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Pliegue cutáneo y neumotórax
Skin Fold Resembling Pneumothorax
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Presentamos la radiografía de tórax (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>A) de un varón de 71<span class="elsevierStyleHsp" style=""></span>años con enfermedad oncológica que acude por deterioro del estado general donde se visualiza un pliegue cutáneo en hemitórax izquierdo. La tomografía computarizada (B) confirma la ausencia de neumotórax. El pliegue cutáneo (A) aparece como una interfase (punta de flecha) en el campo pulmonar, entre 2 áreas con trama vascular (flecha). La radiografía de tórax fue realizada en proyección anteroposterior con el paciente en decúbito supino. La colocación del chasis entre la camilla y la espalda del paciente puede provocar la formación de un pliegue cutáneo. En el neumotórax (C), la pleura visceral se visualiza como una línea hiperdensa (punta de flecha) que separa el parénquima pulmonar de la cavidad pleural, la cual no tiene trama vascular (*). La ausencia de vasos no es suficiente para el diagnóstico de neumotórax (bullas, quistes) ni su presencia para descartarlo (neumotórax plegados). Debe considerarse que la pleural visceral es una línea hiperdensa, mientras que el pliegue cutáneo se observa como una interfase entre 2 tejidos de densidad distinta<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a>.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicto de intereses</span><p id="par0010" class="elsevierStylePara elsevierViewall">Los autores declaramos no tener ningún conflicto de intereses.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicto de intereses" ] 1 => 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" => 574 "Ancho" => 1950 "Tamanyo" => 180708 ] ] ] ] "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" => "Skin fold versus pneumothorax" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.K. Fisher" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2214/ajr.130.4.791" "Revista" => array:6 [ "tituloSerie" => "AJR Am J Roentgenol" "fecha" => "1978" "volumen" => "130" "paginaInicial" => "791" "paginaFinal" => "792" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/416700" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pneumothorax or skin fold?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P. Stark" 1 => "C. Eber" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Clin Intensive Care" "fecha" => "1993" "volumen" => "4" "paginaInicial" => "45" "paginaFinal" => "46" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000005100000008/v2_201511200118/S0300289614003585/v2_201511200118/es/main.assets" "Apartado" => array:4 [ "identificador" => "45361" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imagen clínica" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005100000008/v2_201511200118/S0300289614003585/v2_201511200118/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289614003585?idApp=UINPBA00003Z" ]
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