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"/03002896/0000005100000007/v2_201506280052/S0300289614000295/v2_201506280052/es/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0300289614002294" "issn" => "03002896" "doi" => "10.1016/j.arbres.2014.06.007" "estado" => "S300" "fechaPublicacion" => "2015-07-01" "aid" => "1001" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2015;51:355" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3759 "formatos" => array:3 [ "EPUB" => 131 "HTML" => 2949 "PDF" => 679 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen clínica</span>" "titulo" => "Torsión del lóbulo medio poslobectomía. 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Correlation between Optical Bronchoscopy-Computed Tomography Virtual Bronchoscopy" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 704 "Ancho" => 800 "Tamanyo" => 94055 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se observa consolidación expansiva de lóbulo medio, que contiene burbujas de aire (A), y distorsión de la anatomía bronquial derecha (B). 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Lanari, UBA, Buenos Aires, Argentina" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Multiple Giant Diverticula of the Bronchus" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 692 "Ancho" => 1400 "Tamanyo" => 191931 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Paciente de 36<span class="elsevierStyleHsp" style=""></span>años, de sexo masculino, ex tabaquista (14 paquetes/año) candidato a trasplante pulmonar por bronquiectasias adquiridas no fibrosis quística. La radiografía simple de tórax presenta datos de hiperinsuflación pulmonar, junto con imágenes radiolúcidas compatibles con bronquiectasias. La tomografía axial computarizada de tórax confirma la presencia de bronquiectasias y muestra imágenes aéreas en el mediastino sugestivas de divertículos traqueobronquiales (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>A). Su reconstrucción virtual muestra múltiples imágenes saculares en ambos bronquios fuente (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>B). La imagen superior derecha permite observar el cuello de los divertículos. La endoscopia virtual reveló además pequeñas depresiones mucosas correspondientes a los orificios diverticulares.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Los primeros reportes de esta condición referían una prevalencia de 0,09-0,5%. Recientemente, en una serie de 503 fumadores y otra de 200 adultos sin enfermedad pulmonar su prevalencia fue del 45 y 41%, respectivamente<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a>. El tamaño de los divertículos bronquiales fue pequeño (de 1 a 3<span class="elsevierStyleHsp" style=""></span>mm). El motivo de la presentación es mostrar imágenes de divertículos bronquiales bilaterales de gran tamaño (10 a 13<span class="elsevierStyleHsp" style=""></span>mm de diámetro) mediante la reconstrucción tridimensional de tomografía computarizada. Estas imágenes no habían sido observadas en la radiografía simple de tórax.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Financiación</span><p id="par0015" class="elsevierStylePara elsevierViewall">No.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicto de intereses</span><p id="par0020" class="elsevierStylePara elsevierViewall">No declarado.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Financiación" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicto de intereses" ] 2 => array:1 [ "titulo" => "Bibliografía" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 692 "Ancho" => 1400 "Tamanyo" => 191931 ] ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diverticula in smokers on thin-section CT" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "N. Sverzellati" 1 => "A. Ingegnoli" 2 => "E. Calabrò" 3 => "G. Randi" 4 => "C. la Vecchia" 5 => "A. Marchianò" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00330-009-1515-2" "Revista" => array:6 [ "tituloSerie" => "Eur Radiol" "fecha" => "2010" "volumen" => "20" "paginaInicial" => "88" "paginaFinal" => "94" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19597819" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Characteristics and CT features of subcarinal air collections/main bronchial diverticula" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "T. Higuchi" 1 => "N. Takahashi" 2 => "M. Shiotani" 3 => "H. Maeda" 4 => "N. Yoshimura" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00330-009-1526-z" "Revista" => array:6 [ "tituloSerie" => "Eur Radiol" "fecha" => "2010" "volumen" => "20" "paginaInicial" => "95" "paginaFinal" => "99" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19657652" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000005100000007/v2_201506280052/S0300289614001719/v2_201506280052/es/main.assets" "Apartado" => array:4 [ "identificador" => "21422" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images / Imágenes clínicas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005100000007/v2_201506280052/S0300289614001719/v2_201506280052/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289614001719?idApp=UINPBA00003Z" ]
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