Codec probem - Githubissues

Text1: {\rtf1\ansi\ansicpg1252\uc0\stshfdbch0\stshfloch0\stshfhich0\stshfbi0\deff0\adeff0{\fonttbl{\f0\fswiss\fcharset0\fprq2 Arial;}{\f1\froman\fcharset0\fprq2 Times New Roman;}}{\colortbl;\red34\green34\blue34;\red0\green0\blue0;}{\stylesheet{\s0\snext0\styrsid8412110\sqformat\spriority0\aspalpha\aspnum\adjustright\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24 Normal;}{*\cs10\additive\ssemihidden\spriority0 Default Paragraph Font;}}{*\generator Aspose.Words for .NET 13.9.0.0;}{\info\version0\edmins0\nofpages0\nofwords0\nofchars0\nofcharsws0}{ \mmathPr\mbrkBin0\mbrkBinSub0\mdefJc1\mdispDef1\minterSp0\mintLim0\mintraSp0\mlMargin0\mmathFont0\mnaryLim1\mpostSp0\mpreSp0\mrMargin0\msmallFrac0\mwrapIndent1440\mwrapRight0}\deflang1033\deflangfe2052\adeflang1025\jexpand\showxmlerrors1\validatexml1\viewscale100\fet0\dghspace180\dgvspace180\dghorigin1800\dgvorigin1440\dghshow1\dgvshow1 \dgmargin\sectd\ltrsect\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qc\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf1 TOMOGRAFIA COMPUTADORIZADA DE T\'d3RAX}{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f1\cs10\cf1 \par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f0\cs10\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs24\lang1046\langnp1046 \loch\af0\dbch\af0\hich\f0\cf2 M\'e9todo}{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f0\cs10\cf2\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0 \hich\f0\cf0 Aquisi\'e7\'e3o helicoidal multidetectores, sem a inje\'e7\'e3o intravenosa do meio de contraste. }{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24 {\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f0\cs10\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf0 Indica\'e7\'e3o}{\rtlch\af0\afs24 \ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf0 }{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046 \loch\af0\dbch\af0\hich\f0\cf0 Paciente com suspeita de pneumonia viral.}{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f0\cs10\cf2 \par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf2 An\'e1lise}{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f0\cs10\cf2\par}\pard\plain\itap0\s0\sb80 \ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf2 Exame comparativo em rela\'e7\'e3o ao realizado em 20/06/2020,evidencia:}{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\cf2 \par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ul\cf0 Achados pulmonares: }{\rtlch\afs24\ltrch\b0\i\fs24\lang1046\langnp1046\f0\cs10\ul\cf0 \par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Aumento das opacidades em vidro fosco e focos de consolida\'e7\'e3o bilaterais, por vezes confluentes e sobrepostas a \'e1reas de espessamento septal, predominando nas regi\'f5es perif\'e9ricas bilateralmente, associado \'e0 bro\u770 nquios com leve espessamente, assim como algumas a\u769 reas com bronquiectasias de trac\u807 a\u771 o e distor\'e7\'e3o arquitetural. Extens\'e3o do acometimento pulmonar: acentuado (maior que 50%). } {\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Redu\'e7\'e3o do derrame pleural cissural \'e0 direita e surgimento de derrame pleural \'e0 esquerda.} {\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Bandas parenquimatosas esparsas e bilaterais, predominando nas bases, compat\'edveis com estrias residuais/atelectasias subsegmentares. } {\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Pequenos n\'f3dulos pulmonares esparsos, alguns calcificados (residuais) e os demais n\'e3o calcificados e menores que 0,5 cm (incaracter\'edsticos). } {\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Leve espessamento difuso de paredes br\'f4nquicas, sugerindo broncopatia inflamat\'f3ria. } {\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80 \ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ul\cf0 Demais achados: }{\rtlch\afs24\ltrch\b0\i\fs24\lang1046\langnp1046\f0\cs10\ul\cf0\par}\pard\plain\itap0\s0\sb80 \ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Discreta ectasia da aorta ascendente.}{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0 \par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Ateromatose difusa, inclusive coronariana e visceral. \'c1rea card\'edaca aumentada. } {\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Linfonodos mediastinais aumentados em n\'famero, sem configurar francas linfonodomegalias. } {\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Linfonodos calcificados subcarinais e no hilo pulmonar direito, residuais.} {\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Traqueia e br\'f4nquios principais patentes. } {\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 M\'ednima quantidade de secre\'e7\'e3o na parede posterior da traqueia. } {\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Tubo endotraqueal e sonda esofagiana nomoposicionados.} {\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Cateteres de acesso venoso central com extremidades distais na topografia do \'e1trio direito/ veia cava superior.} {\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Rarefa\'e7\'e3o \'f3ssea difusa. } {\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Altera\'e7\'f5es degenerativas da coluna dorsal. } {\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Imagens da transi\'e7\'e3o toracoabdominal evidenciam: } {\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Divert\'edculos duodenais.} {\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Sonda nasog\'e1strica.} {\rtlch\afs24\ltrch\b\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf2\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf2 Conclus\'e3o} {\rtlch\afs24\ltrch\b\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf2\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0 \ulnone\cf1 Os achados pulmonares, embora inespec\'edficos, podem representar processo infeccioso de etiologia viral.}{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj \faauto\rtlch\afs24\ltrch\fs24{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\afs24\ltrch\b0\i0\fs24\lang1046\langnp1046\f0\cs10 \ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i\fs16\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf1 Em pacientes sem neoplasia conhecida, a maioria dos diminutos n\'f3dulos pulmonares constitui achado benigno. Radiology 2017;284(1):228-243.} {\rtlch\afs24\ltrch\b0\i\fs16\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\tx360\tx2700\tx6480\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs22\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0 \ulnone\cf0 }{\rtlch\afs24\ltrch\b0\i0\fs22\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\i0\fs24\lang1039\langnp1039\loch\af0\dbch\af0\hich\f0\ul\cf0 \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab } {\rtlch\afs24\ltrch\b0\i0\fs24\lang1039\langnp1039\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\qc\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\i0\fs16\lang1039\langnp1039\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Laudo Assinado Eletronicamente} {\rtlch\afs24\ltrch\b\i0\fs16\lang1039\langnp1039\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\qc\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\i0\fs16\lang1039\langnp1039\loch\af0\dbch\af0\hich\f0\ulnone\cf0 }{\rtlch\afs24 \ltrch\b\i0\fs16\lang1039\langnp1039\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\qc\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\i0\fs16\lang1039\langnp1039\loch\af0\dbch\af0\hich\f0\ulnone\cf0 }{\rtlch\afs24\ltrch\b\i0\fs16\lang1039\langnp1039\f0\cs10 \ulnone\cf0\par}\pard\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\qc\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\i0\fs16\lang1039\langnp1039\loch\af0\dbch\af0\hich\f0\ulnone\cf0 }{\rtlch\afs24\ltrch\b\i0\fs16\lang1039\langnp1039\f0\cs10\ulnone\cf0\par} \pard\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\qc\faauto\rtlch\afs24\ltrch\fs24{\rtlch\afs24\ltrch\b\i0\fs16\lang1039\langnp1039\f0\cs10\ulnone\cf0\par}{*\latentstyles\lsdstimax267\lsdlockeddef0\lsdsemihiddendef1\lsdunhideuseddef1\lsdqformatdef0\lsdprioritydef99{\lsdlockedexcept}}}

Text2: {\rtf1\ansi\ansicpg1252\uc0\stshfdbch0\stshfloch0\stshfhich0\stshfbi0\deff0\adeff0{\fonttbl{\f0\fswiss\fcharset0\fprq2 Arial;}{\f1\froman\fcharset0\fprq2 Times New Roman;}}{\colortbl;\red34\green34\blue34;\red0\green0\blue0;}{\stylesheet{\s0\snext0\styrsid8412110\sqformat\spriority0\aspalpha\aspnum\adjustright\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24 Normal;}{*\cs10\additive\ssemihidden\spriority0 Default Paragraph Font;}}{*\generator Aspose.Words for .NET 13.9.0.0;}{\info\version0\edmins0\nofpages0\nofwords0\nofchars0\nofcharsws0}{ \mmathPr\mbrkBin0\mbrkBinSub0\mdefJc1\mdispDef1\minterSp0\mintLim0\mintraSp0\mlMargin0\mmathFont0\mnaryLim1\mpostSp0\mpreSp0\mrMargin0\msmallFrac0\mwrapIndent1440\mwrapRight0}\deflang1033\deflangfe2052\adeflang1025\jexpand\showxmlerrors1\validatexml1\viewscale100\fet0\dghspace180\dgvspace180\dghorigin1800\dgvorigin1440\dghshow1\dgvshow1 \dgmargin\sectd\ltrsect\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0 \tab \tab \tab }{\rtlch\af0\afs24\ltrch\b\fs24\lang1046\langnp1046\loch\af0\dbch\af0 \hich\f0\cf1 TOMOGRAFIA COMPUTADORIZADA DE T\'d3RAX}{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f1\cs10\cf1\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs24\lang1046\langnp1046\loch\af0 \dbch\af0\hich\f0\cf2 M\'e9todo}{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f0\cs10\cf2\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf0 Aquisi\'e7\'e3o helicoidal multidetectores, sem a inje\'e7\'e3o intravenosa do meio de contraste. } {\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f0\cs10\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0 \ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf0 Indica\'e7\'e3o}{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf0 }{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\cf0 \par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf0 Paciente com suspeita de pneumonia viral.}{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\cf0 \par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\cf2 An\'e1lise}{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f0\cs10\cf2\par}\pard\plain\itap0\s0\sb80 \ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ul\cf2 Achados pulmonares:}{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ul\cf2\par}\pard\plain\itap0\s0\sb80 \nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf1 T\'eanues opacidades lineares e em vidro fosco subpleurais com predom\'ednio na por\'e7\'e3o posterobasal dos lobos inferiores, que devem corresponder ao dec\'fabito / n\'e3o expans\'e3o pulmonar.} {\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf1 No\u769 dulo pulmonar so\u769 lido circunscrito, n\'e3o calcificado, margens irregulares, medindo cerca de 1,0 cm, localizado no segmento basal posterior direito, de natureza indeterminada.} {\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf1 Pequenos n\'f3dulos pulmonares esparsos bilaterais, menores que 0,5 cm, alguns calcificados e residuais, outros n\'e3o calcificados e inespec\'edficos.} {\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf1 Pequenos cistos ae\u769 reos, medindo at\'e9 0,9 cm, localizados nos lobos inferiores.} {\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf1 Bandas parenquimatosas fibroatelect\'e1sias esparsas, de aspecto residual.} {\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ul\cf1 Demais achados:} {\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ul\cf1\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf2 Grandes vasos do mediastino com calibre normal. Ateromatose a\'f3rtica.} {\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf2\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 N\'e3o se observam linfonodomegalias mediastinais.} {\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Traqueia e br\'f4nquios principais patentes e de calibre normal.} {\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Aus\'eancia de derrame pleural ou peric\'e1rdico.} {\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Pequena h\'e9rnia g\'e1strica hiatal.} {\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf2 Espondilose dorsal.} {\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf2\par}\pard\plain\itap0\s0\sb80\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf2\par}\pard\plain\itap0\s0\sb80 \ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf2 Conclus\'e3o}{\rtlch\afs24\ltrch\b\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf2\par}\pard\plain\itap0\s0\sb80 \nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf1 N\'e3o se observam \'e1reas de consolida\'e7\'e3o ou opacidades em vidro fosco no par\'eanquima pulmonar que sugiram altera\'e7\'e3o de natureza inflamat\'f3ria / infecciosa.} {\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\sb80\nowidctlpar\ltrpar\li0\lin0\ri0\rin0\qj\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf1 No\u769 dulo pulmonar indeterminado no lobo inferior direito sugerindo-se controle evolutivo.} {\rtlch\afs24\ltrch\b0\fs24\lang1046\langnp1046\f0\cs10\ulnone\cf1\par}\pard\plain\itap0\s0\tx360\tx2700\tx6480\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs22\lang1046\langnp1046\loch\af0\dbch\af0\hich\f0\ulnone\cf0 } {\rtlch\afs24\ltrch\b0\fs22\lang1046\langnp1046\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\ql\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b0\fs24\lang1039\langnp1039\loch\af0\dbch\af0\hich\f0\ul\cf0 \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab } {\rtlch\afs24\ltrch\b0\fs24\lang1039\langnp1039\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\qc\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs16\lang1039\langnp1039\loch\af0\dbch\af0\hich\f0\ulnone\cf0 Laudo Assinado Eletronicamente} {\rtlch\afs24\ltrch\b\fs16\lang1039\langnp1039\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\qc\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs16\lang1039\langnp1039\loch\af0\dbch\af0\hich\f0\ulnone\cf0 }{\rtlch\afs24 \ltrch\b\fs16\lang1039\langnp1039\f0\cs10\ulnone\cf0\par}\pard\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\qc\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs16\lang1039\langnp1039\loch\af0\dbch\af0\hich\f0\ulnone\cf0 }{\rtlch\afs24\ltrch\b\fs16\lang1039\langnp1039\f0\cs10 \ulnone\cf0\par}\pard\plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\qc\faauto\rtlch\afs24\ltrch\fs24{\rtlch\af0\afs24\ltrch\b\fs16\lang1039\langnp1039\loch\af0\dbch\af0\hich\f0\ulnone\cf0 }{\rtlch\afs24\ltrch\b\fs16\lang1039\langnp1039\f0\cs10\ulnone\cf0\par}\pard \plain\itap0\s0\ltrpar\li0\lin0\ri0\rin0\qc\faauto\rtlch\afs24\ltrch\fs24{\rtlch\afs24\ltrch\b\fs16\lang1039\langnp1039\f0\cs10\ulnone\cf0\par}{*\latentstyles\lsdstimax267\lsdlockeddef0\lsdsemihiddendef1\lsdunhideuseddef1\lsdqformatdef0\lsdprioritydef99{\lsdlockedexcept}}}

joshy / striprtf

Codec probem #24