Imagen clínica
Caso de atresia bronquial
A case of bronchial atresia
Lucia Fernandez Rodriguez
, Maria Fernandez-Velilla, Isabel Torres Sanchez
Corresponding author
Sección de Imagen Cardiotorácica, Servicio de Radiodiagnóstico, Hospital Universitario La Paz, Madrid, España
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bronchial atresia" ] ] "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" => 820 "Ancho" => 1197 "Tamanyo" => 115846 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Radiografía PA de tórax. B y C) TC de tórax con contraste intravenoso, corte axial a nivel de la ventana aortopulmonar en ventana de mediastino y de pulmón, respectivamente. D) TCMD reconstrucción coronal en máxima intensidad de proyección (MIP) ventana de mediastino. E y F) RM de tórax, cortes axiales a nivel de la ventana aortopulmonar. Cortes axiales potenciados en T2 y T1 con supresión grasa.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Mujer de 50 años, no fumadora, artritis psoriásica como único antecedente. Se solicita Rx de tórax previa al inicio del tratamiento con metotrexato. Exploración física y analítica normal.</p><p id="par0010" class="elsevierStylePara elsevierViewall">En la Rx de tórax (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>A) se objetiva una imagen seudonodular en región parahiliar del LSI, de densidad agua y bordes bien definidos. Impresiona de nódulo pulmonar. La TCMD confirma la existencia de una lesión nodular bien definida que se continúa con una estructura tubular que se bifurca y que no realza tras la administración de CIV. El parénquima distal muestra atrapamiento aéreo (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>B-D). En la RM la lesión presenta la misma morfología que en la TC, es hiperintensa en secuencias potenciadas en T1 y T2 (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a> E y F) y es sugestiva de broncocele. Tanto la TC como la RM confirman el diagnóstico de atresia bronquial.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">La atresia bronquial es un defecto congénito caracterizado por obliteración de la porción proximal de un bronquio lobar, segmentario o subsegmentario de causa no clara. Si el moco se acumula en el bronquio dilatado distal, se origina el broncocele. Se detecta de forma incidental en adultos y debe tenerse en cuenta en el diagnóstico diferencial del nódulo pulmonar solitario<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a>. La TCMD y la RM permiten su diagnóstico.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 820 "Ancho" => 1197 "Tamanyo" => 115846 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Radiografía PA de tórax. B y C) TC de tórax con contraste intravenoso, corte axial a nivel de la ventana aortopulmonar en ventana de mediastino y de pulmón, respectivamente. D) TCMD reconstrucción coronal en máxima intensidad de proyección (MIP) ventana de mediastino. E y F) RM de tórax, cortes axiales a nivel de la ventana aortopulmonar. Cortes axiales potenciados en T2 y T1 con supresión grasa.</p>" ] ] ] "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" => "Bronchial atresia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.G. Gipson" 1 => "K.W. Cummings" 2 => "K.M. Hurth" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/rg.295085239" "Revista" => array:6 [ "tituloSerie" => "Radiographics" "fecha" => "2009" "volumen" => "29" "paginaInicial" => "1531" "paginaFinal" => "1535" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19755610" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Enfermedades pulmonares congénitas del adulto" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.I. Torres Sánchez" 1 => "M. Parrón Pajares" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Radiología esencial" "paginaInicial" => "257" "paginaFinal" => "267" "serieFecha" => "2010" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000005200000002/v1_201601280037/S0300289614004578/v1_201601280037/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/03002896/0000005200000002/v1_201601280037/S0300289614004578/v1_201601280037/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289614004578?idApp=UINPBA00003Z" ]
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