<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1726-8958</journal-id>
<journal-title><![CDATA[Revista Médica La Paz]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. La Paz]]></abbrev-journal-title>
<issn>1726-8958</issn>
<publisher>
<publisher-name><![CDATA[Colegio Médico de La Paz]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1726-89582025000200067</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[EL SIGNO IMAGENOLÓGICO: SUELTA DE GLOBOS O BALAS DE CAÑON Y SU ASOCIACIÓN CON CARCINOMA DE CELULAS CLARAS DE RIÑON]]></article-title>
<article-title xml:lang="en"><![CDATA[THE IMAGING SIGN OF BALLOON OR CANNONBALL RELEASE AND ITS ASSOCIATION WITH CLEAR CELL CARCINOMA OF THE KIDNEY]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tancara Condori]]></surname>
<given-names><![CDATA[Luis Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ordoñez Blacutt]]></surname>
<given-names><![CDATA[Jaime]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva Corini]]></surname>
<given-names><![CDATA[Claudia Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nieto Coronel]]></surname>
<given-names><![CDATA[Maria Tereza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Caja Nacional de Salud Hospital Luis Uria de la Oliva ]]></institution>
<addr-line><![CDATA[La Paz ]]></addr-line>
<country>Bolivia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,comité Nacional de MDR/RAFA Del programa Nacional de Tuberculosis  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Caja Nacional de Salud Hospital Luis Uría de la Oliva ]]></institution>
<addr-line><![CDATA[La Paz ]]></addr-line>
<country>Bolivia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Oncopalia-MyAMedic  ]]></institution>
<addr-line><![CDATA[La Paz ]]></addr-line>
<country>Bolivia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>31</volume>
<numero>2</numero>
<fpage>67</fpage>
<lpage>70</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S1726-89582025000200067&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S1726-89582025000200067&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S1726-89582025000200067&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se denomina signo &#8220;suelta de globos&#8221; o &#8220;balas de cañón&#8221; a múltiples nodulos pulmonares periféricos, de tamaño variable y distribución bilateral y aleatoria, sugestivos de metástasis pulmonares. Estas lesiones suelen ser secundarias al carcinoma de células renales, coriocarcinoma, carcinoma prostático y endometrial. Se presenta el caso clínico de un paciente masculino de 75 años que acudió al servicio de emergencias del Hospital Luis Uría de la Oliva por cuadro de derrame pleural. Durante la evaluación radiográfica se identificó incidentalmente imágenes compatibles con el signo de suelta de globos. El estudio complementario permitió el diagnóstico de carcinoma de células claras de riñón, continuo manejo conjunto con oncología- cuidados paliativos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The ballooning or cannonball sign refers to multiple peripheral nodules of variable size with a bilateral and random distribution, suggestive of pulmonary metastases. These metastases are typically secondary to renal cell carcinoma, choriocarcinoma, prostate cancer, and endometrial cancer. We present the case of a 75-year-old male patient who to the emergency service of the Luis Uria de la Oliva Hospital presented with pleural effusion. During chest X-ray evaluation, images consistent with the ballooning sign were incidentally identified. Further diagnostic workup led to the diagnosis of clear cell renal carcinoma, prompting multidisciplinary management with urologic oncology.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[carcinoma de células claras]]></kwd>
<kwd lng="es"><![CDATA[signo de suelta de globos]]></kwd>
<kwd lng="es"><![CDATA[carcinoma renal.]]></kwd>
<kwd lng="en"><![CDATA[clear cell carcinoma]]></kwd>
<kwd lng="en"><![CDATA[ballooning sign]]></kwd>
<kwd lng="en"><![CDATA[renal carcinoma]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zuccarino]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Fernandez Alarza]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Cufi' Quintana]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Del Carpio Bellido]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Gayete Cara]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pijuan Andujar]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Metástasis pulmonares alveolares: hallazgos radiológicos y correlación patológica]]></article-title>
<source><![CDATA[seram]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aragón Tejada]]></surname>
<given-names><![CDATA[FX]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz Yague]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Morcillo Carratala]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gutierrez Martinez]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Bernabeu Rodriguez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Signos Clásicos en la Radiología Convencional de Tórax: Lo que el radiólogo debe saber]]></article-title>
<source><![CDATA[seram]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bahadoram]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Davoodi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Hassanzadeh]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Bahadoram]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Barahman]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Mafakher]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Renal cell carcinoma: an overview of the epidemiology, diagnosis, and treatment]]></article-title>
<source><![CDATA[G Ital Nefrol]]></source>
<year>2022</year>
<volume>39</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>2022-vol3</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ljungberg]]></surname>
<given-names><![CDATA[Börje]]></given-names>
</name>
<name>
<surname><![CDATA[Hanbury]]></surname>
<given-names><![CDATA[Damian C]]></given-names>
</name>
<name>
<surname><![CDATA[Kuczyk]]></surname>
<given-names><![CDATA[Marcus A]]></given-names>
</name>
<name>
<surname><![CDATA[Merseburger]]></surname>
<given-names><![CDATA[Axel S]]></given-names>
</name>
<name>
<surname><![CDATA[Mulders]]></surname>
<given-names><![CDATA[Peter FA]]></given-names>
</name>
<name>
<surname><![CDATA[Patard]]></surname>
<given-names><![CDATA[Jean-Jacques]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guía del carcinoma de células renales]]></article-title>
<source><![CDATA[Actas Urol Esp]]></source>
<year>2009</year>
<volume>33</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>270-9</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ato González]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Ato González]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[López Banet]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Cárceles Moreno]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández Olivares]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Robles Manzanares]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Oquiñena Cristina]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Cuélliga González]]></surname>
<given-names><![CDATA[Ángel]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Masas sólidas renales: diagnóstico diferencial por imagen]]></article-title>
<source><![CDATA[seram]]></source>
<year>2022</year>
<volume>1</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jonasch]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Gao]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rathmell]]></surname>
<given-names><![CDATA[WK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Renal cell carcinoma]]></article-title>
<source><![CDATA[BMJ]]></source>
<year>2014</year>
<volume>349</volume>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Satué Gracia]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lumbalgia aguda con imagen «en suelta de globos» en la radiografía simple de tórax]]></article-title>
<source><![CDATA[Medicina de Familia. SEMERGEN]]></source>
<year>2012</year>
<volume>38</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>251-4</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Williamson]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
<name>
<surname><![CDATA[Cheng]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clear cell renal cell tumors: Not all that is "clear" is cancer]]></article-title>
<source><![CDATA[Urol Oncol]]></source>
<year>2016</year>
<volume>34</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>292.e17-22</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gaytán-Escobar]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tumor testicular quemado con metástasis pulmonares y retroperitoneales; informe de un caso]]></article-title>
<source><![CDATA[Revista Mexicana de Urología]]></source>
<year>2010</year>
<volume>70</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>301-4</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pifarré]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pulmonary nocardiosis as a cause of radiographic imaging of multiple pulmonary nodules]]></article-title>
<source><![CDATA[Archivos de Bronconeumología]]></source>
<year>2001</year>
<volume>37</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>511-2</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
