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array:23 [ "pii" => "S0300289623001588" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.05.003" "estado" => "S300" "fechaPublicacion" => "2023-08-01" "aid" => "3317" "copyright" => "SEPAR" "copyrightAnyo" => "2023" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2023;59:522-3" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289623001709" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.05.012" "estado" => "S300" "fechaPublicacion" => "2023-08-01" "aid" => "3326" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2023;59:524" "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" => "T-Cell Lymphoblastic Lymphoma: An Unusual Debut" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "524" ] ] "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" => 525 "Ancho" => 1340 "Tamanyo" => 71438 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest X-ray image showing unilateral white hemithorax associated with massive pleural effusion causing contralateral displacement and an anterior mediastinal mass. (B, C) PET-CT: Large heterogeneous lymph node cluster in prevascular mediastinal fatty space, with areas of hypometabolism and necrosis and other hypermetabolic regions consistent with malignancy, displacing mediastinal structures to the right and engulfing the large vessels. Significant for marked left pleuropulmonary thickening, measuring up to 6<span class="elsevierStyleHsp" style=""></span>cm in the paracardiac region, with intense pathological metabolic activity.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Beatriz Raboso Moreno, Cristina Lopez Riolobos, Araceli Abad Fernandez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Beatriz" "apellidos" => "Raboso Moreno" ] 1 => array:2 [ "nombre" => "Cristina" "apellidos" => "Lopez Riolobos" ] 2 => array:2 [ "nombre" => "Araceli" "apellidos" => "Abad Fernandez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623001709?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000008/v3_202311210631/S0300289623001709/v3_202311210631/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S030028962300162X" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.05.004" "estado" => "S300" "fechaPublicacion" => "2023-08-01" "aid" => "3318" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2023;59:520-1" "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">Case Report</span>" "titulo" => "Pneumothorax as a Complication of Arthroscopic Shoulder Surgery" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "520" "paginaFinal" => "521" ] ] "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" => 1374 "Ancho" => 1740 "Tamanyo" => 377407 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Parietal pleural lesion corresponding to the trocar entry point. (b) Simulation of the patient's position in the operating theatre and possible direction of the trocar for penetrating the thorax. Insert: working control of the arthroscope with the sharp trocar used. (c) Wound in the lung parenchyma located immediately below the chest wall injury (arrow). (d) Healing of the arthroscopy incisions. The arrow points to the trocar incision causing the pneumothorax. (e) Chest X-ray in AP showing complete right pneumothorax accompanied by subcutaneous emphysema.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Laura Sacristán, Montserrat Blanco, Manuel Castro" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Laura" "apellidos" => "Sacristán" ] 1 => array:2 [ "nombre" => "Montserrat" "apellidos" => "Blanco" ] 2 => array:2 [ "nombre" => "Manuel" "apellidos" => "Castro" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962300162X?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000008/v3_202311210631/S030028962300162X/v3_202311210631/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Beyond B-Lines: POCUS and the Diagnosis of Pulmonary Arteriovenous Malformations!" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "522" "paginaFinal" => "523" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "María Martina Echarri, Santiago Ezequiel Noya, Luis Patricio Maskin" "autores" => array:3 [ 0 => array:4 [ "nombre" => "María Martina" "apellidos" => "Echarri" "email" => array:1 [ 0 => "mecharri@fleni.org.ar" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Santiago Ezequiel" "apellidos" => "Noya" ] 2 => array:2 [ "nombre" => "Luis Patricio" "apellidos" => "Maskin" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Intensive Care Unit, Raúl Carrea Neurological Research Institute, FLENI, Buenos Aires, Argentina" "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" => 2920 "Ancho" => 1667 "Tamanyo" => 342950 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lung CT revealed a dilated vascular structure in the right middle lobe close to the pleura (A and B, white arrow), compatible with PAVM. Pulmonary echography showed a right parasternal hypoechoic image with an intraluminal hyperechoic area, compatible with thrombosis (C, white arrow). Doppler mode revealed a ‘mosaic-pattern’ indicative of mixing of arterial and venous blood consistent with PAVMs (D). Here, the anterograde and retrograde flow form a “ying-yang sign” (asterisk). Pulsed doppler image demonstrated arterial and venous flows (E).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A-33-year-old man, with family history of Rendu–Osler–Weber syndrome, presented with seizures. Brain tomography showed a parietal brain lesion, and chest tomography reported a hyperdense nodular image in the right middle lobe. Lung point of care ultrasound (POCUS) was performed, and a round hypoechoic image with anterograde and retrograde flows was shown (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), which moved with the ventilatory pattern. CT pulmonary scan revealed a dilated vascular structure in a coiled arrangement in the right middle lobe with multiple pulmonary arterial branches directly communicating with the pulmonary veins, compatible with complex pulmonary arteriovenous malformation (PAVM). Brain biopsy revealed a brain abscess, so antibiotics were started. Later, he was referred for angioembolisation.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">PAVMs are rare, abnormal low resistance vascular structures that connect a pulmonary artery to a pulmonary vein, resulting in an intrapulmonary right-to-left shunt. The preferred screening test for PAVM is transthoracic contrast echocardiography, while thin section CT scanning is the imaging of choice to diagnose a PAVM.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> However, under certain circumstances, lung POCUS can demonstrate PAVMs. Pulmonary ultrasound perform with a good acoustic window can detect vascular malformations close to pleura, or only partially embedding the parenchyma.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> POCUS is a useful tool to rule out differential diagnosis of pulmonary images.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Authors’ contribution</span><p id="par0015" class="elsevierStylePara elsevierViewall"><ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">•</span><p id="par0020" class="elsevierStylePara elsevierViewall">MME wrote the manuscript.</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">•</span><p id="par0025" class="elsevierStylePara elsevierViewall">SAN helped with the concept.</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">•</span><p id="par0030" class="elsevierStylePara elsevierViewall">LPM edited the manuscript.</p></li></ul></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Compliance with ethical standarts</span><p id="par0035" class="elsevierStylePara elsevierViewall">Informed consent was obtained from the individual participant included in the study.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Funding</span><p id="par0040" class="elsevierStylePara elsevierViewall">Authors received no financial support for this study.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Conflict of interest</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:5 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Authors’ contribution" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Compliance with ethical standarts" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Funding" ] 3 => array:2 [ "identificador" => "sec0020" "titulo" => "Conflict of interest" ] 4 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0055" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0030" ] ] ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2920 "Ancho" => 1667 "Tamanyo" => 342950 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lung CT revealed a dilated vascular structure in the right middle lobe close to the pleura (A and B, white arrow), compatible with PAVM. Pulmonary echography showed a right parasternal hypoechoic image with an intraluminal hyperechoic area, compatible with thrombosis (C, white arrow). Doppler mode revealed a ‘mosaic-pattern’ indicative of mixing of arterial and venous blood consistent with PAVMs (D). Here, the anterograde and retrograde flow form a “ying-yang sign” (asterisk). Pulsed doppler image demonstrated arterial and venous flows (E).</p>" ] ] 1 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 1170859 "Video" => array:2 [ "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] 2 => array:5 [ "identificador" => "upi0010" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc2.mp4" "ficheroTamanyo" => 534818 "Video" => array:2 [ "mp4" => array:5 [ "fichero" => "mmc2.m4v" "poster" => "mmc2.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "flv" => array:5 [ "fichero" => "mmc2.flv" "poster" => "mmc2.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] "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" => "Pulmonary arteriovenous malformations" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "C.L. Shovlin" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/rccm.201407-1254CI" "Revista" => array:5 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "2014" "volumen" => "190" "paginaInicial" => "1217" "paginaFinal" => "1228" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnosis and endovascular management of pulmonary arteriovenous malformations" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "H. Kramdhari" 1 => "J. Valakkada" 2 => "A. Ayyappan" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1259/bjr.20200695" "Revista" => array:3 [ "tituloSerie" => "Br J Radiol" "fecha" => "2021" "volumen" => "94" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005900000008/v3_202311210631/S0300289623001588/v3_202311210631/en/main.assets" "Apartado" => array:4 [ "identificador" => "94561" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005900000008/v3_202311210631/S0300289623001588/v3_202311210631/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623001588?idApp=UINPBA00003Z" ]
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