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array:23 [ "pii" => "S0300289623000303" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.02.005" "estado" => "S300" "fechaPublicacion" => "2023-05-01" "aid" => "3265" "copyright" => "SEPAR" "copyrightAnyo" => "2023" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2023;59:333" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289622006731" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.12.011" "estado" => "S300" "fechaPublicacion" => "2023-05-01" "aid" => "3236" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2023;59:334-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:9 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>" "titulo" => "Latent Tuberculosis Infection Treatment: Compliance and Factors Related with Initiation" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "334" "paginaFinal" => "336" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José Antonio Gullón Blanco, Teresa Rodrigo Sanz, Fernando Álvarez Navascues, Eva Tabernero Huguet, Josefina Sabría Mestres, José María García García" "autores" => array:7 [ 0 => array:2 [ "nombre" => "José Antonio" "apellidos" => "Gullón Blanco" ] 1 => array:2 [ "nombre" => "Teresa" "apellidos" => "Rodrigo Sanz" ] 2 => array:2 [ "nombre" => "Fernando" "apellidos" => "Álvarez Navascues" ] 3 => array:2 [ "nombre" => "Eva" "apellidos" => "Tabernero Huguet" ] 4 => array:2 [ "nombre" => "Josefina" "apellidos" => "Sabría Mestres" ] 5 => array:2 [ "nombre" => "José María" "apellidos" => "García García" ] 6 => array:1 [ "colaborador" => "Working group of the Integrated Tuberculosis and NMT Research Program PII-TB NMT" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622006731?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000005/v2_202307310834/S0300289622006731/v2_202307310834/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S030028962300025X" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.02.002" "estado" => "S300" "fechaPublicacion" => "2023-05-01" "aid" => "3258" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2023;59:332" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Electrical Impedance Tomography Used During Bronchoscopy in a Patient With Aspiration Pneumonia" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "332" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 1323 "Ancho" => 2508 "Tamanyo" => 299493 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Images obtained by electrical impedance tomography before bronchoscopy-assisted tracheobronchial aspiration was initiated (A), during the procedure (B), and immediately after its conclusion (C). At the start of the procedure, a clear unilateral distribution of ventilation is present (white arrow). The blue–white gradient indicates regional distribution of tidal ventilation. In the upper part chest X-rays carried out before and immediately after the procedure are shown (L<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>left; R<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>right).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Andrea Vianello, Federico Lionello, Gabriella Guarnieri" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Andrea" "apellidos" => "Vianello" ] 1 => array:2 [ "nombre" => "Federico" "apellidos" => "Lionello" ] 2 => array:2 [ "nombre" => "Gabriella" "apellidos" => "Guarnieri" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962300025X?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000005/v2_202307310834/S030028962300025X/v2_202307310834/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Multiple Bilateral Pleural Appendages Revealed by Pleural Effusion" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "333" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ali Boukhoubza, Eduardo Bättig Arriagada, Carlos F. Muñoz Núñez" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Ali" "apellidos" => "Boukhoubza" "email" => array:1 [ 0 => "aliboukhoubza@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Eduardo Bättig" "apellidos" => "Arriagada" ] 2 => array:2 [ "nombre" => "Carlos F." "apellidos" => "Muñoz Núñez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Department of Radiology, Hospital Universitario y Politécnico La Fe, Avda. de Fernando Abril Martorell 106, 46026 Valencia, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "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" => 1096 "Ancho" => 1333 "Tamanyo" => 184493 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Contrast-enhanced portal venous phase CT scan. (A and B) Axial views. Right and left pleural effusion and pleural appendages (arrows). (C) Sagittal view. Left pleural effusion and a pleural appendage (arrow). (D) Coronal view. Multiple bilateral pleural appendages floating in pleural effusion (*).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A CT requested for ruling out malignancy in a 51-year-old male with hemopericardium showed multiple bilateral well-defined homogeneous pedunculated fat attenuating lesions arising from the posterior parietal pleura (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) floating in a small bilateral pleural effusion. A diagnosis of multiple bilateral pleural appendages was made.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Pleural appendages are pedunculated outpouchings of extrapleural fat covered by parietal pleura that project into the thoracic cavity. The term was coined due to their similarity with colonic epiploic appendages. Their pedunculated shape with long thin stalks may explain epipericardial fat necrosis and thoracoliths, just as epiploic appendages undergo epiploic appendagitis and cause calcified peritoneal loose bodies. Without pneumothorax and pleural effusion, they are indistinguishable from normal extrapleural fat. Their reported prevalence in moderate/severe pneumothorax is 49.5%, usually located at the cardiophrenic angle and measuring 10–70<span class="elsevierStyleHsp" style=""></span>mm in length.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">The differential diagnosis must be made with pleural lipomas and liposarcomas. Pleural lipomas are benign fatty tumors with smooth contours and obtuse margins with the pleural surface. At least a quarter of their circumference is in contact with the pleura. In contrast to pleural appendages, pleural lipomas are clearly visible without pleural effusion or pneumothorax and are rarely pedunculated. As for liposarcomas, contrast-enhanced MRI plays a key role in demonstrating post-contrast enhancement and invasion of adjacent structures.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of Interests</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors state that they have no conflict of interests.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of Interests" ] 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" => 1096 "Ancho" => 1333 "Tamanyo" => 184493 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Contrast-enhanced portal venous phase CT scan. (A and B) Axial views. Right and left pleural effusion and pleural appendages (arrows). (C) Sagittal view. Left pleural effusion and a pleural appendage (arrow). (D) Coronal view. Multiple bilateral pleural appendages floating in pleural effusion (*).</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" => "Apéndices pleurales: descripción, incidencia y relación con el índice de masa corporal" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A.M. Villanueva Campos" 1 => "J. Etxano Cantera" 2 => "N. Patel" 3 => "A.J. Villanueva Marcos" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rx.2021.03.008" "Revista" => array:2 [ "tituloSerie" => "Radiología [Internet]" "fecha" => "2021" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pedunculated pleural lipoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "L. Cardinale" 1 => "F. Avogliero" 2 => "F. Solitro" 3 => "C. Fava" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5334/jbr-btr.484" "Revista" => array:4 [ "tituloSerie" => "J Belg Soc Radiol [Internet]" "fecha" => "2011" "volumen" => "94" "paginaInicial" => "35" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005900000005/v2_202307310834/S0300289623000303/v2_202307310834/en/main.assets" "Apartado" => array:4 [ "identificador" => "93864" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005900000005/v2_202307310834/S0300289623000303/v2_202307310834/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623000303?idApp=UINPBA00003Z" ]
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