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B: transthoracic echocardiography, apical 4 chamber view. C: transthoracic echocardiography, short axis parasternal plane at the level of the large vessels. D–E: chest computed tomography with contrast medium, mediastinal window. F–G: coronary angiography, anteroposterior projection.</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">AP: pulmonary artery; VD: right ventricle; VI: left ventricle; AD: right atrium; AI: left atrium; Ao: Aorta; APD: right pulmonary artery.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Pedro Caravaca Perez, Agueda Aurtenetxe Perez, Pilar Escribano Subias" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Pedro" "apellidos" => "Caravaca Perez" ] 1 => array:2 [ "nombre" => "Agueda" "apellidos" => "Aurtenetxe Perez" ] 2 => array:2 [ "nombre" => "Pilar" "apellidos" => "Escribano Subias" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S030028962030003X" "doi" => "10.1016/j.arbres.2019.12.020" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962030003X?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921001865?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000008/v1_202108020523/S1579212921001865/v1_202108020523/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212921002421" "issn" => "15792129" "doi" => "10.1016/j.arbr.2021.04.012" "estado" => "S300" "fechaPublicacion" => "2021-08-01" "aid" => "2817" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2021;57:533-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>" "titulo" => "Psoas Muscle Density Evaluated by Chest CT and Long-Term Mortality in COPD Patients" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:3 [ 0 => "en" 1 => "en" 2 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "533" "paginaFinal" => "539" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Densidad del músculo psoas evaluada mediante TC de tórax de baja dosis y mortalidad a largo plazo de los pacientes con EPOC" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 1 "multimedia" => array:5 [ "identificador" => "fig0020" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => false "mostrarDisplay" => true "figura" => array:1 [ 0 => array:4 [ "imagen" => "fx1.jpeg" "Alto" => 535 "Ancho" => 1333 "Tamanyo" => 103094 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ana Ezponda, Ciro Casanova, Carlos Cabrera, Ángela Martin-Palmero, Marta Marin-Oto, Jose M. Marín, Víctor Pinto-Plata, Miguel Divo, Bartolome R. Celli, Javier J. Zulueta, Gorka Bastarrika, Juan P. de-Torres" "autores" => array:12 [ 0 => array:2 [ "nombre" => "Ana" "apellidos" => "Ezponda" ] 1 => array:2 [ "nombre" => "Ciro" "apellidos" => "Casanova" ] 2 => array:2 [ "nombre" => "Carlos" "apellidos" => "Cabrera" ] 3 => array:2 [ "nombre" => "Ángela" "apellidos" => "Martin-Palmero" ] 4 => array:2 [ "nombre" => "Marta" "apellidos" => "Marin-Oto" ] 5 => array:2 [ "nombre" => "Jose M." "apellidos" => "Marín" ] 6 => array:2 [ "nombre" => "Víctor" "apellidos" => "Pinto-Plata" ] 7 => array:2 [ "nombre" => "Miguel" "apellidos" => "Divo" ] 8 => array:2 [ "nombre" => "Bartolome R." "apellidos" => "Celli" ] 9 => array:2 [ "nombre" => "Javier J." "apellidos" => "Zulueta" ] 10 => array:2 [ "nombre" => "Gorka" "apellidos" => "Bastarrika" ] 11 => array:2 [ "nombre" => "Juan P." "apellidos" => "de-Torres" ] ] ] ] "resumen" => array:1 [ 0 => array:3 [ "titulo" => "Graphical abstract" "clase" => "graphical" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><elsevierMultimedia ident="fig0020"></elsevierMultimedia></p></span>" ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921002421?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000008/v1_202108020523/S1579212921002421/v1_202108020523/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Foreign Body Aspiration Simulating Lung Cancer" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "540" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Filipa Carriço, Rodrigo Maia Alves, Filomena Luís" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Filipa" "apellidos" => "Carriço" "email" => array:1 [ 0 => "a.filipa.carrico@gmail.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" ] ] ] 1 => array:3 [ "nombre" => "Rodrigo Maia" "apellidos" => "Alves" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Filomena" "apellidos" => "Luís" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Pulmonology Department, Unidade Local de Saúde da Guarda E.P.E. – Hospital Sousa Martins, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Internal Medicine Department, Unidade Local de Saúde da Guarda E.P.E. – Hospital Sousa Martins, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Faculty of Medicine of the University of Beira Interior, Portugal" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Aspiración de cuerpo extraño que simula cáncer de pulmón" ] ] "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" => 1227 "Ancho" => 1267 "Tamanyo" => 160683 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) Computerized tomography (CT) of the chest showed a nodular image with a diameter of 24<span class="elsevierStyleHsp" style=""></span>mm and atelectasis of the posterior segment of the right upper lobe; (C) flexible bronchoscopy revealed total obstruction of the posterior segment of the right upper lobe by amorphous material with abundant granulation tissue; (D) macroscopic appearance of the aspirated material was compatible with rice grains.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 78-year-old man presented with a history of blood in sputum for 15 days. The patient had no relevant medical history. Laboratory tests showed iron deficiency anemia, but no other relevant findings. A computerized tomography (CT) of the chest was performed, which showed a nodular image with a diameter of 24<span class="elsevierStyleHsp" style=""></span>mm and atelectasis of the posterior segment of the right upper lobe. The patient was admitted for further investigation with diagnosis of probable lung cancer. Flexible bronchoscopy revealed total obstruction of the posterior segment of the right upper lobe by amorphous material with abundant granulation tissue. Saline injection into the occluded segment led to fragmentation of the material, which was aspirated and sent for characterization. The macroscopic appearance of the aspirated material was compatible with rice grains. The histological analysis of the bronchial lavage showed numerous fungal structures with characteristics of <span class="elsevierStyleItalic">Aspergillus</span> species. Later, after being confronted with these findings, the patient recalled several episodes suggestive of choke while eating rice. One week later, revision bronchoscopy showed complete resolution of the bronchial obstruction, with no relevant endoscopic findings (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">This case shows the importance of a detailed history while investigating patients with chronic symptoms and lung abnormalities on CT scan. The possibility of foreign body aspiration should not be overlooked, as the patient might not recall or emphasize the episode(s) of aspiration. Undiagnosed and retained foreign bodies may result in serious complications, such as pneumonia or atelectasis.</p></span>" "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" => 1227 "Ancho" => 1267 "Tamanyo" => 160683 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) Computerized tomography (CT) of the chest showed a nodular image with a diameter of 24<span class="elsevierStyleHsp" style=""></span>mm and atelectasis of the posterior segment of the right upper lobe; (C) flexible bronchoscopy revealed total obstruction of the posterior segment of the right upper lobe by amorphous material with abundant granulation tissue; (D) macroscopic appearance of the aspirated material was compatible with rice grains.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005700000008/v1_202108020523/S1579212921002366/v1_202108020523/en/main.assets" "Apartado" => array:4 [ "identificador" => "60604" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005700000008/v1_202108020523/S1579212921002366/v1_202108020523/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921002366?idApp=UINPBA00003Z" ]
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