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array:24 [ "pii" => "S0300289622001740" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.06.020" "estado" => "S300" "fechaPublicacion" => "2022-04-01" "aid" => "3038" "copyright" => "SEPAR" "copyrightAnyo" => "2021" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:T359" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289621002209" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.07.010" "estado" => "S300" "fechaPublicacion" => "2022-04-01" "aid" => "2894" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:360" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen Clínica</span>" "titulo" => "Hallazgo intraoperatorio inesperado de un trombo tumoral en vena pulmonar durante una lobectomía robótica" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "360" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Unexpected Intraoperative Finding of a Pulmonary Vein Tumor Thrombus During a Robotic Lobectomy" ] ] "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" => 784 "Ancho" => 1000 "Tamanyo" => 146623 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Imagen de TC torácica que muestra una masa hipodensa de bordes lobulados de 6,1<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>5,8<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>4,4<span class="elsevierStyleHsp" style=""></span>cm (transverso, anteroposterior, craneocaudal) situada predominantemente en la periferia del lóbulo medio en contacto con la pleura costal, la cisura menor y la cisura mayor. Presenta extensión central condicionando obstrucción con componente endobronquial del bronquio segmentario lateral del lóbulo medio y de bronquios subsegmentarios y adenopatía interlobar medial a la masa de 1,2<span class="elsevierStyleHsp" style=""></span>cm (A). Imagen de PET/TC que muestra una masa hipermetabólica en lóbulo medio con SUVmax 19,51 y captación focal de la FDG en región hiliar derecha, con SUVmax 13,36, en relación con adenopatía (B). Imagen intraoperatoria durante el abordaje robótico en la que se objetiva la presencia de extensión intravascular del tumor a nivel vena de lóbulo medio (flecha) (C). Imagen intraoperatoria durante el abordaje abierto (toracotomía sin sección muscular) en la que se objetiva la presencia de tumor en margen distal (flecha) y clamp en margen proximal de la vena del lóbulo medio tras sección del vaso (D).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Teresa Gómez Hernández, Marcelo F. Jiménez López" "autores" => array:2 [ 0 => array:2 [ "nombre" => "M. Teresa" "apellidos" => "Gómez Hernández" ] 1 => array:2 [ "nombre" => "Marcelo F." "apellidos" => "Jiménez López" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621002209?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000004/v5_202301090807/S0300289621002209/v5_202301090807/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289621002040" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.06.017" "estado" => "S300" "fechaPublicacion" => "2022-04-01" "aid" => "2880" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:359" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen Clínica</span>" "titulo" => "Múltiples nódulos sólidos en el seguimiento post-COVID-19 tras neumonía leve" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "359" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Multiple Solid Nodules at Post-COVID-19 Follow-up After Mild Pneumonia" ] ] "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" => 1250 "Ancho" => 843 "Tamanyo" => 182404 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La tomografía computarizada de alta resolución (A) muestra múltiples nódulos pulmonares infracentimétricos (flechas negras) con resolución parcial de los mismos a los 3 meses (B).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jaume Bordas-Martinez, Belén del Río, Maria Molina-Molina" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Jaume" "apellidos" => "Bordas-Martinez" ] 1 => array:2 [ "nombre" => "Belén" "apellidos" => "del Río" ] 2 => array:2 [ "nombre" => "Maria" "apellidos" => "Molina-Molina" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621002040?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000004/v5_202301090807/S0300289621002040/v5_202301090807/es/main.assets" ] "asociados" => array:1 [ 0 => array:18 [ "pii" => "S0300289621002040" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.06.017" "estado" => "S300" "fechaPublicacion" => "2022-04-01" "aid" => "2880" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:359" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen Clínica</span>" "titulo" => "Múltiples nódulos sólidos en el seguimiento post-COVID-19 tras neumonía leve" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "359" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Multiple Solid Nodules at Post-COVID-19 Follow-up After Mild Pneumonia" ] ] "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" => 1250 "Ancho" => 843 "Tamanyo" => 182404 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La tomografía computarizada de alta resolución (A) muestra múltiples nódulos pulmonares infracentimétricos (flechas negras) con resolución parcial de los mismos a los 3 meses (B).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jaume Bordas-Martinez, Belén del Río, Maria Molina-Molina" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Jaume" "apellidos" => "Bordas-Martinez" ] 1 => array:2 [ "nombre" => "Belén" "apellidos" => "del Río" ] 2 => array:2 [ "nombre" => "Maria" "apellidos" => "Molina-Molina" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621002040?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000004/v5_202301090807/S0300289621002040/v5_202301090807/es/main.assets" ] ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => " Multiple Solid Nodules at Post-COVID-19 Follow-Up After Mild Pneumonia" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "T359" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Jaume Bordas-Martinez, Belén del Río, Maria Molina-Molina" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Jaume" "apellidos" => "Bordas-Martinez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Belén del" "apellidos" => "Río" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:4 [ "nombre" => "Maria" "apellidos" => "Molina-Molina" "email" => array:1 [ 0 => "mariamolinamolina@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad Funcional de Intersticio Pulmonar (UFIP), Departamento de Neumología, Hospital Universitario de Bellvitge, Instituto de Investigación Biomédica de Bellvitge (IDIBELL), Universidad de Barcelona, Hospitalet de Llobregat, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento de Radiología, Hospital Universitario de Bellvitge, Instituto de Investigación Biomédica de Bellvitge (IDIBELL), Universidad de Barcelona, Hospitalet de Llobregat, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Múltiples nódulos sólidos en el seguimiento post-COVID-19 tras neumonía leve" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1250 "Ancho" => 843 "Tamanyo" => 182404 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">High-resolution computed tomography (A) showing multiple pulmonary nodules measuring less than 1<span class="elsevierStyleHsp" style=""></span>cm (black arrows) with partial resolution at 3 months (B).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Our patient was a 67-year-old man who had quit smoking 25 years previously (cumulative dose: 20 pack-years), with no other significant history. He was admitted for mild COVID-19 pneumonia (oxygen therapy 2–3<span class="elsevierStyleHsp" style=""></span>l/min) and treated with remdesivir and dexamethasone 8<span class="elsevierStyleHsp" style=""></span>mg/day for 10 days, and discharged with a protocolized tapering prednisone regimen. A high-resolution chest CT scan at 2 months (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) showed multiple solid bilateral pulmonary nodules measuring less than 1<span class="elsevierStyleHsp" style=""></span>cm and some atelectasis and fibrosis.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Multiple nodules observed on high-resolution computed tomography in patients with COVID-19 has been described previously.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> However, the delayed appearance of multiple solid nodules of mild COVID-19 pneumonias without other inflammatory findings is atypical, and requires a differential diagnosis with neoproliferative and infectious processes. However, due to the patient's satisfactory clinical recovery and lack of reason for concern, we decided to prescribe prednisone 5<span class="elsevierStyleHsp" style=""></span>mg/day and repeat a high-resolution chest CT scan at 3 months (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B), which showed progressive resolution of nodules. Although no pathology study was available, given the radiological progress and the clinical context, the diagnosis was organizing foci, which is an uncommon radiological presentation of organizing pneumonia.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">Research grants from <span class="elsevierStyleGrantSponsor" id="gs1">ISCIII</span>, <span class="elsevierStyleGrantNumber" refid="gs1">PI21/01287</span> (co-funded by the European Regional Development Fund, EDF, a way to build Europe).</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1250 "Ancho" => 843 "Tamanyo" => 182404 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">High-resolution computed tomography (A) showing multiple pulmonary nodules measuring less than 1<span class="elsevierStyleHsp" style=""></span>cm (black arrows) with partial resolution at 3 months (B).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Six-month follow-up chest CT findings after severe COVID-19 pneumonia" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "X. Han" 1 => "Y. Fan" 2 => "O. Alwalid" 3 => "N. Li" 4 => "X. Jia" 5 => "M. Yuan" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/radiol.2021203153" "Revista" => array:6 [ "tituloSerie" => "Radiology" "fecha" => "2021" "volumen" => "299" "paginaInicial" => "E177" "paginaFinal" => "E186" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33497317" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Organizing pneumonia: What is it? A conceptual approach and pictorial review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M. Baque-Juston" 1 => "A. Pellegrin" 2 => "S. Leroy" 3 => "C.H. Marquette" 4 => "B. Padovani" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.diii.2014.01.004" "Revista" => array:6 [ "tituloSerie" => "Diagn Interv Imaging" "fecha" => "2014" "volumen" => "95" "paginaInicial" => "771" "paginaFinal" => "777" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24559802" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005800000004/v5_202301090807/S0300289622001740/v5_202301090807/en/main.assets" "Apartado" => array:4 [ "identificador" => "93646" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Images/Imágenes clínicas" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005800000004/v5_202301090807/S0300289622001740/v5_202301090807/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622001740?idApp=UINPBA00003Z" ]
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