE ESTIMA FUNCION SISTOLICA DE VENTRICULO DERECHO NORMAL. (TAPSE: 2.30 cm). ? SEPTUM IV E IA INDEMNES. ? MOTILIDAD PARIETAL SEGMENTARIA EN REPOSO NORMAL. ? RAIZ AORTICA NO DILATADA. ? NO SE EVIDENCIA DERRAME PERICARDICO. DOPPLER: ? VALVULA MITRAL: DE MORFOLOGIA NORMAL, SE CONSTATA INSUFICIENCIA LEVE. ? VALVULA PULMONAR: NORMOINSERTA, NORMOFUNCIONANTE. ? VALVULA TRICUSPIDE: NORMOINSERTA, SE CONSTATA INSUFICIENCIA DE GRADO LEVE, SE ESTIMA PSAP: 14 M MHG. ? VALVULA AORTICA: TRICUSPIDE, APERTURA CONSERVADA, NO SE CONSTATA INSUFICIENCIA. ? PATRON DE RELAJACION PSEUDONORMAL- DDVI GII (ESTIMADO POR DOPPLER TRANSMITRAL). ? FUNCION SISTOLICA DE VI ESTIMADA POR DOPPLER TISULAR NORMAL (9.01 cm/s). ? FUNCION SISTOLICA DE VD ESTIMADA POR DOPPLER TISULAR NORMAL (13.72 cm/s). Dr. Martinez David Esp. en Cardiologia MP:34849 – C.E.:17686 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/3dcb5afd804d462f8246292142c4f192_20251022_115734.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"37437597\",\n            \"study_date\": \"2024-03-15 12:26:37.000\",\n            \"study_name\": \"ECO DOPPLER\",\n            \"description\": \"ECOCARDIOGRAMA DOPPLER VASOS DE CUELLO\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA INFORME DE ECODOPPLER DE VASOS DEL CUELLO PACIENTE: MALLADA, ALEJANDRA FECHA: 11/03/2024 EDAD: 30 AÑOS VENTANA: ACEPTABLE DIAGNOSTICO: CONTROL CV ASC: 1.83 M2 INTERPRETACION: LADO DERECHO: ? CARÓTIDA COMUN: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. Se observa complejo intima-media normal (0.06 cm). ? BULBO DERECHO: De morfología normal, no se observan placas ateromatosas. ? CARÓTIDA INTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? CARÓTIDA EXTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? VERTEBRAL: Flujo anterógrado durante todo el ciclo cardíaco, que no se modifica con la rotación del cuello. Origen vascular visualizado y evaluado de características anatómicas y hemodinámicas normales. ? TBC: No se observa placa ateromatosa. LADO IZQUIERDO: ? CARÓTIDA COMUN: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. Se observa complejo intima-media normal (0.08 cm). ? BULBO IZQUIERDO: De morfología normal, no se observan placas ateromatosas. ? CARÓTIDA INTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? CARÓTIDA EXTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? VERTEBRAL: Flujo anterógrado durante todo el ciclo cardíaco, que no se modifica con la rotación del cuello. CONCLUSIONES: ? COMPLEJO INTIMA MEDIA CAROTIDEO IZQUIERDO NORMAL. ? CIRCULACIÓN VERTEBRAL EXTRACRANEAL DENTRO DE LÍMITES NORMALES. ESTUDIO DOPPLER DE VASOS DEL CUELLO NORMAL Dr. Martinez David Esp. en Cardiologia MP:34849 – C.E.:17686\\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/f937c63f39a946a6a3e9ed27f318adfa_20251022_115735.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"37437597\",\n            \"study_date\": \"2024-03-15 12:25:06.000\",\n            \"study_name\": \"ECO DOPPLER\",\n            \"description\": \"ECOCARDIOGRAMA DOPPLER\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA INFORME DE ECOCARDIOGRAMA DOPPLER COLOR PACIENTE: MALLADA, ALEJANDRA FECHA: 11/03/2024 EDAD: 30 AÑOS VENTANA: ACEPTABLE DIAGNOSTICO: CONTROL CV ASC: 1.83 M2 BIDIMENSIONAL: VID: 4.60 CM (VN: 3.9-5.3 ?y 4.2-5.84cm ?) VDD (4C): 2.31 CM (VN: 2.4-4.1cm) VIS: 2.90 CM (VN: 2.2-3.5 ?y 2.5-4.0cm ?) MOV.SEP. NORMAL SIVD: 0.80 CM (VN: 0.6-1.0cm) A.IZQ.: AREA:13 cm2 PPVID: 0.75 CM (VN: 0.6-1.0cm) AORTA: 2.15 CM (VN: -4.0cm) FA.: 36.9% (VN: 25-45%) PERICARDIO: NORMAL FEVI. 67 % (VN: = 50%) A.DER. Normal. MASA VI: 78 g/m2 (VN: < 95?, < 115 ?) EPR: 0.36 (VN: < 0.42) CONCLUSIONES: BIDIMENSIONAL: ? GEOMETRIA NORMAL DE VENTRICULO IZQUIERDO CON FUNCION SISTOLICA CONSERVADA. FEY: 67%. ? AURICULA IZQUIERDA DE TAMAÑO NORMAL. AREA: 13 cm2 ? CAVIDADES DERECHAS NO DILATADAS, SE ESTIMA FUNCION SISTOLICA DE VENTRICULO DERECHO NORMAL. (TAPSE: 2.05 cm). ? SEPTUM IV E IA INDEMNES. ? MOTILIDAD PARIETAL SEGMENTARIA EN REPOSO NORMAL. ? RAIZ AORTICA NO DILATADA. ? NO SE EVIDENCIA DERRAME PERICARDICO. DOPPLER: ? VALVULA MITRAL: DE MORFOLOGIA NORMAL, SE CONSTATA INSUFICIENCIA LEVE. ? VALVULA PULMONAR: NORMOINSERTA, NORMOFUNCIONANTE. ? VALVULA TRICUSPIDE: NORMOINSERTA, NO SE CONSTATA INSUFICIENCIA SIGNIFICATIVA. ? VALVULA AORTICA: TRICUSPIDE, APERTURA CONSERVADA, NO SE CONSTATA INSUFICIENCIA. ? PATRON DE RELAJACION NORMAL- ONDA E>A (ESTIMADO POR DOPPLER TRANSMITRAL). ? FUNCION SISTOLICA DE VI ESTIMADA POR DOPPLER TISULAR NORMAL (10.53 cm/s). ? FUNCION SISTOLICA DE VD ESTIMADA POR DOPPLER TISULAR NORMAL (14.28 cm/s). Dr. Martinez David Esp. en Cardiologia MP:34849 – C.E.:17686\\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs20\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/6275640e7567462c990daaa9798e1721_20251022_115735.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"45405553\",\n            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}{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0              }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                         }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs20\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/81f9b5768f004f8a84617ba056b86bea_20251022_115736.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"56925428\",\n            \"study_date\": \"2024-03-12 14:38:41.000\",\n            \"study_name\": \"RX DE HUESOS PROPIOS DE LA NARIZ\",\n            \"description\": \"SPN\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE:  CAÑETE SANTIAGO}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0            }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 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vegetantes.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Vía biliar intra y extra hepática no dilatada. Colédoco de calibre normal al momento del exámen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Páncreas de tamaño y morfología normal. Sin lesiones ocupantes de espacio.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Bazo de tamaño normal y ecoestructura homogénea, de cm de diámetro longitudinal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Riñones de tamaño, morfología y ecoestructura normal, sin lesiones focalizadas en evolución.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Vías urinarias y vejiga sin alteraciones detectables.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Retroperitoneo y grandes vasos abdomino – pelvianos de características normales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 La exploración del tubo gastro-intestinal no reveló la presencia de alteraciones macroscópicas significativas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 CONCLUSIÓN:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Esteatosis hepática moderada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Múltiples quistes simples a nivel hepático.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Imagen nodular a nivel hepatico.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0     }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Muy atentamente}{\\\\f0 \\\\par }}\",\n            \"professional_solicite\": \"OCAMPO MARTIN EZEQUIEL\",\n            \"professional_efector\": \"OCAMPO MARTIN EZEQUIEL\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/d9d0715f82184f24b14dec8db6093e9c_20251022_115749.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"40964870\",\n            \"study_date\": \"2024-09-03 11:12:55.000\",\n            \"study_name\": \"ECOGRAFIA TOCOGINECOLÓGICA 1º T\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 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\\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 CONCLUSIÓN:\\\\par }{\\\\f0 }{\\\\f0 •}{\\\\f0             }{\\\\f0  Exploración ecográfica dentro de parámetros normales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Muy atentamente}{\\\\f0   }{\\\\f0 \\\\par }}\",\n            \"professional_solicite\": \"MARTINEZ RETA DAVID RAMON\",\n            \"professional_efector\": \"MARTINEZ RETA DAVID RAMON\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/2c5c197c3ccb4b55b0322579105f7b04_20251022_115750.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"39824958\",\n            \"study_date\": \"2024-09-02 07:41:56.000\",\n            \"study_name\": \"ECOGRAFIA TRANSVAGINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0 PACIENTE: ORTEGA JULIETA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 FECHA: 30-08-24}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 ECOGRAFÍA GINECOLÓGICA}{\\\\f0  }{\\\\f0  (transvaginal)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Motivo de consulta: Control de endometrio.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 DESCRIPCIÓN:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Útero en AVF de morfología y dimensiones normales, de contornos regulares.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Sus dimensiones son:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Diámetro longitudinal: 7.4 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Diámetro antero-posterior: 3.3 cm\\\\par }{\\\\f0 }{\\\\f0 Diámetro transversal: 4.8 cm\\\\par }{\\\\f0 }{\\\\f0 Miometrio homogéneo, sin lesiones focalizadas dominantes.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Endometrio lineal, ecogénico}{\\\\f0   }{\\\\f0 de 5}{\\\\f0     }{\\\\f0  mm de espesor.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Ovarios de tamaño, morfología y ecoestructura normales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 O.D:}{\\\\f0  }{\\\\f0  4.5 x 2.1 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 O.I}{\\\\f0  }{\\\\f0  :}{\\\\f0   }{\\\\f0  3.9 x 1.7 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 En proyecciones anexiales, no se objetivan formaciones ni quísticas, ni sólidas compatibles con patología detectable por ecografía.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 No se evidencian masas ni colecciones para uterinas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 CONCLUSIÓN:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 •}{\\\\f0             }{\\\\f0  Exploración ecográfica}{\\\\f0  }{\\\\f0  de la pelvis no reveló alteraciones morfológicas significativas.}{\\\\f0                       }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Muy atentamente\\\\par }}\",\n            \"professional_solicite\": \"REARTES CELESTE\",\n            \"professional_efector\": \"REARTES CELESTE\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/0724ad70dce34475ad0c30b83cc74b39_20251022_115751.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"32934022\",\n            \"study_date\": \"2024-08-28 15:06:06.000\",\n            \"study_name\": \"ECOGRAFIA TRANSVAGINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": 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ecoestructura normales.\\\\par }{\\\\f0 }{\\\\f0 O.D:  26 x 18 mm\\\\par }{\\\\f0 }{\\\\f0 O.I  :   26 x 19 mm\\\\par }{\\\\f0 }{\\\\f0 Se visualiza imagen quística simple  de 18 mm de diámetro en región parametrial izquierda interpretado como quiste paraovarico/ parametrial.\\\\par }{\\\\f0 }{\\\\f0 No se evidencian masas ni colecciones para uterinas.\\\\par }{\\\\f0 }{\\\\f0 Fondo de saco de Douglas libre.\\\\par }{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 CONCLUSIÓN:\\\\par }{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 Probable quiste parametrial en proyección anexial izquierda.\\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Muy atentamente\\\\par }}\",\n            \"professional_solicite\": \"VILAMAJO ALEJANDRO\",\n            \"professional_efector\": \"VILAMAJO ALEJANDRO\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/ab9806d55c11438da99a19ceca39f140_20251022_115751.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"32934022\",\n            \"study_date\": \"2024-08-28 15:01:50.000\",\n            \"study_name\": \"ECOGRAFIA  MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 PACIENTE:  AYALA VALERIA \\\\par }{\\\\f0 }{\\\\f0 FECHA: 28-08-24 \\\\par }{\\\\f0 }{\\\\f0 ECOGRAFÍA MAMARIA BILATERAL\\\\par }{\\\\f0 }{\\\\f0 Motivo de consulta: control.\\\\par }{\\\\f0 }{\\\\f0 DESCRIPCION:\\\\par }{\\\\f0 }{\\\\f0 Parénquima de ecoestructura normal, con predominio del componente fibro-glandular.\\\\par }{\\\\f0 }{\\\\f0 Se visualiza en mama derecha  H 12 periareolar imagen nodular solida hipoecogenica oval de márgenes circunscriptos  con su eje mayor al plano cutaneo doppler negativa que mide 9 x 4 x 10 mm\\\\par }{\\\\f0 }{\\\\f0 Se visualiza en mama izquierda H 1 ZONA A  quiste simple de4 mm de diámetro.\\\\par }{\\\\f0 }{\\\\f0 Conductos retro-areolares sin particularidades.\\\\par }{\\\\f0 }{\\\\f0 No se objetivaron anormalidades en los tejidos blandos axilares.\\\\par }{\\\\f0 }{\\\\f0 CONCLUSIÓN:\\\\par }{\\\\f0 }{\\\\f0 Nodulo en mama derecha.\\\\par }{\\\\f0 }{\\\\f0 Quiste simple en mama izquierda\\\\par }{\\\\f0 }{\\\\f0 BI-RADS US: III        \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Muy atentamente\\\\par }}\",\n            \"professional_solicite\": \"VILAMAJO ALEJANDRO\",\n            \"professional_efector\": \"VILAMAJO ALEJANDRO\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/c4119b5dab64445591ab7d18e425e8dc_20251022_115751.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"22104740\",\n            \"study_date\": \"2024-08-28 14:54:07.000\",\n            \"study_name\": \"ECOGRAFIA ABDOMINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0 PACIENTE: CACIORGNA SUSANA }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 FECHA: 28-08-24}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 ECOGRAFÍA ABDOMINAL COMPLETA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Motivo de Consulta:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 DESCRIPCIÓN:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Hígado de tamaño, morfología y ecoestructura normal, sin lesiones focalizadas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Vesícula biliar de tamaño y morfología normal, de paredes finas, que no presenta lesiones parietales vegetantes.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Vía biliar intra y extra hepática no dilatada. Colédoco de calibre normal al momento del exámen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Páncreas de tamaño y morfología normal. Sin lesiones ocupantes de espacio.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Bazo de tamaño normal y ecoestructura homogénea, de cm de diámetro longitudinal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Riñones de tamaño, morfología y ecoestructura normal, sin lesiones focalizadas en evolución.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 El Riñón derecho mide 105 mm y el Riñón izquierdo mide 112 mm , en sus diámetros longitudinales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Vías urinarias y vejiga sin alteraciones detectables.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Retroperitoneo y grandes vasos abdomino – pelvianos de características normales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 La exploración del tubo gastro-intestinal no reveló la presencia de alteraciones macroscópicas significativas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 CONCLUSIÓN:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 •}{\\\\f0          }{\\\\f0  Examen abdomino-pelviano no reveló alteraciones morfológicas significativas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0     }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Muy atentamente}{\\\\f0 \\\\par }}\",\n            \"professional_solicite\": \"VILAMAJO ALEJANDRO\",\n            \"professional_efector\": \"VILAMAJO ALEJANDRO\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/b0e68d1376314778ad092cb61c1cebe5_20251022_115752.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25514522\",\n            \"study_date\": \"2024-08-28 10:24:59.000\",\n            \"study_name\": \"MAMOGRAFIA\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\colortbl,\\\\red0\\\\green0\\\\blue0,}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\i\\\\f0 PACIENTE: AMAYA SONIA}{\\\\b\\\\i\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\i\\\\f0 FECHA:14-08-24}{\\\\b\\\\i\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\i\\\\f0 \\\\par }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\i\\\\f0 \\\\par }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\i\\\\f0 INDICACIÓN Y ANTECEDENTES:}{\\\\b\\\\i\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\cf1\\\\f0  Estudio de cribado.}{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\i\\\\f0 EXÁMENES PREVIOS:}{\\\\b\\\\i\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 -Exámenes previos no disponibles. }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 MAMOGRAFÍA DIGITAL INDIRECTA BILATERAL en un mamógrafo convencional. Se obtuvieron proyecciones cráneo-caudales y medio-laterales oblicuas. }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\i\\\\f0 INFORME:}{\\\\b\\\\i\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 -Composición global de ambas mamas que muestra involución lipomatosa, con sectores dispersos de densidad fibroglandular.}{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 -No se evidencian imágenes nodulares, calcificaciones sospechosas ni distorsión arquitectural del tejido de sostén.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 -Calcificaciones aisladas bilaterales.}{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 -Ganglios axilares izquierdos.}{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\i\\\\f0 IMPRESIÓN GLOBAL}{\\\\b\\\\i\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 :}{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 -Examen mamográfico digital bilateral, dentro de límites normales. }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\i\\\\f0 RECOMENDACIÓN:}{\\\\b\\\\i\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0  Control mamográfico anual.}{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\i\\\\f0 CATEGORIZACIÓN:}{\\\\b\\\\i\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  BI-RADS: 2.}{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  ACR: b.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0               Cordialmente lo saluda.-}{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"ARNUT ELIANA ANDREA\",\n            \"professional_efector\": \"ARNUT ELIANA ANDREA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/c3c7aec81b3b423c833c0114a6433094_20251022_115752.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"28881413\",\n            \"study_date\": \"2024-08-28 10:22:48.000\",\n            \"study_name\": \"MAMOGRAFIA\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\colortbl,\\\\red0\\\\green0\\\\blue0,}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\i\\\\f0 PACIENTE: AMAYA SONIA}{\\\\b\\\\i\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\i\\\\f0 FECHA:14-08-24}{\\\\b\\\\i\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\i\\\\f0 \\\\par }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\i\\\\f0 \\\\par }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\i\\\\f0 INDICACIÓN Y ANTECEDENTES:}{\\\\b\\\\i\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\cf1\\\\f0  Estudio de cribado.}{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\i\\\\f0 }{\\\\b\\\\i\\\\f0 EXÁMENES PREVIOS:}{\\\\b\\\\i\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 -Exámenes previos no disponibles. }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 MAMOGRAFÍA DIGITAL INDIRECTA BILATERAL en un mamógrafo convencional. 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\"professional_solicite\": \"PAPA SOFIA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/efb0e8725edc447dad2af89ccdf22dc7_20251022_115757.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"33602526\",\n            \"study_date\": \"2024-07-10 12:34:17.000\",\n            \"study_name\": \"ECOGRAFIA MAMARIA\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0 PACIENTE: PEREYRA LUCIANO\\\\par }{\\\\f0 }{\\\\f0 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}{\\\\f0 }{\\\\f0 Motivo de consulta: Control de endometrio.\\\\par }{\\\\f0 }{\\\\f0 DESCRIPCIÓN:\\\\par }{\\\\f0 }{\\\\f0 Útero en AVF de morfología y dimensiones normales, de contornos regulares.\\\\par }{\\\\f0 }{\\\\f0 Sus dimensiones son:\\\\par }{\\\\f0 }{\\\\f0 Diámetro longitudinal: 85 mm\\\\par }{\\\\f0 }{\\\\f0 Diámetro antero-posterior: 22 mm\\\\par }{\\\\f0 }{\\\\f0 Diámetro transversal: 42 mm\\\\par }{\\\\f0 }{\\\\f0 Miometrio homogéneo, sin lesiones focalizadas dominantes.\\\\par }{\\\\f0 }{\\\\f0 Endometrio  ecogénico y homogéneo de  4    mm de espesor.\\\\par }{\\\\f0 }{\\\\f0 Ovarios de tamaño, morfología y ecoestructura normales.\\\\par }{\\\\f0 }{\\\\f0 O.D:  26 x 12 mm\\\\par }{\\\\f0 }{\\\\f0 O.I  :   33 x 18 mm\\\\par }{\\\\f0 }{\\\\f0 En proyecciones anexiales, no se objetivan formaciones ni quísticas, ni sólidas compatibles con patología detectable por ecografía.\\\\par }{\\\\f0 }{\\\\f0 No se evidencian masas ni colecciones para uterinas.\\\\par }{\\\\f0 }{\\\\f0 Fondo de saco de Douglas libre.\\\\par }{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 CONCLUSIÓN:\\\\par }{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 •             Exploración ecográfica  de la pelvis no reveló alteraciones morfológicas significativas.                      \\\\par }{\\\\f0 Muy atentamente\\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"VILAMAJO ALEJANDRO\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/fd599daa6c0149499da7a097c10abe09_20251022_115758.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"21757078\",\n            \"study_date\": \"2024-07-10 12:28:35.000\",\n            \"study_name\": \"ECOGRAFIA TRANSVAGINAL\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0 PACIENTE: FONTANELLA GLADYS\\\\par }{\\\\f0 }{\\\\f0 FECHA:10-07-24 \\\\par }{\\\\f0 }{\\\\f0 ECOGRAFÍA GINECOLÓGICA  ( transvaginal)\\\\par }{\\\\f0 }{\\\\f0 Motivo de consulta: Control .\\\\par }{\\\\f0 }{\\\\f0 DESCRIPCIÓN:\\\\par }{\\\\f0 }{\\\\f0 Útero en AVF de morfología y dimensiones normales, de contornos regulares.\\\\par }{\\\\f0 }{\\\\f0 Sus dimensiones son:\\\\par }{\\\\f0 }{\\\\f0 Diámetro longitudinal: 50 mm\\\\par }{\\\\f0 }{\\\\f0 Diámetro antero-posterior: 22 mm\\\\par }{\\\\f0 }{\\\\f0 Diámetro transversal: 30 mm\\\\par }{\\\\f0 }{\\\\f0 Miometrio homogéneo, sin lesiones focalizadas dominantes.\\\\par }{\\\\f0 }{\\\\f0 Endometrio lineal, ecogénico  de    1.4   mm de espesor.\\\\par }{\\\\f0 }{\\\\f0 No se visualizan ovarios , no obstante en proyecciones anexiales  no se visualizan imágenes  compatibles con patología al momento del examen\\\\par }{\\\\f0 }{\\\\f0 En proyecciones anexiales, no se objetivan formaciones ni quísticas, ni sólidas compatibles con patología detectable por ecografía.\\\\par }{\\\\f0 }{\\\\f0 No se evidencian masas ni colecciones para uterinas.\\\\par }{\\\\f0 Fondo de saco de Douglas libre.}{\\\\fs20\\\\f0 te}{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/87206671d9484e598ff4bb73ef363d99_20251022_115758.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"21757078\",\n            \"study_date\": \"2024-07-10 12:27:25.000\",\n            \"study_name\": \"ECOGRAFIA MAMARIA\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0 PACIENTE: FONTANELLA GLADYS\\\\par }{\\\\f0 }{\\\\f0 FECHA: 10-07-24\\\\par }{\\\\f0 }{\\\\f0 ECOGRAFÍA MAMARIA BILATERAL\\\\par }{\\\\f0 }{\\\\f0 Motivo de consulta: control.\\\\par }{\\\\f0 }{\\\\f0 DESCRIPCION:\\\\par }{\\\\f0 }{\\\\f0 Parénquima de ecoestructura normal, con predominio del componente fibro-glandular.\\\\par }{\\\\f0 }{\\\\f0 Ausencia de lesiones focalizadas sólidas, detectables por éste método.\\\\par }{\\\\f0 }{\\\\f0 No se evidencian imágenes quísticas de dimensiones significativas.\\\\par }{\\\\f0 }{\\\\f0 Conductos retro-areolares sin particularidades.\\\\par }{\\\\f0 }{\\\\f0 No se objetivaron anormalidades en los tejidos blandos axilares.\\\\par }{\\\\f0 }{\\\\f0 CONCLUSIÓN:\\\\par }{\\\\f0 }{\\\\f0 •             El examen ecográfico mamario bilateral no reveló alteraciones significativas.\\\\par }{\\\\f0 }{\\\\f0 •             BI-RADS: I        \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Muy atentamente\\\\par }}\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/82513f5c9b42481b9d27a09b4e73f6e5_20251022_115759.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"24111651\",\n            \"study_date\": \"2024-07-10 12:18:28.000\",\n            \"study_name\": \"ECOGRAFIA MAMARIA\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 PACIENTE: ARAGNO MYRIAM \\\\par }{\\\\f0 }{\\\\f0 FECHA: 10-07-24\\\\par }{\\\\f0 }{\\\\f0 ECOGRAFÍA MAMARIA BILATERAL\\\\par }{\\\\f0 }{\\\\f0 Motivo de consulta: control.\\\\par }{\\\\f0 }{\\\\f0 DESCRIPCION:\\\\par }{\\\\f0 }{\\\\f0 Parénquima de ecoestructura normal, con predominio del componente fibro-glandular.\\\\par }{\\\\f0 }{\\\\f0 Ausencia de lesiones focalizadas sólidas, detectables por éste método.\\\\par }{\\\\f0 }{\\\\f0 Se visualiza en mama izquierda multiples lesiones redondeadas  de márgenes circunscriptos con contenido ecogénico en su interior, avascular con su eje mayor paralelo al  plano cutáneo, sugestivas de quistes complicados ( con contenido ecogénico) cuya localización y tamaño son:\\\\par }{\\\\f0 }{\\\\f0 Mama izquierda H 1 ZONA B  4 mm\\\\par }{\\\\f0 }{\\\\f0 Mama izquierda H 2 ZONA B  de 7 y  4 mm\\\\par }{\\\\f0 }{\\\\f0 Mama izquierda H 2 ZONA B  9 mm\\\\par }{\\\\f0 }{\\\\f0 No se visualizan lesiones solidas mediante este método.\\\\par }{\\\\f0 }{\\\\f0 Dilatacion ductal retro areolar a nivel bi lateral.\\\\par }{\\\\f0 }{\\\\f0 No se objetivaron anormalidades en los tejidos blandos axilares.\\\\par }{\\\\f0 }{\\\\f0 CONCLUSIÓN:\\\\par }{\\\\f0 }{\\\\f0 Quistes complicados en mama izquierda.\\\\par }{\\\\f0 }{\\\\f0 Dilatacion ductal retro areolar\\\\par }{\\\\f0 }{\\\\f0 BI-RADS:    III      \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Muy atentamente\\\\par }}\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/36e598800ed54a2987df3b0b930c3c35_20251022_115759.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"29836804\",\n            \"study_date\": \"2024-07-10 12:13:46.000\",\n            \"study_name\": \"ECOGRAFIA TRANSVAGINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0 PACIENTE: VACCA VERONICA\\\\par }{\\\\f0 }{\\\\f0 FECHA: 10-07-24\\\\par }{\\\\f0 }{\\\\f0 ECOGRAFÍA GINECOLÓGICA  (transvaginal)\\\\par }{\\\\f0 }{\\\\f0 Motivo de consulta: Control de DIU\\\\par }{\\\\f0 }{\\\\f0 DESCRIPCIÓN:\\\\par }{\\\\f0 }{\\\\f0 Útero en AVF de morfología y dimensiones normales, de contornos regulares.\\\\par }{\\\\f0 }{\\\\f0 Sus dimensiones son:\\\\par }{\\\\f0 }{\\\\f0 Diámetro longitudinal: 81  mm\\\\par }{\\\\f0 }{\\\\f0 Diámetro antero-posterior: 39 mm .\\\\par }{\\\\f0 }{\\\\f0 Diámetro transversal: 50 mm\\\\par }{\\\\f0 }{\\\\f0 Miometrio homogéneo, presentando en su pared anterior lateral izquierda pequeño mioma  intra mural de 24 x 18 mm\\\\par }{\\\\f0 }{\\\\f0 Endometrio  ecogénico y homogéneo de    10  mm de espesor.\\\\par }{\\\\f0 }{\\\\f0 Presenta DIU endocavitario normoinserto por arriba de la cérvix con su extremo distal a 6 mm del fondo endometrial\\\\par }{\\\\f0 }{\\\\f0 Ovarios de tamaño, morfología y ecoestructura normales.\\\\par }{\\\\f0 }{\\\\f0 O.D:  21 x 13 mm\\\\par }{\\\\f0 }{\\\\f0 O.I  :   26 x 18 mm\\\\par }{\\\\f0 }{\\\\f0 En proyecciones anexiales, no se objetivan formaciones ni quísticas, ni sólidas compatibles con patología detectable por ecografía.\\\\par }{\\\\f0 }{\\\\f0 No se evidencian masas ni colecciones para uterinas.\\\\par }{\\\\f0 }{\\\\f0 Fondo de saco de Douglas libre.\\\\par }{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Muy atentamente\\\\par }}\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/8862b4d96a8944a69b1cf0db1b0346c5_20251022_115800.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"29418201\",\n            \"study_date\": \"2024-07-10 11:47:09.000\",\n            \"study_name\": \"MAMOGRAFIA\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0 SPINA GABRIELA 27-06-2024}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 DNI: 21004957}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 INDICACIÓN Y ANTECEDENTES: Control.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 EXÁMENES PREVIOS: }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 -Exámenes previos no disponibles. }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 MAMOGRAFÍA DIGITAL INDIRECTA BILATERAL en un mamógrafo}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 convencional. Se obtuvieron proyecciones cráneo-caudales y}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 medio-laterales oblicuas. }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 INFORME: }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 -Composición global de ambas mamas que muestra tejido}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 heterogéneamente denso, de distribución homogénea, que}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 podría ocultar lesiones nodulares pequeñas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 -No se evidencian calcificaciones sospechosas ni distorsión}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 arquitectural del tejido de sostén.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 -Opacidad nodular de bordes circunscriptos, isodensa de 10}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 mm en cuadrantes superiores de mama derecha, plano medio,}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 en mama izquierda en CSE otro de 10 mm en plano medio a}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 correlacionar con ecografía dirigida o con estudios previos}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 con los cuales no contamos al momento del examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 -Calcificaciones dispersas bilaterales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 -Ganglios axilares bilaterales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 IMPRESIÓN GLOBAL:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 -Opacidades nodulares bilaterales a correlacionar con}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 ecografía dirigida. }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 CATEGORIZACIÓN: }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  BI-RADS: 0.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  ACR: c.}{\\\\f0 \\\\par }}\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/aa3374af92fc4440a226046049a86d71_20251022_115800.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"21004957\",\n            \"study_date\": \"2024-07-10 11:37:04.000\",\n            \"study_name\": \"MAMOGRAFIA\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0 SPINA GABRIELA 27-06-2024}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 DNI: 21004957}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 INDICACIÓN Y ANTECEDENTES: Control.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 EXÁMENES PREVIOS: }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 -Exámenes previos no disponibles. }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 MAMOGRAFÍA DIGITAL INDIRECTA BILATERAL en un mamógrafo}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 convencional. Se obtuvieron proyecciones cráneo-caudales y}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 medio-laterales oblicuas. }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 INFORME: }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 -Composición global de ambas mamas que muestra tejido}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 heterogéneamente denso, de distribución homogénea, que}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 podría ocultar lesiones nodulares pequeñas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 -No se evidencian calcificaciones sospechosas ni distorsión}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 arquitectural del tejido de sostén.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 -Opacidad nodular de bordes circunscriptos, isodensa de 10}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 mm en cuadrantes superiores de mama derecha, plano medio,}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 en mama izquierda en CSE otro de 10 mm en plano medio a}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 correlacionar con ecografía dirigida o con estudios previos}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 con los cuales no contamos al momento del examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 -Calcificaciones dispersas bilaterales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 -Ganglios axilares bilaterales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 IMPRESIÓN GLOBAL:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 -Opacidades nodulares bilaterales a correlacionar con}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 ecografía dirigida. }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 CATEGORIZACIÓN: }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  BI-RADS: 0.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  ACR: c.}{\\\\f0 \\\\par }}\",\n            \"professional_solicite\": \"ARNUT ELIANA ANDREA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/ffab7e03aff1413aa63fdf36148eef39_20251022_115801.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"43929782\",\n            \"study_date\": \"2024-07-10 07:35:38.000\",\n            \"study_name\": \"ECOGRAFIA TRANSVAGINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 PACIENTE: PEREZ MARIA LAURA\\\\par }{\\\\f0 }{\\\\f0 FECHA: 08-07-24\\\\par }{\\\\f0 }{\\\\f0 ECOGRAFÍA GINECOLÓGICA  ( transvaginal)\\\\par }{\\\\f0 }{\\\\f0 Motivo de consulta: Control\\\\par }{\\\\f0 }{\\\\f0 DESCRIPCIÓN:\\\\par }{\\\\f0 }{\\\\f0 Útero en AVF de morfología y dimensiones normales, de contornos regulares.\\\\par }{\\\\f0 }{\\\\f0 Sus dimensiones son:\\\\par }{\\\\f0 }{\\\\f0 59 x 29 x 43 mm\\\\par }{\\\\f0 }{\\\\f0 Miometrio homogéneo, sin lesiones focalizadas dominantes.\\\\par }{\\\\f0 }{\\\\f0 Endometrio bi capa de 8.1     mm de espesor.\\\\par }{\\\\f0 }{\\\\f0 Ovarios de tamaño, morfología y ecoestructura normales.\\\\par }{\\\\f0 }{\\\\f0 O.D:  23 x 15 mm\\\\par }{\\\\f0 }{\\\\f0 O.I  :   28 x 14 mm\\\\par }{\\\\f0 }{\\\\f0 En proyecciones anexiales, no se objetivan formaciones ni quísticas, ni sólidas compatibles con patología detectable por ecografía.\\\\par }{\\\\f0 }{\\\\f0 No se evidencian masas ni colecciones para uterinas.\\\\par }{\\\\f0 }{\\\\f0 Fondo de saco de Douglas libre.\\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Muy atentamente\\\\par }}\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/0c6287ed2daf44d78e42e6b1029d7c39_20251022_115801.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"43929782\",\n            \"study_date\": \"2024-07-10 07:34:30.000\",\n            \"study_name\": \"ECOGRAFIA  MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 PACIENTE: PEREZ MARIA LAURA\\\\par }{\\\\f0 }{\\\\f0 FECHA: 08-07-24\\\\par }{\\\\f0 }{\\\\f0 ECOGRAFÍA MAMARIA BILATERAL\\\\par }{\\\\f0 }{\\\\f0 Motivo de consulta: control.\\\\par }{\\\\f0 }{\\\\f0 DESCRIPCION:\\\\par }{\\\\f0 }{\\\\f0 Parénquima de ecoestructura normal, con predominio del componente fibro-glandular.\\\\par }{\\\\f0 }{\\\\f0 Ausencia de lesiones focalizadas sólidas, detectables por éste método.\\\\par }{\\\\f0 }{\\\\f0 No se evidencian imágenes quísticas de dimensiones significativas.\\\\par }{\\\\f0 }{\\\\f0 Conductos retro-areolares sin particularidades.\\\\par }{\\\\f0 }{\\\\f0 No se objetivaron anormalidades en los tejidos blandos axilares.\\\\par }{\\\\f0 }{\\\\f0 CONCLUSIÓN:\\\\par }{\\\\f0 }{\\\\f0 •             El examen ecográfico mamario bilateral no reveló alteraciones significativas.\\\\par }{\\\\f0 }{\\\\f0 •             BI-RADS: I        \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Muy atentamente\\\\par }}\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/4b417465b92a47dc9570544a332f8a86_20251022_115802.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"39967627\",\n            \"study_date\": \"2024-07-10 07:32:17.000\",\n            \"study_name\": \"ECOGRAFIA TRANSVAGINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 PACIENTE: BATISTIC CAROLINA\\\\par }{\\\\f0 }{\\\\f0 FECHA: 08-07-24\\\\par }{\\\\f0 }{\\\\f0 ECOGRAFÍA GINECOLÓGICA  ( transvaginal)\\\\par }{\\\\f0 }{\\\\f0 Motivo de consulta: Control\\\\par }{\\\\f0 }{\\\\f0 DESCRIPCIÓN:\\\\par }{\\\\f0 }{\\\\f0 Útero en AVF de morfología y dimensiones normales, de contornos regulares.\\\\par }{\\\\f0 }{\\\\f0 Sus dimensiones son:\\\\par }{\\\\f0 }{\\\\f0 67 x 37 x 48 mm\\\\par }{\\\\f0 }{\\\\f0 Miometrio homogéneo, sin lesiones focalizadas dominantes.\\\\par }{\\\\f0 }{\\\\f0 Endometrio lineal, ecogénico y homogéneo de  3.8    mm de espesor.\\\\par }{\\\\f0 }{\\\\f0 Ovarios de tamaño, morfología y ecoestructura normales.\\\\par }{\\\\f0 }{\\\\f0 O.D:  27 x 21 mm\\\\par }{\\\\f0 }{\\\\f0 O.I  :   24 x 19 mm\\\\par }{\\\\f0 }{\\\\f0 En proyecciones anexiales, no se objetivan formaciones ni quísticas, ni sólidas compatibles con patología detectable por ecografía.\\\\par }{\\\\f0 }{\\\\f0 No se evidencian masas ni colecciones para uterinas.\\\\par }{\\\\f0 }{\\\\f0 Fondo de saco de Douglas libre.\\\\par }{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 CONCLUSIÓN:\\\\par }{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 •             Exploración ecográfica  de la pelvis no reveló alteraciones morfológicas significativas.                      \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Muy atentamente\\\\par }}\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/2265b81046dd49fa86fae2d0d1fd4479_20251022_115802.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"39967627\",\n            \"study_date\": \"2024-07-10 07:27:19.000\",\n            \"study_name\": \"ECOGRAFIA  MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New 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solido  no visualizado en estudios anteriores se sugiere control del mismo cada 6 meses con ecografía mamaria con eco doppler color\\\\par }{\\\\f0 }{\\\\f0 •             BI-RADS:    III      \\\\par }{\\\\f0 Muy atentamente\\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/c53867187aea4c1891ee2c7c292430db_20251022_115803.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"14511755\",\n            \"study_date\": \"2024-07-10 07:24:51.000\",\n            \"study_name\": \"ECOGRAFIA TRANSVAGINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0 PACIENTE: ROSSETTI ROSSANA\\\\par }{\\\\f0 }{\\\\f0 FECHA: 08-07-24\\\\par }{\\\\f0 }{\\\\f0 ECOGRAFÍA GINECOLÓGICA  (transvaginal)\\\\par }{\\\\f0 }{\\\\f0 Motivo de consulta: Control de endometrio.\\\\par }{\\\\f0 }{\\\\f0 DESCRIPCIÓN:\\\\par }{\\\\f0 }{\\\\f0 Útero en AVF de morfología y dimensiones normales, de contornos regulares.\\\\par }{\\\\f0 }{\\\\f0 Sus dimensiones son:\\\\par }{\\\\f0 }{\\\\f0 48 x 29 x 40 mm\\\\par }{\\\\f0 }{\\\\f0 Miometrio homogéneo, sin lesiones focalizadas dominantes.\\\\par }{\\\\f0 }{\\\\f0 Endometrio  ecogénico y homogéneo de    4.5   mm de espesor.\\\\par }{\\\\f0 }{\\\\f0 En ambas proyecciones anexiales no  se evidencian masas ni colecciones.\\\\par }{\\\\f0 Fondo de saco de Douglas libre.}{\\\\fs20\\\\f0 ente}{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/93a14e20b6294032a51e97f89ab268cf_20251022_115803.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"14511755\",\n            \"study_date\": \"2024-07-10 07:23:00.000\",\n            \"study_name\": \"ECOGRAFIA  MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0 PACIENTE: ROSSETTI ROSSANA\\\\par }{\\\\f0 }{\\\\f0 FECHA: 08-07-24\\\\par }{\\\\f0 }{\\\\f0 ECOGRAFÍA MAMARIA BILATERAL\\\\par }{\\\\f0 }{\\\\f0 Motivo de consulta: control.\\\\par }{\\\\f0 }{\\\\f0 DESCRIPCION:\\\\par }{\\\\f0 }{\\\\f0 Parénquima de ecoestructura normal, con predominio del componente adiposo.\\\\par }{\\\\f0 }{\\\\f0 Ausencia de lesiones focalizadas sólidas, detectables por éste método.\\\\par }{\\\\f0 }{\\\\f0 No se evidencian imágenes quísticas de dimensiones significativas.\\\\par }{\\\\f0 }{\\\\f0 Conductos retro-areolares sin particularidades.\\\\par }{\\\\f0 }{\\\\f0 No se objetivaron anormalidades en los tejidos blandos axilares.\\\\par }{\\\\f0 }{\\\\f0 CONCLUSIÓN:\\\\par }{\\\\f0 }{\\\\f0 •             El examen ecográfico mamario bilateral no reveló alteraciones significativas.\\\\par }{\\\\f0 }{\\\\f0 •             BI-RADS:    I     \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Muy atentamente\\\\par }}\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/9ad5be4fe60a4c818a51320fd2b89470_20251022_115804.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"40681647\",\n            \"study_date\": \"2024-07-10 07:16:19.000\",\n            \"study_name\": \"ECOGRAFIA ABDOMINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 PACIENTE: FARIAS KEVIN}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 FECHA: 08-07-24}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 ECOGRAFÍA ABDOMINAL COMPLETA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Motivo de Consulta:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 DESCRIPCIÓN:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Hígado de tamaño, morfología y ecoestructura normal, sin lesiones focalizadas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Vesícula biliar de tamaño y morfología normal, visualizándose dos imágenes litiasicas en el interior ,  móviles que midieron 12 y 11 mm de diámetro máximo.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Vía biliar intra y extra hepática no dilatada. Colédoco de calibre normal al momento del exámen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Páncreas de tamaño y morfología normal. Sin lesiones ocupantes de espacio.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Bazo de tamaño normal y ecoestructura homogénea, de cm de diámetro longitudinal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Riñones de tamaño, morfología y ecoestructura normal, sin lesiones focalizadas en evolución.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Vías urinarias y vejiga sin alteraciones detectables.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Retroperitoneo y grandes vasos abdomino – pelvianos de características normales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 La exploración del tubo gastro-intestinal no reveló la presencia de alteraciones macroscópicas significativas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 CONCLUSIÓN:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Litiasis vesicular.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Muy atentamente}{\\\\f0 \\\\par }}\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/fa763e594e0049a7aeabe5a8c74ffa61_20251022_115804.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"35174033\",\n            \"study_date\": \"2024-07-10 07:09:28.000\",\n            \"study_name\": \"ECOGRAFIA OBSTETRICA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 Calibri,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0 PACIENTE:RODRIGUEZ FLORENCIA\\\\par }{\\\\f0 }{\\\\f0 FECHA:08-07-24\\\\par }{\\\\f0 }{\\\\f0 ECOGRAFÍA TOCOGINECOLÓGICA (segundo Trimestre)\\\\par }{\\\\f0 }{\\\\f0 DESCRIPCIÓN:\\\\par }{\\\\f0 }{\\\\f0 Presencia de feto único, presentación indiferente.\\\\par }{\\\\f0 }{\\\\f0 Actividad cardíaca con frecuencia y ritmo normales. (144 LPM)\\\\par }{\\\\f0 }{\\\\f0 Movimientos activos fetales presentes.\\\\par }{\\\\f0 }{\\\\f0 Placenta homogénea  de implantación anterior, espesor 1.90 cm adecuado para la etapa gestacional.\\\\par }{\\\\f0 }{\\\\f0 Bolsillo de liquido amniótico de mayor tamaño midio 5.23 cm\\\\par }{\\\\f0 }{\\\\f0 Líquido amniótico de volumen normal.\\\\par }{\\\\f0 }{\\\\f0 Conducto cervical formado, OCI cerrado.\\\\par }{\\\\f0 }{\\\\f0 Paredes uterinas sin lesiones focalizadas.\\\\par }{\\\\f0 }{\\\\f0 Biometría:\\\\par }{\\\\f0 }{\\\\f0 DBP: 4.62 cm. (20 semanas )\\\\par }{\\\\f0 }{\\\\f0 Circunferencia cefálica: 17.34 cm. (19  semanas 6 días)\\\\par }{\\\\f0 }{\\\\f0 Circunferencia Abdominal: 16.44 cm. (21 semanas 3 días)\\\\par }{\\\\f0 }{\\\\f0 Longitud femoral: 3.27  cm. ( 19 semanas 6 días)\\\\par }{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 CONCLUSIÓN:\\\\par }{\\\\f0 }{\\\\f0 •             Edad gestacional promedio por ecografía:  20 semanas 2 días.\\\\par }{\\\\f0 }{\\\\f0  }{\\\\fs22\\\\f0  }{\\\\f0 \\\\par }}\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/057594e9540f4a1f82fd22b22db26f6c_20251022_115804.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"40419089\",\n            \"study_date\": \"2024-07-10 07:02:15.000\",\n            \"study_name\": \"ECOGRAFIA TRANSVAGINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 PACIENTE: FIERRO SHIRLEY\\\\par }{\\\\f0 }{\\\\f0 FECHA:08-07-24\\\\par }{\\\\f0 }{\\\\f0 ECOGRAFÍA GINECOLÓGICA  (transvaginal)\\\\par }{\\\\f0 }{\\\\f0 Motivo de consulta: Control\\\\par }{\\\\f0 }{\\\\f0 DESCRIPCIÓN:\\\\par }{\\\\f0 }{\\\\f0 Útero en RVF de morfología y dimensiones normales, de contornos regulares.\\\\par }{\\\\f0 }{\\\\f0 Sus dimensiones son:\\\\par }{\\\\f0 }{\\\\f0 60 x 35 x 43 mm\\\\par }{\\\\f0 }{\\\\f0 Miometrio homogéneo, sin lesiones focalizadas dominantes.\\\\par }{\\\\f0 }{\\\\f0 Endometrio lineal, ecogénico y homogéneo de   2.5   mm de espesor.\\\\par }{\\\\f0 }{\\\\f0 Ovarioizquierdo  de tamaño, morfología y ecoestructura normal.\\\\par }{\\\\f0 }{\\\\f0 O.I  :   37 x 23 mm\\\\par }{\\\\f0 }{\\\\f0 El ovario derecho se encuentra  levemente aumentado de tamaño  a expensas de quiste simple  con vesicula hija en su interior que mide 34 x 31 x 22 mm ( 12.2 cc)\\\\par }{\\\\f0 }{\\\\f0 Fondo de saco de Douglas libre.\\\\par }{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 CONCLUSIÓN:\\\\par }{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 •             Quiste simple en anexo derecho, se sugiere control evolutivo con ecografía tv.\\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Muy atentamente\\\\par }}\",\n            \"professional_solicite\": null,\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/c1f3174efa8846f1a67d7ce6a49e7f9c_20251022_115805.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"14217944\",\n            \"study_date\": \"2024-07-10 06:54:43.000\",\n            \"study_name\": \"ECOGRAFIA TIROIDEA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 PACIENTE: HIDALGO NORA\\\\par }{\\\\f0 }{\\\\f0 FECHA: 08-07-24\\\\par }{\\\\f0 }{\\\\f0 ECOGRAFÍA DE TIROIDES\\\\par }{\\\\f0 }{\\\\f0 Motivo de Consulta: CONTROL\\\\par }{\\\\f0 }{\\\\f0 NO SE CUENTA CON ESTUDIOS PREVIOS DE LA PACIENTE POR LO CUAL RESULTA COMPARAR HALLAZGOS AXCTUALES CON LO ANTERIOR\\\\par }{\\\\f0 }{\\\\f0 DESCRIPCIÓN:\\\\par }{\\\\f0 }{\\\\f0 Glándula tiroides de tamaño y posición normal , de bordes regulares  que presenta ecoestructura heterogenea con aspecto pseudo nodular y vascularización conservada l eco doppler color\\\\par }{\\\\f0 }{\\\\f0 Se destaca  nivel del tercio medio del LTD formación nodular levemente hiperecogenica con halo hipoecogenico con eje mayor  paralelo a la piel  que no presenta vascularización al examen doppler color y que midio 4.6 x 3.5 x 5.9 mm\\\\par }{\\\\f0 }{\\\\f0 LTD: 3.40 x 1.67 x 1.79 cm ( vol 4.88 cc)\\\\par }{\\\\f0 }{\\\\f0 LTI: 3.39 x 1.56 x 1.33 cm ( 3.37 cc)\\\\par }{\\\\f0 }{\\\\f0 La ecoestructura glandular es ecogénica, homogénea y no presenta lesiones focalizadas.\\\\par }{\\\\f0 }{\\\\f0 No se objetivaron lesiones nodulares con características sospechosas o atípicas.\\\\par }{\\\\f0 }{\\\\f0 Ausencia de adenopatías cervicales regionales.\\\\par }{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 CONCLUSIÓN:\\\\par }{\\\\f0 }{\\\\f0 •            NODULO  EN  LTD\\\\par }{\\\\f0 }{\\\\f0 •             (TIRAD-S: }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"PAPA SOFIA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/6dc11ede903c487f854815803d99a17c_20251022_115805.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"24625015\",\n            \"study_date\": \"2024-07-10 06:41:38.000\",\n            \"study_name\": \"MAMOGRAFIA\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\fs20\\\\f0 ALVAREZ SILVANA 04-06-2024}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 DNI:24625015}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 INDICACIÓN Y ANTECEDENTES: Control.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 EXÁMENES PREVIOS: }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 -Exámenes previos no disponibles. }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 MAMOGRAFÍA DIGITAL INDIRECTA BILATERAL en un mamógrafo}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 convencional. Se obtuvieron proyecciones cráneo-caudales y}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 medio-laterales oblicuas. }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 INFORME: }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 -Composición global de ambas mamas con tejido glandular de}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 alta densidad, de distribución homogénea que disminuye la}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 sensibilidad mamográfica.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 -No se evidencian imágenes nodulares, calcificaciones}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 sospechosas ni distorsión arquitectural del tejido de}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 sostén.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 -Calcificaciones bilaterales dispersas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 -Proyecciones axilares libres.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 IMPRESIÓN GLOBAL:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 -Examen mamográfico digital bilateral con remanente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 glandular de alta densidad que disminuye la sensibilidad}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 mamográfica y que no evidencia anomalías.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0         }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 RECOMENDACIÓN: Control mamográfico anual. Mama densa, por}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 lo cual la paciente podría beneficiarse con evaluación}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 ecográfica.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 CATEGORIZACIÓN }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  BI-RADS: 2.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  ACR: d.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0 Cordialmente lo saluda.-}{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"ARNUT ELIANA ANDREA\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/2ee6707441ee4c6e880cd17719bc64c9_20251022_115806.pdf\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"33592488\",\n            \"study_date\": \"2024-06-26 11:18:19.000\",\n            \"study_name\": \"ECOGRAFIA OBSTETRICA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\f0 PCIENTE: VILLALVA TAMARA \\\\par }{\\\\f0 }{\\\\f0 FECHA:26-06-24\\\\par }{\\\\f0 }{\\\\f0 ECOGRAFÍA TOCOGINECOLÓGICA (tercer Trimestre)\\\\par }{\\\\f0 }{\\\\f0 ANTECEDENTES: IVE. FUM INCIERTA.\\\\par }{\\\\f0 }{\\\\f0 DESCRIPCIÓN:\\\\par }{\\\\f0 }{\\\\f0 Presencia de feto único, en situación longitudinal y en posición cefálica, dorso a izquierda de madre.\\\\par }{\\\\f0 }{\\\\f0 Actividad cardíaca con frecuencia y ritmo normales. (131 LPM)\\\\par }{\\\\f0 }{\\\\f0 Movimientos activos fetales presentes.\\\\par }{\\\\f0 }{\\\\f0 Placenta de implantación posterior de 5 cm de espesor}{\\\\f0   }{\\\\f0 ecoestructura normal para la etapa gestacional.\\\\par }{\\\\f0 }{\\\\f0 Líquido amniótico de volumen normal.\\\\par }{\\\\f0 }{\\\\f0 Conducto cervical formado, OCI cerrado.\\\\par }{\\\\f0 }{\\\\f0 Paredes uterinas sin lesiones focalizadas.\\\\par }{\\\\f0 }{\\\\f0 Biometría:\\\\par }{\\\\f0 }{\\\\f0 DBP:}{\\\\f0   }{\\\\f0 6.7 cm. (27 semanas )\\\\par }{\\\\f0 }{\\\\f0 Circunferencia cefálica:}{\\\\f0  }{\\\\f0  26 cm. (28 semanas 3 días)\\\\par }{\\\\f0 }{\\\\f0 Circunferencia Abdominal: 22 cm. (26 semanas 4 días)\\\\par }{\\\\f0 }{\\\\f0 Longitud femoral: 5.5 cm. 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 }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: DELFINO AGOSTINA}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:        22-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 Rx TORAX F Y P}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Torax con  expansión conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Indice cardio torácico dentro de los parámetros normales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 Senos costo diafragmáticos libres.}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 No se visualizan lesiones pleuroparenquimatosas evolutivas ni actuales.}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0              }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                         }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/4907aa1fb54f4fdd933bbf447f613dda_20251022_115810.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"43929764\",\n            \"study_date\": \"2024-05-24 07:21:20.000\",\n            \"study_name\": \"ECOGRAFIA GINECOLOGICA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: ALVAREZ OLGA}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:        22-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF, de morfología, localización y tamaño conservado, bordes regulares y parénquima de ecoestructura homogénea.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Medidas uterinas: 8.31 x 5.37 x 5.96 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 En cavidad endometrial se visualiza la presencia de D.I.U centrado y fúndico.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovarios de morfología y localización conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El ovario derecho midió 4.34 x 3.45 cm, en tanto que el izquierdo midió 3.24 x 1.94  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\fs22\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0              }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 En cavidad endometrial se visualiza la presencia de D.I.U normoincerto}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                         }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/284d7ee1b3a14b0493948a69fef985c0_20251022_115811.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"17262391\",\n            \"study_date\": \"2024-05-24 07:15:46.000\",\n            \"study_name\": \"ECOGRAFIA TRANSVAGINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: ARAGON ROSA}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:        22-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA TRANSVAGINAL}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF, de morfología, localización y tamaño conservado, bordes regulares y parénquima de ecoestructura homogénea.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Medidas uterinas: 5.75 x 2.44 x 3.18 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Endometrio ecogénico, homogéneo, de 0.34 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Anexos sin particularidades}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0              }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                         }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/ccd60ac444bb4452b64d7960cf3d1927_20251022_115811.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"17262391\",\n            \"study_date\": \"2024-05-24 07:14:37.000\",\n            \"study_name\": \"ECOGRAFIA MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE:ARAGON ROSA}{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:       22-05-24                                      }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 ECOGRAFIA MAMARIA}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama derecha:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama izquierda:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\tab\\\\f0 }{\\\\f0 BI-RADS: I.}{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 \\\\line \\\\tab }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/9c0730d57b1a493fb002bb8e96767da2_20251022_115812.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"20601656\",\n            \"study_date\": \"2024-05-24 07:01:43.000\",\n            \"study_name\": \"ECOGRAFIA TRANSVAGINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: ALBORNOZ SARA}{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:        22-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA TRANSVAGINAL}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF, de morfología, localización y tamaño conservado, bordes regulares y parénquima de ecoestructura homogénea.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Medidas uterinas: 6.28 x  3.07 x 3.90 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Endometrio ecogénico, homogéneo, lineal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovarios de morfología y localización conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El ovario derecho midió 2.11 x 1.46 cm, en tanto que el izquierdo midió 2.09 x 0.90  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0              }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                         }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/bae32b6fb5124762a9224d61050fde3d_20251022_115812.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"20601656\",\n            \"study_date\": \"2024-05-24 07:00:38.000\",\n            \"study_name\": \"ECOGRAFIA  MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: ALBORNOZ SARA}{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:       22-05-24                                       }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 ECOGRAFIA MAMARIA}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama derecha:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama izquierda:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\tab\\\\f0 }{\\\\f0 BI-RADS: I.}{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 \\\\line \\\\tab }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/731dd43d7aff4367bc034348292fa95d_20251022_115813.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"28981098\",\n            \"study_date\": \"2024-05-24 06:55:18.000\",\n            \"study_name\": \"ECOGRAFIA TRANSVAGINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: PIVIERO IVANA}{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:        22-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA TRANSVAGINAL}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF, de morfología, localización y tamaño conservado, bordes regulares y parénquima de ecoestructura homogénea.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Medidas uterinas: 9 x 4.12 x 4.84 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 En cavidad endometrial se visualiza la presencia de D.I.U descendido encontrándose a 1.78 cm  su polo superior del  fondo de la cavidad endometrial.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovarios de morfología y localización conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El ovario derecho midió 3.01 x 1.84 cm, en tanto que el izquierdo midió 1.67 x 1.30  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\fs22\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0              }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 En cavidad endometrial se visualiza la presencia de D.I.U DESCENDIDO}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                         }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/2a1495e8f4d24b8788bddfe955fb717b_20251022_115813.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"28981098\",\n            \"study_date\": \"2024-05-24 06:51:12.000\",\n            \"study_name\": \"ECOGRAFIA MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE:}{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0  PIVIERO}{\\\\f0  }{\\\\f0  IVANA}{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:}{\\\\b\\\\f0       }{\\\\b\\\\f0  22-05-24}{\\\\b\\\\f0                                        }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 ECOGRAFIA MAMARIA}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama derecha:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama izquierda:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\tab\\\\f0 }{\\\\f0 BI-RADS: I.}{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 \\\\line \\\\tab }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/61b51b5896694ce4bb8663250ef9987e_20251022_115813.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"26702192\",\n            \"study_date\": \"2024-05-23 12:59:21.000\",\n            \"study_name\": \"ECOGRAFIA GINECOLOGICA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE:}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  LASTRA GABRIELA}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:       22-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF,  de ecogenicidad heterogenea aumentado de tamaño.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 En región fundica y posterior se visualizan al menos dos imágenes  hipoecogenicas  en relación a miomas intra murales que miden 2.93 y 2.81 cm en  forma respectiva.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Medidas uterinas: 10.6 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Endometrio ecogénico, homogéneo, lineal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovarios de morfología y localización conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El ovario derecho midió 2.81 x 0.77 cm, en tanto que el izquierdo midió 2.80 x 1.11  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\fs22\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 Utero de aspecto miomatoso               }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                         }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/ddcbe7dcdcbc439a925ad8c577d2d0d5_20251022_115814.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"26702192\",\n            \"study_date\": \"2024-05-23 12:58:15.000\",\n            \"study_name\": \"ECOGRAFIA  MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: LASTRA GABRIELA}{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:       22-05-24                                       }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 ECOGRAFIA MAMARIA}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama derecha:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama izquierda:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\tab\\\\f0 }{\\\\f0 BI-RADS: I.}{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 \\\\line \\\\tab }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/447ad9dca09a4d29a0c0ae283aa35ef7_20251022_115815.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"39159742\",\n            \"study_date\": \"2024-05-23 12:48:55.000\",\n            \"study_name\": \"ECOGRAFIA GINECOLOGICA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: VILLAFAÑE MELANY}{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:        22-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF, de morfología, localización y tamaño conservado, bordes regulares y parénquima de ecoestructura homogénea.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Medidas uterinas: 8.36 x 3.83 x 4.43 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Endometrio ecogénico, homogéneo, lineal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovarios de morfología y localización conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El ovario derecho midió  3.69 x 1.31cm, en tanto que el izquierdo midió 3.39 x 1.25  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0              }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                         }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/de7605cb10a04407b8f1aaea64c2d7eb_20251022_115815.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"42108351\",\n            \"study_date\": \"2024-05-23 12:25:47.000\",\n            \"study_name\": \"ECOGRAFIA TRANSVAGINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: GARAY CAMILA}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:        22-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF, de morfología, localización y tamaño conservado, bordes regulares y parénquima de ecoestructura homogénea.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Medidas uterinas: 7.92 x 1.58 x 3.79 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Endometrio ecogénico, homogéneo, lineal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovarios de morfología y localización conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El ovario derecho midió 2.79 x 1.35  cm, en tanto que el izquierdo midió 3.79 x 1.58  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ambos ovarios presentan múltiples imágenes foliculares infracentimétricas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0              }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                         }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/b473f0f3c5174306b9eb6bb94bfa8725_20251022_115816.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"42108351\",\n            \"study_date\": \"2024-05-23 12:24:29.000\",\n            \"study_name\": \"ECOGRAFIA  MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: GARAY CAMILA}{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:       22-05-24                                }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 ECOGRAFIA MAMARIA}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama derecha:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama izquierda:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\tab\\\\f0 }{\\\\f0 BI-RADS: I.}{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 \\\\line \\\\tab }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/87554345aa5448cf9180ba3d3b149e1c_20251022_115816.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"18477845\",\n            \"study_date\": \"2024-05-23 11:58:49.000\",\n            \"study_name\": \"ECOGRAFIA ABDOMINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0  \\\\par }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: QUINTANA MYRIAM}{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:       22-05-24            }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA ABDOMINAL COMPLETA}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Hígado de morfología, tamaño y ecogenicidad conservada, sin lesiones orgánicas focales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Vía biliar intra y extra hepática de calibre normal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Vesícula: acodada , biliar de paredes regulares, contenido homogéneo sin signos de litiasis.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Páncreas de morfología y ecoestructura conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ambos riñones son de morfología, tamaño y ecoestructura conservada, sin dilatación de sus vías excretoras.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Riñón derecho midió 9.54 x 3.69  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Riñón izquierdo: 10 x 3.80  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Vejiga de paredes y luz conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El bazo es de tamaño conservado y ecoestructura homogénea. Mide 8.98 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Aorta de trayecto y calibre normal en su porción abdominal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\fs24\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/80ec57cada20424f8128d0a0f96c037e_20251022_115817.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"40677799\",\n            \"study_date\": \"2024-05-23 11:49:51.000\",\n            \"study_name\": \"ECOGRAFIA ABDOMINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0  \\\\par }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: LOZA ROCIO}{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:       21-05-24            }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA ABDOMINAL COMPLETA}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Hígado de morfología, tamaño y ecogenicidad conservada, sin lesiones orgánicas focales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Vía biliar intra y extra hepática de calibre normal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Vesícula: Antecedente de colecistectomía.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El páncreas no se visualiza por importante interposición de asas  intestinales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ambos riñones son de morfología, tamaño y ecoestructura conservada, sin dilatación de sus vías excretoras.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Riñón derecho midió 9 x 3.32  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Riñón izquierdo:  9.30 x 3.70 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Vejiga de paredes y luz conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El bazo es de tamaño conservado y ecoestructura homogénea. Mide 9.74  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 En topografía anexial derecha  se visualiza imagen anecoica  de 4.82 x 2.82 cm  que podría estar en relación a imagen quística , confrontar con estudios previos  y realización de estudio ginecológico para mayor caracterización}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 En topografía de la pared abdominal  se visualiza la  presencia de saco herniario  supra umbilical  con un cuello de 1.22 cm se sugiere ecografía de partes baladas para mayor caracterización}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\fs24\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/67f3ecf4f03d4422853b74de8087d901_20251022_115818.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25888487\",\n            \"study_date\": \"2024-05-23 11:47:56.000\",\n            \"study_name\": \"MAMOGRAFIA\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: SANCHEZ NATIVIDAD }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA: 21-05-24                                   }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 MAMOGRAFÍA DIGITAL BILATERAL CON PROYECCION AXILAR}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 Antecedentes:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0  MADRE}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 Interpretación:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Abundante tejido fibroglandular que se distribuye en forma moderadamente homogénea (ACR D)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan microcalcificaciones agrupadas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Debido a las características tisulares sugerimos efectuar examen ecográfico para su mejor caracterización.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo conservado.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan formaciones ganglionares a nivel axilar.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSIÓN:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0         BI-RADS: II}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0        }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs20\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/ba80d36b6f4b463cae674c5d55e2a4c2_20251022_115818.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"92808129\",\n            \"study_date\": \"2024-05-23 11:44:19.000\",\n            \"study_name\": \"MAMOGRAFIA\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: CLOT LOURDES }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0            }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:         21-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                          }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0                                                Rx TORAX}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0  }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Torax asimétrico secundario a escoliosis dorsal de convexidad derecha.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Signos de espondilo  artrosis  dorsal  de todo el segmento.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Índice cardio torácico dentro de los parámetros normales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Hilios pulmonares de calibre  conservado.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Reforzamiento intersticial   infra hiliar bi lateral.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Senos costo diafragmáticos libres.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/438e67e76f7b47058237c1a82e7ef45d_20251022_115819.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"40729314\",\n            \"study_date\": \"2024-05-23 11:38:38.000\",\n            \"study_name\": \"RX DE TORAX FRENTE\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: CLOT LOURDES }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0            }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:         21-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                          }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0                                                Rx TORAX}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0  }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Torax asimétrico secundario a escoliosis dorsal de convexidad derecha.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Signos de espondilo  artrosis  dorsal  de todo el segmento.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Índice cardio torácico dentro de los parámetros normales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Hilios pulmonares de calibre  conservado.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Reforzamiento intersticial   infra hiliar bi lateral.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Senos costo diafragmáticos libres.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/9bd1a3a05bc343d3b49f143fce2b4636_20251022_115819.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"42260692\",\n            \"study_date\": \"2024-05-23 10:54:12.000\",\n            \"study_name\": \"RX DE TORAX DE FRENTE Y PERFIL\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\qc\\\\f0 }{\\\\fs24\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0  }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE:  BRITO FRANCO }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0            }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:         21-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                          }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0                                                Rx TORAX F Y P}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0  }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Torax con expansión conservada .}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Insipiente escoliosis dorsal de convexidad  derecha.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Indice cardio  torácico dentro de los parámetros normales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Senos costo diafragmáticos libres.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Hilios pulmonares de calibre conservados.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/05c15d1dd6f840d08d009c804a4342c8_20251022_115820.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"48966366\",\n            \"study_date\": \"2024-05-23 10:49:28.000\",\n            \"study_name\": \"ECOGRAFIA TIROIDEA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: VILLALBA GUADALUPE}{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:  21-05-24                                           }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA TIROIDEA}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Tiroides aumentada de tamaño de forma y localización conservada  hipoecogenica heterogenea  lobulada  de aspecto pseudo nodular  que podría estar en relación a tiroiditis crónica o enfermedad de Hashimoto  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Diámetros aproximados:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Lóbulo derecho:}{\\\\ul\\\\f0 }{\\\\f0 }{\\\\f0  3.82 x 1.61 x 1.99 cm Volumen: 5.87 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Lóbulo izquierdo}{\\\\ul\\\\f0 }{\\\\f0 }{\\\\f0 : 3.91 x 1.91 x 1.23 cm Volumen: 6.90 ml.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Excursión deglutoria conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSION}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 :}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 TI-RADS: I.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs24\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/0f021e9a4efe467e8ef5b468366f94a3_20251022_115820.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"29919175\",\n            \"study_date\": \"2024-05-23 10:46:01.000\",\n            \"study_name\": \"ECOGRAFIA GINECOLOGICA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: RINCON LUCIANA}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:        21-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en RVF, de morfología, localización y tamaño conservado, bordes regulares y parénquima de ecoestructura homogénea.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Medidas uterinas: 7.18 x 4.16 x 5 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Endometrio ecogénico, homogéneo, de 0.8 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovarios de morfología y localización conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El ovario derecho midió 2.63 x 1 cm, en tanto que el izquierdo midió 2.11 x 1.23 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                         }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/fb76e189738a435d989415dd09369d23_20251022_115821.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"29919175\",\n            \"study_date\": \"2024-05-23 10:32:04.000\",\n            \"study_name\": \"ECOGRAFIA  MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE:}{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0  RINCON LUCIANA}{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:    21-05-24                                   }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 ECOGRAFIA MAMARIA}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama derecha:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Presencia de glándula supernumeraria  axilar bi lateral a predominio  derecho.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Ganglio axilar derecho  de características inespecíficas  de 1.66 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama izquierda:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\tab\\\\f0 }{\\\\f0 BI-RADS: I.}{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 \\\\line \\\\tab }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/72c87618d66547e9a4b65378e9627784_20251022_115821.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"34277605\",\n            \"study_date\": \"2024-05-23 10:14:13.000\",\n            \"study_name\": \"ECOGRAFIA TIROIDEA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: REVOYRAS YAMILA}{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA: 21-05-24}{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0           }{\\\\b\\\\f0 }{\\\\b\\\\f0                          }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA TIROIDEA}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Tiroides, hipoecogenica, heterogénea, de bordes lobulados de aspecto pseudo nodular}{\\\\f0  }{\\\\f0  con aumento de su vascularización tras el barrido con eco doppler color}{\\\\f0  }{\\\\f0  en probable relación a tiroiditis crónica o enfermedad de Hashimoto}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Diámetros aproximados:}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Lóbulo derecho:}{\\\\ul\\\\f0 }{\\\\f0 }{\\\\f0  3.79 x 1.36 x 1.39 cm}{\\\\f0   }{\\\\f0 Volumen: 3.46}{\\\\f0   }{\\\\f0 ml.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Lóbulo izquierdo}{\\\\ul\\\\f0 }{\\\\f0 }{\\\\f0 : 3.56 x 1.23 x 1.29 cm}{\\\\f0  }{\\\\f0  Volumen 2.73 ml.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Istmo de morfología conservada con ecogenicidad}{\\\\f0   }{\\\\f0 heterogenea}{\\\\f0   }{\\\\f0 pseudo nodular hipoecogenico.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Excursión deglutoria conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSION}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 :}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 TI-RADS: I.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs24\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/b86d4c6c02c74d42bc1db3abff9e76af_20251022_115822.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"31062647\",\n            \"study_date\": \"2024-05-13 13:37:59.000\",\n            \"study_name\": \"ECOGRAFIA GINECOLOGICA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE:}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  ROMERO NOELIA}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:       10-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF, de morfología, localización y tamaño conservado.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Medidas uterinas: 6.66 x 3.49 x 3.63 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Endometrio ecogénico, homogéneo, de 0.68 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovarios de morfología y localización conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El ovario derecho midió 2.63 x 1.21  cm, en tanto que el izquierdo midió 3.19 x 1.15  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0              }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                         }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                        }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/5a531844eabe42cc83a1271defc2607c_20251022_115822.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"31062647\",\n            \"study_date\": \"2024-05-13 13:36:24.000\",\n            \"study_name\": \"ECOGRAFIA  MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: ROMERO NOELIA}{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:       10-05-24                                       }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 ECOGRAFIA MAMARIA}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama derecha:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura heterogénea y densa.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Ectasia ductal retro areolar}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama izquierda:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura heterogénea y densa.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Ectasia ductal retro areolar}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\tab\\\\f0 }{\\\\f0 BI-RADS: I.}{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 \\\\line \\\\tab }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                        }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/9663cf0917564ea4b3d01a296a0a48b0_20251022_115823.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"27914522\",\n            \"study_date\": \"2024-05-13 13:32:37.000\",\n            \"study_name\": \"ECOGRAFIA GINECOLOGICA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: RAMOS CLAUDIA}{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:}{\\\\b\\\\f0         }{\\\\b\\\\f0 10-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF, de morfología, localización y tamaño conservado.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Medidas uterinas: 8 x 3.93 x 5.58 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Endometrio ecogénico, homogéneo, lineal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovarios de morfología y localización conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El ovario derecho midió 1.85 x 0.87}{\\\\fs24\\\\f0   }{\\\\fs24\\\\f0 cm, en tanto que el izquierdo midió 1.92 x 1.28}{\\\\fs24\\\\f0   }{\\\\fs24\\\\f0 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0              }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                        }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/c32de54a40b24f1386b640ebab234e6e_20251022_115823.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"24770762\",\n            \"study_date\": \"2024-05-06 09:25:28.000\",\n            \"study_name\": \"MAMOGRAFIA\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: SAPEI MARIA GENOVEVA}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA: 03-05-24                                     }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 MAMOGRAFÍA DIGITAL BILATERAL CON PROYECCION AXILAR}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 Antecedentes:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0  Control.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 Interpretación:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Abundante tejido fibroglandular que se distribuye en forma moderadamente homogénea (ACR D)}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Múltiples adenomegalias axilares de características inespecíficas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Ganglio intra mamario a nivel pre pectoral izquierdo.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Macro calcificaciones aisladas de aspecto secuelar de características irrelevantes.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan  microcalcificaciones agrupadas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo conservado.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSIÓN:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0         BI-RADS: II}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0        }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/bb8d7077d8034cbca194a5dac51b3943_20251022_115823.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"17033153\",\n            \"study_date\": \"2024-05-06 09:24:38.000\",\n            \"study_name\": \"MAMOGRAFIA\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: ROBLEDO ELDA ALICIA}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA: 03-05-24                                    }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 MAMOGRAFÍA DIGITAL BILATERAL CON PROYECCION AXILAR}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 Antecedentes:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0  Control.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 Interpretación:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\i\\\\f0 }{\\\\i\\\\f0 El tejido glandular se distribuye predominantemente en sectores retroareolares y cuadrantes supero-externos (ACR A).}{\\\\i\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan microcalcificaciones agrupadas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo conservado.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan formaciones ganglionares a nivel axilar.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Macro calcificaciones aisladas de aspecto secuelar de características irrelevantes.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSIÓN:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0         BI-RADS: II}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0        }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/339a60168fe245c48c014e0aa0b19e1b_20251022_115824.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"26490325\",\n            \"study_date\": \"2024-05-06 09:17:54.000\",\n            \"study_name\": \"MAMOGRAFIA\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: GOMEZ MARISA}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA: 03-05-24                                     }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 MAMOGRAFÍA DIGITAL BILATERAL CON PROYECCION AXILAR}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 Antecedentes:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0  TIA PATERNA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 Interpretación:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\i\\\\f0 }{\\\\i\\\\f0 El tejido glandular se distribuye predominantemente en sectores retroareolares y cuadrantes supero-externos (ACR A).}{\\\\i\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 A nivel retro areolar y superior  de la mama derecha se visualiza asimetría focal por lo que se sugiere  focalización y magnificación para mayor caracterizacion}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo conservado.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan formaciones ganglionares a nivel axilar.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSIÓN:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0         BI-RADS: 0}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0        }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/96b8c8f930e84a1eb9c13cc9cb70dabe_20251022_115824.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"23835103\",\n            \"study_date\": \"2024-05-06 09:12:07.000\",\n            \"study_name\": \"MAMOGRAFIA\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: GOMEZ MARIELA}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA: 03-05-24                                   }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 MAMOGRAFÍA DIGITAL BILATERAL CON PROYECCION AXILAR}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 Antecedentes:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0  Control.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 Interpretación:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\i\\\\f0 }{\\\\i\\\\f0 El tejido glandular se distribuye predominantemente en sectores retroareolares y cuadrantes supero-externos (ACR A).}{\\\\i\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\i\\\\f0 }{\\\\i\\\\f0  }{\\\\i\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Macro calcificaciones aisladas de aspecto secuelar de características irrelevantes.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan  microcalcificaciones agrupadas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo conservado.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\i\\\\f0 }{\\\\i\\\\f0 Ganglios inespecíficos axilares izquierdos.}{\\\\i\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSIÓN:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0         BI-RADS: II}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/00054b34e9b745e1989be620df1d61e0_20251022_115825.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"14217557\",\n            \"study_date\": \"2024-05-06 09:09:55.000\",\n            \"study_name\": \"MAMOGRAFIA\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: BLANCO SOFIA}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA: 03-05-24                                       }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 MAMOGRAFÍA DIGITAL BILATERAL CON PROYECCION AXILAR}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 Antecedentes:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0  TIA MATERNA}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 Interpretación:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular se distribuye predominantemente en sectores retroareolares y cuadrantes supero-externos (ACR B).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan microcalcificaciones agrupadas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo conservado.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan formaciones ganglionares a nivel axilar.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSIÓN:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0         BI-RADS: I}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0        }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/3da2c39e3fe74d4785d50373f5f4a23b_20251022_115826.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"17262391\",\n            \"study_date\": \"2024-05-06 09:05:25.000\",\n            \"study_name\": \"MAMOGRAFIA\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: ARAGON ROSA}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA: 03-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 MAMOGRAFÍA DIGITAL BILATERAL CON PROYECCION AXILAR}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 Antecedentes:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0  Control.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 Interpretación:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular se distribuye predominantemente en sectores retroareolares y cuadrantes supero-externos (ACR B).}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Macro calcificaciones aisladas de aspecto secuelar de características irrelevantes.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Adenitis inespecífica axilar derecha.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Asimetría focal retro areolar izquierda solo visualizada en proyección oblicua por lo que se sugiere focalización y magnificación para mayor carcatrizacion}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo conservado.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSIÓN:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0        }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 BI-RADS: 0}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0        }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/74a270566e8d42efac706fd4cbeb252d_20251022_115826.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"41697547\",\n            \"study_date\": \"2024-05-06 09:03:11.000\",\n            \"study_name\": \"RX DE TORAX DE FRENTE Y PERFIL\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: ALVES MARIA VICTORIA}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0            }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA: 03-05-24   }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                          }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 Rx TORAX FRENTE Y PERFIL}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0  }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 Torax con expansión conservada.}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 Insipiente escoliosis dorsal de convexidad derecha}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 Índice cardio torácico dentro de los parámetros normales.}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 Senos costo diafragmáticos libres.}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 No se visualizan lesiones pleuroparenquimatosas evolutivas ni actuales}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/2af27d236f9e4ac1b287f6b4d9711979_20251022_115826.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"39474035\",\n            \"study_date\": \"2024-05-06 08:58:11.000\",\n            \"study_name\": \"RX DE TORAX FRENTE\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}{\\\\f1\\\\fcharset0 Univers,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs20\\\\qc\\\\f1  }{\\\\qc\\\\f0 }{\\\\fs22\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs22\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: MARTINEZ AVILA IMANOL}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0            }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA: 03-05-24   }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                          }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 Rx TORAX}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0  }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 Torax con expansión conservada.}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 Índice cardio torácico dentro de los parámetros normales.}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 Hilios pulmonares de calibre conservados.}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 Reforzamiento intersticial infra hiliar bi lateral.}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 Senos costo diafragmáticos libres.}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/3d8e11fed4b04a39acc03c591306efd7_20251022_115827.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25036808\",\n            \"study_date\": \"2024-05-06 08:50:22.000\",\n            \"study_name\": \"ECOGRAFIA TRANSVAGINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}{\\\\f1\\\\fcharset0 Univers,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE:CORDOBA MONICA}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:        03-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA TRANSVAGINAL}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF, heterogéneo presentando imagen nodular solida hipoecogenica heterogenea de 2.87 x 1.93 cm  en pared posterior en relación a mioma intra mural}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Medidas uterinas: 7.76 x 3.06 x 4.59 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Endometrio ecogénico, homogéneo, lineal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovario derecho: ANTECEDENTES DE OOFORECTOMIA.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovario izquierdo: en su topografía se visualiza imagen anecoica con refuerzo acústico posterior politabicada en relación a imagen quística compleja de 4.81 x 2.52 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\fs22\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\fs22\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Mioma intra mural en pared posterior de 2.87 x 1.93 cm e imagen quística compleja en ovario izquierdo de 4.81x 2.52 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                         }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs20\\\\qc\\\\f1  }{\\\\qc\\\\f0 }{\\\\fs22\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs22\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/06b6f27d41f0442bb9498af68557df55_20251022_115827.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"21757259\",\n            \"study_date\": \"2024-05-06 08:46:10.000\",\n            \"study_name\": \"ECOGRAFIA TRANSVAGINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}{\\\\f1\\\\fcharset0 Univers,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: VAZQUEZ LAURA}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:        03-05-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA TRANSVAGINAL}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF, de ecoestructura heterogénea destacándose en pared posterior imagen  nodular solida hipoecogenica en relación a mioma subseroso de 1.61 x 0.82 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Medidas uterinas: 7.51 x 3.57 x 4 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Endometrio: dilatación liquida de 0.30 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovarios de morfología y localización conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El ovario derecho midió 1.80 x 1.37  cm, en tanto que el izquierdo midió 1.73 x 1.26 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\fs22\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\fs22\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs24\\\\qc\\\\f0 Mioma subseroso en pared posterior de 1.61 x 0.82 cm}{\\\\b\\\\fs24\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\fs24\\\\qc\\\\f0                }{\\\\b\\\\fs24\\\\qc\\\\f0 }{\\\\fs24\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                         }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs20\\\\qc\\\\f1  }{\\\\qc\\\\f0 }{\\\\fs22\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs22\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/0a2796edcd1a46c684d00e864d50fa1f_20251022_115828.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"21757259\",\n            \"study_date\": \"2024-05-06 08:41:46.000\",\n            \"study_name\": \"ECOGRAFIA  MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}{\\\\f1\\\\fcharset0 Univers,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: VAZQUEZ LAURA}{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:       03-05-24                                       }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 ECOGRAFIA MAMARIA}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama derecha:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama izquierda:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Se visualiza  imagen hipoecogenica heterogénea retro areolar por lo que se sugiere control  en tiempo prudencial}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Ectasia retro areolar.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Umbilicación del pezón.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Importante edema del tejido celular subcutáneo.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\tab\\\\f0 }{\\\\f0 BI-RADS: 0.}{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 \\\\line \\\\tab }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\qc\\\\f0 }{\\\\ql\\\\f1  }{\\\\qc\\\\f0 }{\\\\fs22\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs22\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/98462af9b99540a6adceff3e3e9870b9_20251022_115828.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"35671118\",\n            \"study_date\": \"2024-04-30 08:36:54.000\",\n            \"study_name\": \"ECOGRAFIA  MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: DONADIO MARIA DE LOURDES}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:       29-04-24            }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                                  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA TRANSVAGINAL PARA CONTROL DE GESTACION}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0  }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF, aumentado de tamaño, contornos conservados.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 En cavidad endometrial se observa saco gestacional de morfología conservada, en el cual se visualiza embrión único de 1.55 cm, biometría correspondiente a 8 semanas de gestación.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Latidos cardíacos presentes.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Saco Vitelino de morfología normal, de 0.45 cm de diámetro.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 No se observan colecciones ni hematomas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 En proyecciones anexiales no se observan alteraciones.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 No se observa líquido libre en FSD.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs22\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs24\\\\qc\\\\f0 }{\\\\qc\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs22\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/f12b6b6e68724401975dfc7a75329a65_20251022_115829.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"33592168\",\n            \"study_date\": \"2024-04-30 08:32:41.000\",\n            \"study_name\": \"ECOGRAFIA TOCOGINECOLÓGICA 1º T\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: DONADIO MARIA DE LOURDES}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:       29-04-24            }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                                  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA TRANSVAGINAL PARA CONTROL DE GESTACION}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0  }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF, aumentado de tamaño, contornos conservados.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 En cavidad endometrial se observa saco gestacional de morfología conservada, en el cual se visualiza embrión único de 1.55 cm, biometría correspondiente a 8 semanas de gestación.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Latidos cardíacos presentes.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Saco Vitelino de morfología normal, de 0.45 cm de diámetro.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 No se observan colecciones ni hematomas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 En proyecciones anexiales no se observan alteraciones.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 No se observa líquido libre en FSD.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs22\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs24\\\\qc\\\\f0 }{\\\\qc\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs22\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/67da1bc9b3ee4782bceab6f63ff37c75_20251022_115829.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"27898071\",\n            \"study_date\": \"2024-04-30 08:28:49.000\",\n            \"study_name\": \"ECOGRAFIA GINECOLOGICA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE:}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  MARQUEZ ANALIA}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:        29-04-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF, de ecoestrutura heterogenea destacándose enregion fundica imagen nodular  solida hipoecogenica  en relación a mioma intra mural de 3.32 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Medidas uterinas: 8.33 x 4.97 x 5.50 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Endometrio ecogénico, homogéneo, lineal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovarios de morfología y localización conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El ovario derecho midió 3.16 x 2.28 cm, en tanto que el izquierdo midió 2.93 x 1.54  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\fs22\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 Mioma intra mural en región fundica de 3.32 cm se sugiere confrontar con antecedentes y estudios previos con los cuales no contamos al momento del examen.             }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                         }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/c03b6ed28bac4bcbb2194b53f8112e3e_20251022_115830.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"27898071\",\n            \"study_date\": \"2024-04-30 08:26:16.000\",\n            \"study_name\": \"ECOGRAFIA  MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: MARQUEZ ANALIA}{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:}{\\\\b\\\\f0       }{\\\\b\\\\f0  29-04-24}{\\\\b\\\\f0                                        }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 ECOGRAFIA MAMARIA}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama derecha:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama izquierda:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\tab\\\\f0 }{\\\\f0 BI-RADS: I.}{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 \\\\line \\\\tab }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/ecc8701ddf2d457fb27b73ab18909e74_20251022_115830.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"24332259\",\n            \"study_date\": \"2024-04-17 07:04:17.000\",\n            \"study_name\": \"MAMOGRAFIA\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: TAGUA FABIANA}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:    16-04-24                                 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 MAMOGRAFÍA DIGITAL BILATERAL CON PROYECCION AXILAR}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 Antecedentes:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0  Control.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 Interpretación:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\i\\\\f0 }{\\\\i\\\\f0 El tejido glandular se distribuye predominantemente en sectores retroareolares y cuadrantes supero-externos (ACR A).}{\\\\i\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Calcificaciones aisladas de aspecto secuelar de características  irrelevantes.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan microcalcificaciones agrupadas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo conservado.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan formaciones ganglionares a nivel axilar.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSIÓN:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0         BI-RADS: II}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0        }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs20\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs20\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/e6e3a5deac814bc7a9ea03a897404c06_20251022_115831.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"29106362\",\n            \"study_date\": \"2024-04-17 07:00:03.000\",\n            \"study_name\": \"RX DE TORAX FRENTE\",\n            \"description\": \"CONTROL\",\n            \"report\": 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 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Torax con expansión conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Índice cardio torácico dentro de los parámetros normales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Senos costo diafragmáticos libres.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Hilios pulmonares de calibre conservados.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Reforzamiento intersticial retículo nodulillar infra hiliar y basal bi lateral.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs20\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": 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}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                          }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 Rx  TORAX}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0  }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Torax con  expansión conservada de aspecto bronquítico.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Índice cardio torácico dentro de los parámetros normales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Placa fibrocalcica en cayado  aórtico.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Escasa profundidad de ambos senos costo diafragmáticos.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/88624feba93f450d88642eabfc4a50b2_20251022_115833.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"28625672\",\n            \"study_date\": \"2024-04-17 06:45:40.000\",\n            \"study_name\": \"ECOGRAFIA  MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: PEREZ IVANA}{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:          16-04-24                                    }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 ECOGRAFIA MAMARIA}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama derecha:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura heterogénea y densa.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Múltiples imágenes anecoicas con refuerzo acústico posterior  de bordes lisos bien definidos en relación a imágenes quísticas simples midiendo  la mayor de ellas en UCE de 1 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama izquierda:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura heterogénea y densa.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Múltiples imágenes quísticas simples midiendo la mayor de ellas en UCE H 3  0.55 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\tab\\\\f0 }{\\\\f0 BI-RADS: II.}{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 \\\\line \\\\tab }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/6992c71d6eee4ab3b18149b9f918b5bc_20251022_115833.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25532395\",\n            \"study_date\": \"2024-04-17 06:38:45.000\",\n            \"study_name\": \"ECOGRAFIA  MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}{\\\\f1\\\\fcharset0 Verdana,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{}{\\\\b\\\\fs24\\\\qc\\\\f0 \\\\b\\\\fs24\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs22\\\\f1  }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: ONTIVERO CAMILA}{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:       16-04-24                                      }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 ECOGRAFIA MAMARIA}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama derecha:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 En CIE H 7 imagen nodular  solida hipoecogenica heterogenea de 2.57 x 1.31 cm q que no vasculariza tras el barrido con eco doppler color}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Moderada ectasia ductal. retroareolar}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama izquierda:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Moderada ectasia ductal retroareola}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Se visualizan al menos dos imágenes anecoicas con refuerzo acústico posterior de bordes lisos bien definidos  midiendo la mayor de ellas 0.79 cm en CSE}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\tab\\\\f0 }{\\\\f0 BI-RADS: III.}{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 \\\\line \\\\tab }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": 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}{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA RENAL BILATERAL}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs22\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ambos riñones son de ecoestructura, morfología y tamaño normal, sin dilatación de sus vías excretoras, con relación cortico medular conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Riñón derecho midió 9.45 x 3.44  cm y el izquierdo midió 10.49 x 4.98  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 En grupo calicial inferior del riñon izquierdo se visualiza la presencia de al menos dos imágenes hiperecogenicas de 0.64 cm  midiendo la mayor de ellas en probable relación  imágenes litiasicas  , confrontar con clínica , antecedentes y estudios previos con los cuales no contamos al momento del examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Vejiga: con pobre repleción al momento del examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs22\\\\f1  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/13e75979717247e681e2d789007b33f4_20251022_115834.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"38478482\",\n            \"study_date\": \"2024-04-17 06:25:54.000\",\n            \"study_name\": \"ECOGRAFIA TRANSVAGINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": 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}{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA TRANSVAGINAL}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF, de morfología, localización y tamaño conservado, bordes regulares y parénquima de ecoestructura homogénea.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Medidas uterinas: 6 x 3.64 x 4.32 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Endometrio ecogénico, homogéneo, lineal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovarios de morfología y localización conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El ovario derecho midió 3.09 x 1.4  cm, en tanto que el izquierdo midió 2.44 x 1.60  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0              }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                        }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs22\\\\f1  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/67df4a0dcb114a3c9361ba8d3c7253ca_20251022_115834.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"38478482\",\n            \"study_date\": \"2024-04-17 06:21:35.000\",\n            \"study_name\": \"ECOGRAFIA  MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": 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}{\\\\f0 }{\\\\f1  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f1  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f1 Mama derecha:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f1  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f1 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f1  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f1 En CSE de la mama derecha se visualiza imagen hipoecogenica heterogénea de bordes bien definidos que no vasculariza tras el barrido con eco doppler color de 1.46 x 0.28 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f1  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f1 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f1  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f1 Mama izquierda:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f1  }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f1 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f1  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f1 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f1  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f1 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f1  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\tab\\\\f0 }{\\\\f0 BI-RADS: III}{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 \\\\line \\\\tab }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f1 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/ad62aca20d004df2aa4dc9c416fd25e5_20251022_115835.jpeg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"27108903\",\n            \"study_date\": \"2024-04-12 14:00:41.000\",\n            \"study_name\": \"ECOGRAFIA TRANSVAGINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE:}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  SANCHEZ LORENA}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:        12-04-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA TRANSVAGINAL}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF, de morfología,  y localización conservado, bordes regulares y parénquima de ecoestructura homogénea aumentado de tamaño.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Medidas del útero: 9 x 4.30 x 4.42}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Presencia de cicatriz de cesárea en pared anterior.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Endometrio ecogénico, homogéneo, de 1.59  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovarios de morfología y localización conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El ovario derecho midió 2.72 x 1.52  cm, en tanto que el izquierdo midió 2.55 x 1.81  cm presentando este en su polo superior imagen folicular por lo que se sugiere control en tiempo prudencial.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0              }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0                        }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 }{}{\\\\b\\\\fs22\\\\qc\\\\f0 \\\\b\\\\fs22\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/f91229a63e5b433b93120d9f3de4e692_20251022_115835.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"17427665\",\n            \"study_date\": \"2024-04-12 13:54:39.000\",\n            \"study_name\": \"ECOGRAFIA TRANSVAGINAL.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE:}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  VALLEJOS MIRNA}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:       12-04-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA TRANSVAGINAL}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero: ANTECEDENTE DE HISTERECTOMIA.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovarios de morfología y localización conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El ovario derecho midió 1.32 x 0.81 cm, en tanto que el izquierdo midió 1.27 x 0.19 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\fs22\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 ANTECEDENTE DE HISTERECTOMIA.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/1d49c74fce8d4a469ccbac335a941ee3_20251022_115836.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"17427665\",\n            \"study_date\": \"2024-04-12 13:52:49.000\",\n            \"study_name\": \"ECOGRAFIA  MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE:}{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0  VALLEJOS MIRNA}{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:}{\\\\b\\\\f0       }{\\\\b\\\\f0  12-04-24}{\\\\b\\\\f0                                 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 ECOGRAFIA MAMARIA}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama derecha:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 Mama izquierda:}{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\ul\\\\f0  }{\\\\ul\\\\f0 }{\\\\ul\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tejido fibroglandular es de ecoestructura y morfología conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observan lesiones intraparenquimatosas nodulares sólidas ni quísticas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Piel y tejido celular subcutáneo sin alteraciones identificables por este método de examen.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Ectasia ductal retro areolar}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 CONCLUSION:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\tab\\\\f0 }{\\\\f0 BI-RADS: II.}{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 \\\\line \\\\tab }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0  }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/aa71cc48cb18464b84a8082118741d37_20251022_115837.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"29995622\",\n            \"study_date\": \"2024-03-12 15:39:15.000\",\n            \"study_name\": \"ECOGRAFIA RENAL\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: SARMIENTO MARIA}{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\f0  \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:      12-03-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                                   }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA RENAL BILATERAL}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs22\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ambos riñones son de ecoestructura, morfología y tamaño normal, sin dilatación de sus vías excretoras, con relación cortico medular conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Riñón derecho midió 9.67 X 4.54 cm Y el izquierdo midió 10.44 X 4.30  cm presentando quiste simple cortical de 0.82 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Vejiga: De paredes y luz conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/78b9ef21f0ea4da884e1776c785b2c26_20251022_115838.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"34686322\",\n            \"study_date\": \"2024-03-12 15:35:36.000\",\n            \"study_name\": \"..ECOGRAFIA TRANSVAGINAL\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: RODRIGUEZ MARIA JULIETA}{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:        12-03-24}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA TRANSVAGINAL}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF, de morfología, localización y tamaño conservado.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Medidas uterinas: 8.29 x 3.86 x 6.30 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Endometrio ecogénico, francamente heterogéneo , mide  1.15 cm confrontar con clínica y antecedentes.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovarios de morfología y localización conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El ovario derecho midió 2.76 x 2.41  cm, en tanto que el izquierdo midió 2.88 x 1.76  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0              }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                         }{\\\\b\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/7afb64e364be43d0b2f503b6ce309054_20251022_115838.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"43604753\",\n            \"study_date\": \"2024-03-12 15:28:27.000\",\n            \"study_name\": \"ECOGRAFIA ABDOMINAL\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}{\\\\f1\\\\fcharset0 Univers,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\fs36\\\\f0 }{\\\\b\\\\fs36\\\\f0 PACIENTE: PERALTA GONZALO}{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs36\\\\f0 }{\\\\b\\\\fs36\\\\f0 FECHA:       12-03-24}{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFÍA TESTICULAR}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Testículos de ecoestructura y morfología normal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 No se observan imágenes nodulares, sólidas ni quísticas definidas.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Testículo derecho: 3.87 x 2.07 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Testículo izquierdo: 3.66 x 1.87  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Epidídimo derecho: mide 1.02 cm presentando imagen quística de 0.71 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 Epidídimo izquierdo: mide 0.98 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\fs24\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 Atte.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\qc\\\\f0 }{\\\\fs24\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs20\\\\qc\\\\f1  }{\\\\qc\\\\f0 }{}{\\\\b\\\\fs24\\\\qc\\\\f0 \\\\b\\\\fs24\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs16\\\\f0 \\\\b\\\\fs16\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/0aa2751246084ae1897bdbce5f442068_20251022_115839.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"28064505\",\n            \"study_date\": \"2024-03-12 15:19:38.000\",\n            \"study_name\": \".ECOGRAFIA MAMARIA.\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}{\\\\f1\\\\fcharset0 Univers,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{}{\\\\b\\\\fs48\\\\f0 \\\\b\\\\fs48\\\\f0  }{\\\\f0 }{\\\\fs48\\\\f0 \\\\line \\\\line }{\\\\f0 }{}{\\\\b\\\\fs48\\\\f0 \\\\b\\\\fs48\\\\f0  }{\\\\f0 }{\\\\fs48\\\\f0 \\\\line \\\\line }{\\\\f0 }{}{\\\\b\\\\fs48\\\\f0 \\\\b\\\\fs48\\\\f0  }{\\\\f0 }{\\\\fs48\\\\f0 \\\\line \\\\line }{\\\\f0 }{}{\\\\b\\\\fs48\\\\f0 \\\\b\\\\fs48\\\\f0  }{\\\\f0 }{\\\\fs48\\\\f0 \\\\line \\\\line }{\\\\f0 }{}{\\\\b\\\\fs48\\\\f0 \\\\b\\\\fs48\\\\f0  }{\\\\f0 }{\\\\fs48\\\\f0 \\\\line \\\\line }{\\\\f0 }{}{\\\\b\\\\fs48\\\\f0 \\\\b\\\\fs48\\\\f0 PACIENTE: TISERA NANCY}{\\\\f0 }{\\\\fs48\\\\f0 \\\\line \\\\line }{\\\\f0 }{}{\\\\b\\\\fs48\\\\f0 \\\\b\\\\fs48\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs48\\\\f0 \\\\b\\\\fs48\\\\f0 FECHA:        12-03-24}{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{}{\\\\b\\\\fs48\\\\qc\\\\f0 \\\\b\\\\fs48\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{}{\\\\b\\\\fs48\\\\qc\\\\f0 \\\\b\\\\fs48\\\\qc\\\\f0 ECOGRAFIA GINECOLOGICA TRANSVAGINAL}{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Útero en AVF, de morfología, localización y tamaño conservado, bordes regulares y parénquima de ecoestructura homogénea.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Medidas uterinas: 8.30 x 3.21 x 4.51 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Endometrio ecogénico, homogéneo, lineal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ovarios de morfología y localización conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El ovario derecho midió 2.46 x 1.46  cm, en tanto que el izquierdo midió 2.77 x 1.62  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Fondo de saco de Douglas libre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs20\\\\qc\\\\f1  }{\\\\qc\\\\f0 }{}{\\\\b\\\\fs24\\\\qc\\\\f0 \\\\b\\\\fs24\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs16\\\\f0 \\\\b\\\\fs16\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": 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    12-03-24                                        }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFÍA HOMBRO}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tendón del supraespinoso presenta aumento de su ecogenicidad y de su espesor  y en su  sitio de inserción se visualiza imagen hipoecogenica heterogénea de 0.56 cm en probable relación a desgarro intrasustancia.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tendón del infraespinoso de  morfología y ecogenicidad conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El tendón del subescapular no presenta alteraciones.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 El T P L B es ecoestructura y morfología normal, sin líquido en la vaina que lo recubre.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observa derrame articular glenohumeral.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 No se observa líquido en bursa SASD.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\fs16\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/353d912f84f9419490f96c42385f54b1_20251022_115840.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"24208684\",\n            \"study_date\": \"2024-03-12 14:54:58.000\",\n            \"study_name\": \".ECOGRAFIA ABDOMINAL\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: GAVATORTA LUIS}{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:       12-03-24            }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA ABDOMINAL COMPLETA}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Hígado de morfología, tamaño y ecogenicidad conservada, sin lesiones orgánicas focales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Vía biliar intra y extra hepática de calibre normal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Vesícula biliar de paredes regulares, contenido homogéneo sin signos de litiasis.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Páncreas de morfología y ecoestructura conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ambos riñones son de morfología, tamaño y ecoestructura conservada, sin dilatación de sus vías excretoras.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Riñón derecho midió 9.30 x 3.97  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Riñón izquierdo: 8 x 4  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Vejiga de paredes y luz conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El bazo es de tamaño conservado y ecoestructura homogénea. Mide 8.79 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Aorta de trayecto y calibre normal en su porción abdominal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\fs24\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{}{\\\\b\\\\fs24\\\\f0 \\\\b\\\\fs24\\\\f0                         }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs20\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/7916058d8807439c87495da050a92890_20251022_115840.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"36776065\",\n            \"study_date\": \"2024-03-12 14:44:30.000\",\n            \"study_name\": \"ECOGRAFIA ABDOMINAL\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\f0  \\\\par }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0  }{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\b\\\\fs48\\\\f0 }{\\\\b\\\\fs48\\\\f0 PACIENTE: ARIAS LUCAS}{\\\\b\\\\fs48\\\\f0 }{\\\\f0 \\\\line \\\\line }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:       12-03-24            }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 ECOGRAFIA ABDOMINAL COMPLETA}{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 La porción visualizada del hígado es de morfología conservada  con ecogenicidad discretamente inhomogenea destacándose la presencia de múltiples  imágenes ecogenicas puntiformes  en probable relación a COMPLEJO DE VON MEYENBURG}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Vía biliar intra y extra hepática de calibre normal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Vesícula biliar de paredes regulares, contenido homogéneo sin signos de litiasis.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Páncreas de morfología y ecoestructura conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Ambos riñones son de morfología, tamaño y ecoestructura conservada, sin dilatación de sus vías excretoras.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Riñón derecho midió 11.18 x 3.55  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Riñón izquierdo: 10.13 x 4.45  cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Vejiga de paredes y luz conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 El bazo es de tamaño conservado y ecoestructura homogénea. Mide 9.47 cm.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Aorta de trayecto y calibre normal en su porción abdominal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 NOTA: se visualiza la presencia de saco herniario supra umbilical con contenido graso con un cuello de 0.91 cm  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\ul\\\\fs22\\\\f0 CONCLUSIÓN:}{\\\\b\\\\ul\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 }{\\\\fs22\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Presencia de COMPLEJO DE VON MEYENBURG en hígado.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Saco herniario supra umbilical con contenido graso  con un cuello de 0.91 cm}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs24\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\fs24\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs20\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/32be8fb4aa844efd823c5f8a45071548_20251022_115841.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"25532430\",\n            \"study_date\": \"2024-03-12 14:34:16.000\",\n            \"study_name\": \"RX DE COLUMNA LUMBOSACRA DE FRENTE Y PERFIL\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE:  ARABAOLASA ANALIA}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0            }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:         11-03-24       }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                          }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 Rx TORAX F Y P}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0  }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Torax con pobre expansión de ambos campos pulmonares.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Índice cardio torácico dentro de los parámetros normales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Escasa profundidad de ambos senos costo diafragmáticos.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Hilios pulmonares de calibre conservados.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Reforzamiento intersticial infra hiliar  bi lateral a predominio derecho, confrontar con clínica y antecedentes.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/5bc820018e65497b93f467cec8024aa8_20251022_115841.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"17453512\",\n            \"study_date\": \"2024-03-12 14:26:42.000\",\n            \"study_name\": \"RX DE COLUMNA LUMBOSACRA DE FRENTE Y PERFIL\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{}{\\\\b\\\\fs20\\\\f0 \\\\b\\\\fs20\\\\f0  }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE: SCHIFANO JOSE}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0            }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:         11-03-24       }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                          }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 Rx TORAX DE FRENTE Y PERFIL}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0  }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Torax de aspecto enfisematoso.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Signos de espondilosis dorsal.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Indice cardio torácico dentro de los parámetros normales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Senos costo diafragmáticos libres.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Aumento de  los espacios intercostales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Tendencia a la horizontalizacion de los arcos costales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Reforzamiento intersticial lineal  infra hiliar  y basal bi lateral.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Tendencia a la horizontalizacion de ambos hemidiafragmas}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\fs20\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\fs20\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/a4c4e1e1dcc6490b8af07d8ba95c1927_20251022_115842.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        },\n        {\n            \"dni_patient\": \"12309561\",\n            \"study_date\": \"2024-03-12 14:25:34.000\",\n            \"study_name\": \"RX DE COLUMNA LUMBOSACRA DE FRENTE Y PERFIL\",\n            \"description\": \"CONTROL\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\fcharset0 &quot,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 PACIENTE:}{\\\\b\\\\f0  }{\\\\b\\\\f0  MASILLA JULIAN}{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0            }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 FECHA:}{\\\\b\\\\f0         }{\\\\b\\\\f0  11-03-24}{\\\\b\\\\f0        }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0                        }{\\\\b\\\\f0 }{\\\\b\\\\f0   }{\\\\b\\\\f0 }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0  }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 Rx TORAX DE FRENTE}{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0  }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\ul\\\\qc\\\\f0 }{\\\\b\\\\qc\\\\f0 }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Torax}{\\\\f0  }{\\\\f0  con expansión conservada.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Índice cardio torácico dentro de los parámetros normales.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Hilios pulmonares congestivos.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Infiltrado intersticio alveolar}{\\\\f0   }{\\\\f0 izquierdo, confrontar con clínica y antecedentes.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Senos costo diafragmáticos libres.}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\b\\\\f0 }{\\\\b\\\\f0  }{\\\\b\\\\f0 }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 Atentamente}{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\qc\\\\f0 }{\\\\qc\\\\f0  }{\\\\qc\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }{\\\\f0 }{\\\\f0 }{\\\\f0  }{\\\\f0 \\\\par }}\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null,\n            \"document_url_s3\": \"https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/clinia-municipalidad-de-villa-maria/8f599834646b480882cf145a8d869b36_20251022_115842.jpg\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\"\n        }\n    ],\n    \"not_available\": [\n        {\n            \"dni_patient\": \"31248301\",\n            \"study_name\": \"RX DE TORAX FRENTE\",\n            \"report\": 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     \"description\": null,\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"AMBROGIO LILIANA TERESA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null\n        },\n        {\n            \"dni_patient\": \"20804611\",\n            \"study_name\": \"FONDO DE OJOS\",\n            \"report\": \"Apellido y Nombre: VELAZQUEZ,MIRNADNI: 20804611Fondo de ojos:nervios ópticos de bordes netos, color rosado, excavación fisiológica.Máculas libres, reflejo foveolar +.Retina aplicada con hemorragias puntiformes aisladas, sin exudados, coloración normal.Vasos ok, cruces AV conservados.DX: retinopatía DBT no proliferativa leve. 25/7/24 Dr. Latino Santiago mp 31520\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\velazquez.jpeg\",\n            \"study_date\": \"2024-03-06 07:27:53.000\",\n            \"description\": null,\n            \"professional_solicite\": \"BECCO VICTORIA\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": null,\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null\n        },\n        {\n            \"dni_patient\": \"20600780\",\n            \"study_name\": \"ECO DOPPLER\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA INFORME DE ECOCARDIOGRAMA DOPPLER COLOR PACIENTE: ROSSETTO, ALEJANDRA FECHA: 25/03/2024 EDAD: 55 AÑOS VENTANA: ACEPTABLE DIAGNOSTICO: CONTROL CV ASC: 1.55 M2 BIDIMENSIONAL: VID: 5.20 CM (VN: 3.9-5.3 ?y 4.2-5.84cm ?) VDD (4C): 2.86 CM (VN: 2.4-4.1cm) VIS: 3.20 CM (VN: 2.2-3.5 ?y 2.5-4.0cm ?) MOV.SEP. NORMAL SIVD: 0.60 CM (VN: 0.6-1.0cm) A.IZQ.: AREA: 14 cm2 PPVID: 0.85 CM (VN: 0.6-1.0cm) AORTA: 2.25 CM (VN: -4.0cm) FA.: 38% (VN: 25-45%) PERICARDIO: NORMAL FEVI. 68 % (VN: = 55%) A.DER. Normal. MASA VI: 83 g/m2 (VN: < 95?, < 115 ?) EPR: 0.33 (VN: < 0.42) CONCLUSIONES: BIDIMENSIONAL: ? GEOMETRIA NORMAL DE VENTRICULO IZQUIERDO CON FUNCION SISTOLICA CONSERVADA. FEY: 68%. ? AURICULA IZQUIERDA DE TAMAÑO NORMAL. AREA: 14 cm2 ? CAVIDADES DERECHAS NO DILATADAS, SE ESTIMA FUNCION SISTOLICA DE VENTRICULO DERECHO NORMAL. (TAPSE: 2.70 cm). ? SEPTUM IV E IA INDEMNES. ? MOTILIDAD PARIETAL SEGMENTARIA EN REPOSO NORMAL. ? RAIZ AORTICA NO DILATADA. ? NO SE EVIDENCIA DERRAME PERICARDICO. DOPPLER: ? VALVULA MITRAL: DE MORFOLOGIA NORMAL, SE CONSTATA INSUFICIENCIA LEVE. ? VALVULA PULMONAR: NORMOINSERTA, NORMOFUNCIONANTE. ? VALVULA TRICUSPIDE: NORMOINSERTA, SE CONSTATA INSUFICIENCIA DE GRADO LEVE, SE ESTIMA PSAP NORMAL: 28.45 MMHG. ? VALVULA AORTICA: TRICUSPIDE, APERTURA CONSERVADA, SIN INSUFICIENCIA. ? PATRON DE RELAJACION PSEUDONORMAL / DDVI GII -(ESTIMADO POR DOPPLER TRANSMITRAL). ? FUNCION SISTOLICA DE VI ESTIMADA POR DOPPLER TISULAR NORMAL (8.59cm/s). ? FUNCION SISTOLICA DE VD ESTIMADA POR DOPPLER TISULAR NORMAL (14.8 cm/s). Dr. Martinez David Esp. en Cardiologia MP:34849 – C.E.:17686 \\\\par }{\\\\f0 }}\",\n            \"document_url_s3\": \"20600780&hash=715\",\n            \"study_date\": \"2024-04-03 10:37:33.000\",\n            \"description\": \"ECOCARDIOGRAMA DOPPLER COLOR\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null\n        },\n        {\n            \"dni_patient\": \"0\",\n            \"study_name\": \"ECO DOPPLER\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA INFORME DE ECODOPPLER DE VASOS DEL CUELLO PACIENTE: ALVAREZ, RAMON FECHA: 25/03/2024 EDAD: 64 AÑOS VENTANA: ACEPTABLE DIAGNOSTICO: CHEQUEO CV INTERPRETACION: LADO DERECHO: ? CARÓTIDA COMUN: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. Se observa complejo intima-media anormal (0.11 cm). ? BULBO DERECHO: De morfología normal, se observan placa de aspecto LIPIDICA, no se constatan signos de vulnerabilidad, (diámetro mayor de estenosis 24.64%). ? CARÓTIDA INTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? CARÓTIDA EXTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? VERTEBRAL: Flujo anterógrado durante todo el ciclo cardíaco, que no se modifica con la rotación del cuello. Origen vascular visualizado y evaluado de características anatómicas y hemodinámicas normales. ? TBC: No se observa placa ateromatosa. LADO IZQUIERDO: ? CARÓTIDA COMUN: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. Se observa complejo intima-media anormal (0.12 cm). ? BULBO IZQUIERDO: De morfología normal, se observan placa de aspecto CALCICA, no se constatan signos de vulnerabilidad, (diámetro mayor de estenosis 31.11%). ? CARÓTIDA INTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? CARÓTIDA EXTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? VERTEBRAL: Flujo anterógrado durante todo el ciclo cardíaco, que no se modifica con la rotación del cuello. CONCLUSIONES: ? COMPLEJO INTIMA MEDIA CAROTIDEO DERECHO E IZQUIERDO ANORMAL. ? BULBO CAROTIDEO DERECHO: PRESENTAN PLACA DE ASPECTO LIPIDICA, NO OBSTRUCTIVA, SIN SIGNOS DE VULNERABILIDAD, FLUJOS DISTALES CONSERVADOS. ? BULBO CAROTIDEO IZQUIERDO: PRESENTAN PLACA DE ASPECTO CALCICA, NO OBSTRUCTIVA, SIN SIGNOS DE VULNERABILIDAD, FLUJOS DISTALES CONSERVADOS. ? CIRCULACIÓN VERTEBRAL EXTRACRANEAL DENTRO DE LÍMITES NORMALES. Dr. Martinez David Esp. en Cardiologia MP:34849 – C.E.:17686\\\\par }{\\\\f0 }}\",\n            \"document_url_s3\": \"20600780&hash=714\",\n            \"study_date\": \"2024-04-03 10:37:21.000\",\n            \"description\": \"ECOCARDIOGRAMA DOPPLER COLOR\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null\n        },\n        {\n            \"dni_patient\": \"13457519\",\n            \"study_name\": \"ECO DOPPLER\",\n            \"report\": \"{\\\\rtf1\\\\ansi\\\\ansicpg1252\\\\deff0{\\\\fonttbl{\\\\f0\\\\froman\\\\fcharset0 Times New Roman,}}{\\\\*\\\\generator WinDev 24.0.115.1,}{}{\\\\f0 ASISTENCIA PÚBLICA – VILLA MARIA INFORME DE ECODOPPLER DE VASOS DEL CUELLO PACIENTE: ALVAREZ, RAMON FECHA: 25/03/2024 EDAD: 64 AÑOS VENTANA: ACEPTABLE DIAGNOSTICO: CHEQUEO CV INTERPRETACION: LADO DERECHO: ? CARÓTIDA COMUN: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. Se observa complejo intima-media anormal (0.11 cm). ? BULBO DERECHO: De morfología normal, se observan placa de aspecto LIPIDICA, no se constatan signos de vulnerabilidad, (diámetro mayor de estenosis 24.64%). ? CARÓTIDA INTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? CARÓTIDA EXTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? VERTEBRAL: Flujo anterógrado durante todo el ciclo cardíaco, que no se modifica con la rotación del cuello. Origen vascular visualizado y evaluado de características anatómicas y hemodinámicas normales. ? TBC: No se observa placa ateromatosa. LADO IZQUIERDO: ? CARÓTIDA COMUN: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. Se observa complejo intima-media anormal (0.12 cm). ? BULBO IZQUIERDO: De morfología normal, se observan placa de aspecto CALCICA, no se constatan signos de vulnerabilidad, (diámetro mayor de estenosis 31.11%). ? CARÓTIDA INTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? CARÓTIDA EXTERNA: superficie endoluminal regular. Pulsatilidad conservada. Análisis audioespectral normal. ? VERTEBRAL: Flujo anterógrado durante todo el ciclo cardíaco, que no se modifica con la rotación del cuello. CONCLUSIONES: ? COMPLEJO INTIMA MEDIA CAROTIDEO DERECHO E IZQUIERDO ANORMAL. ? BULBO CAROTIDEO DERECHO: PRESENTAN PLACA DE ASPECTO LIPIDICA, NO OBSTRUCTIVA, SIN SIGNOS DE VULNERABILIDAD, FLUJOS DISTALES CONSERVADOS. ? BULBO CAROTIDEO IZQUIERDO: PRESENTAN PLACA DE ASPECTO CALCICA, NO OBSTRUCTIVA, SIN SIGNOS DE VULNERABILIDAD, FLUJOS DISTALES CONSERVADOS. ? CIRCULACIÓN VERTEBRAL EXTRACRANEAL DENTRO DE LÍMITES NORMALES. Dr. Martinez David Esp. en Cardiologia MP:34849 – C.E.:17686\\\\par }{\\\\f0 }}\",\n            \"document_url_s3\": \"13457519&hash=711\",\n            \"study_date\": \"2024-04-03 10:24:55.000\",\n            \"description\": \"vasos de cuello\",\n            \"professional_solicite\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"GIACOMELLI ANALIA GABRIELA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null\n        },\n        {\n            \"dni_patient\": \"12345678\",\n            \"study_name\": \"ECOGRAFIA CEREBRAL\",\n            \"report\": \"44\",\n            \"document_url_s3\": \"M:\\\\Mega\\\\SitiosWeb\\\\profesionales\\\\Estudios\\\\2_20240225_18083125.pdf\",\n            \"study_date\": \"2024-02-25 00:00:00.000\",\n            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null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null\n        },\n        {\n            \"dni_patient\": \"94293120\",\n            \"study_name\": \"ECOGRAFIA DE PARTES BLANDAS.\",\n            \"report\": null,\n            \"document_url_s3\": \"nan\",\n            \"study_date\": \"2024-08-20 12:17:45.000\",\n            \"description\": \"RODILLA\",\n            \"professional_solicite\": \"PAPA SOFIA\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"PAPA SOFIA\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null\n        },\n        {\n            \"dni_patient\": \"34686368\",\n            \"study_name\": \"ECOGRAFIA OBSTETRICA.\",\n            \"report\": null,\n            \"document_url_s3\": \"nan\",\n            \"study_date\": \"2024-08-19 07:28:42.000\",\n            \"description\": \"SEGUNDO TRIMESTRE\",\n            \"professional_solicite\": \"REARTES CELESTE\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"REARTES CELESTE\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null\n        },\n        {\n            \"dni_patient\": \"17671069\",\n            \"study_name\": \"ECOGRAFIA ABDOMINAL\",\n            \"report\": null,\n            \"document_url_s3\": \"nan\",\n            \"study_date\": \"2024-08-16 12:02:34.000\",\n            \"description\": \"RENOVESICOPROSTATICA\",\n            \"professional_solicite\": \"VILAMAJO ALEJANDRO\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\",\n     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      },\n        {\n            \"dni_patient\": \"94307997\",\n            \"study_name\": \"ECOGRAFIA OBSTETRICA\",\n            \"report\": null,\n            \"document_url_s3\": \"nan\",\n            \"study_date\": \"2024-08-14 11:32:10.000\",\n            \"description\": \"SEGUNDO TRIMESTRE\",\n            \"professional_solicite\": \"OCAMPO MARTIN EZEQUIEL\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"OCAMPO MARTIN EZEQUIEL\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null\n        },\n        {\n            \"dni_patient\": \"38885676\",\n            \"study_name\": \"ECOGRAFIA GINECOLOGICA\",\n            \"report\": null,\n            \"document_url_s3\": \"nan\",\n            \"study_date\": \"2024-08-14 11:03:33.000\",\n            \"description\": \"TOCOGINECOLOGICA SUPRAPUBICA\",\n            \"professional_solicite\": \"OCAMPO MARTIN EZEQUIEL\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"OCAMPO MARTIN EZEQUIEL\",\n            \"type_of_study\": null,\n            \"external_study_url\": null,\n            \"external_study_user\": null,\n            \"external_study_password\": null\n        },\n        {\n            \"dni_patient\": \"44243882\",\n            \"study_name\": \"ECOGRAFIA OBSTETRICA DEL 1º TRIMESTRE.\",\n            \"report\": null,\n            \"document_url_s3\": \"nan\",\n            \"study_date\": \"2024-08-12 06:56:59.000\",\n            \"description\": null,\n            \"professional_solicite\": \"REARTES CELESTE\",\n            \"municipality\": \"Villa Maria\",\n            \"db_system_service\": \"Mega\",\n            \"professional_efector\": \"REARTES CELESTE\",\n            \"type_of_study\": null,\n    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/studies/script/charge/data</code></p>\n<hr />\n<h2 id=\"📥-payload-de-entrada\">📥 Payload de Entrada</h2>\n<h3 id=\"campos-requeridos\">Campos requeridos</h3>\n<ul>\n<li><strong>format</strong>: Formato de importacion JSON o CSV.</li>\n<li><strong>bucket_folder</strong>: Nombre de la subcarpeta dentro del bucket. El nombre se encuentra en el excel Clientes ClinIA en la columna nombre del bucket.</li>\n<li><strong>db_system_service</strong>: Sistema desde el que se importan los datos, ejemplo: Mega, Red Sanitaria, etc.</li>\n<li><strong>folder_documents_path</strong>: Ruta de la carpeta en la que estan los archivos de los estudios.</li>\n</ul>\n<p><strong>Si el format es JSON</strong></p>\n<ul>\n<li><strong>data</strong>: Un Array de objetos con los datos de a cargar.</li>\n</ul>\n<p><strong>Si el format es CSV</strong></p>\n<ul>\n<li><strong>excel_path</strong>: Ruta donde se encuentra el archivo <code>.csv</code> con los datos a cargar.</li>\n</ul>\n<h3 id=\"➡️-json\">➡️ JSON</h3>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"format\": \"json\",\n  \"bucket_folder\": \"clinia-municipalidad-la-francia\",\n  \"db_system_service\": \"Mega\",\n  \"folder_documents_path\": \"/home/alexis/Documentos/Estudios - LaFrancia/Estudios\",\n  \"data\": [\n    {\n      \"dni_patient\": \"26575716\",\n      \"study_name\": \"ANATOMIA PATOLOGICA\",\n      \"report\": \"\",\n      \"document_url_s3\": \"\",\n      \"study_date\": \"2024-03-26 00:00:00.000\",\n      \"description\": \"\",\n      \"professional_solicite\": \"Maritano Natalia\",\n      \"municipality\":\"La Francia\"\n    }\n  ]\n}\n</code></pre>\n<h3 id=\"➡️-csv\">➡️ CSV</h3>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"format\": \"csv\",\n  \"bucket_folder\": \"clinia-municipalidad-la-francia\",\n  \"db_system_service\": \"Mega\",\n  \"folder_documents_path\": \"/home/alexis/Documentos/Estudios - LaFrancia/Estudios\",\n  \"excel_path\": \"/home/alexis/Documentos/Estudios - LaFrancia/Estudios-La-Francia.csv\"\n}\n</code></pre>\n<blockquote>\n<p>⚠️ Para archivos CSV, se transforma a JSON internamente para unificar el flujo de procesamiento.</p>\n</blockquote>\n<hr />\n<h2 id=\"📂-estructura-esperada-de-carpetas\">📂 Estructura esperada de carpetas</h2>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code>/home/alexis/Documentos/Estudios - LaFrancia/Estudios/\n├── archivo1.pdf\n├── imagen1.jpg\n└── ...\n</code></pre><hr />\n<h2 id=\"🔹-flujo-interno\">🔹 Flujo Interno</h2>\n<ol>\n<li>Se detecta el <code>formato</code> (<code>json</code> o <code>csv</code>).</li>\n<li>En caso de CSV, se convierte en lista de diccionarios.</li>\n<li>Se normalizan los nombres de archivos y se buscan localmente.</li>\n<li>Se construye un nombre nuevo y único para el archivo (<code>uuid_fecha</code>).</li>\n<li>El archivo se sube a:</li>\n</ol>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code>https://microservicio-hc.s3.us-east-2.amazonaws.com/studies/{bucket_folder}/{nuevo_nombre.ext}\n</code></pre><ol>\n<li>Se crea la estructura de datos del estudio y se guarda en base de datos.</li>\n</ol>\n<hr />\n<h2 id=\"📃-ejemplo-de-salida-exitosa\">📃 Ejemplo de salida exitosa</h2>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"status\": 201,\n  \"message\": \"Estudios procesados correctamente\",\n  \"data\": [\n    {\n      \"dni_patient\": \"26575716\",\n      \"study_name\": \"ANATOMIA PATOLOGICA\",\n      \"...\": \"...\"\n    }\n  ],\n  \"not_available\": 3\n}\n</code></pre>\n<hr />\n<h2 id=\"❌-errores-comunes\">❌ Errores comunes</h2>\n<div class=\"click-to-expand-wrapper is-table-wrapper\"><table>\n<thead>\n<tr>\n<th>Mensaje</th>\n<th>Causa</th>\n</tr>\n</thead>\n<tbody>\n<tr>\n<td>No se especificó la ruta de los documentos.</td>\n<td>Faltó <code>folder_documents_path</code></td>\n</tr>\n<tr>\n<td>No se especificó el formato de los datos.</td>\n<td>Faltó <code>format</code></td>\n</tr>\n<tr>\n<td>No se especificaron los datos en formato JSON.</td>\n<td>Faltó <code>data</code> si es formato JSON</td>\n</tr>\n<tr>\n<td>No se especificó la ruta del archivo CSV.</td>\n<td>Faltó <code>excel_path</code> si es CSV</td>\n</tr>\n<tr>\n<td>No se encontraron estudios válidos...</td>\n<td>Archivos no coinciden con nombres en CSV/JSON</td>\n</tr>\n</tbody>\n</table>\n</div><hr />\n<h2 id=\"🚀-recomendaciones\">🚀 Recomendaciones</h2>\n<ul>\n<li>Usar <a href=\"https://tableconvert.com/excel-to-json\">https://tableconvert.com/excel-to-json</a> para convertir Excel a JSON.</li>\n<li>Evitar tildes y espacios en nombres de archivos.</li>\n<li>Asegurarse de que los archivos estén en la carpeta indicada.</li>\n<li>La columna <code>document_url_s3</code> debe coincidir con el nombre del archivo original.</li>\n</ul>\n<hr />\n<h2 id=\"📊-estructura-esperada-de-csv\">📊 Estructura esperada de CSV</h2>\n<ul>\n<li>Si alguno de los datos en las columa no se proporciona, la  celda debe estar vacia o con algun valor por defecto de preferencia.</li>\n</ul>\n<div class=\"click-to-expand-wrapper is-table-wrapper\"><table>\n<thead>\n<tr>\n<th>dni_patient</th>\n<th>study_name</th>\n<th>report</th>\n<th>path_doc</th>\n<th>study_date</th>\n<th>description</th>\n<th>professional_solicite</th>\n<th>municipality</th>\n<th>db_system_service</th>\n<th>professional_efector</th>\n<th>type_of_study</th>\n<th>external_study_url</th>\n<th>external_study_user</th>\n<th>external_study_password</th>\n</tr>\n</thead>\n<tbody>\n</tbody>\n</table>\n</div><hr />\n<hr />\n<hr />\n<hr />\n<p>Estos datos se extraen desde el CSV y retoma el flujo de la función que carga los datos en JSON de más arriba.</p>\n","_postman_id":"a2cecc3b-c436-444c-932e-61defb15e8de"}]}