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On physical examination, blood pressure was within normal limits, tachycardia (133<span class="elsevierStyleHsp" style=""></span>bpm), rhonchus and decreased right base vesicular breath sounds on auscultation. Laboratory test results showed C-reactive protein at 1.30<span class="elsevierStyleHsp" style=""></span>mg/dl (normal range 0–0.5); leukocytosis (11.95<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleSup">6</span>/μl; normal range 4.5–10.8) and mild monocytosis (1.59<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleSup">6</span>/μl; normal range 0.3–0.9) were detected.</p><p id="par0010" class="elsevierStylePara elsevierViewall">In the coronal view of the thoracic CT, a pulmonary mass of 7<span class="elsevierStyleHsp" style=""></span>cm was observed in the right lower lobe (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A, arrow), which, with a mediastinal window, showed hypodense clustered nodules ranging from 1 to 3<span class="elsevierStyleHsp" style=""></span>cm, with smooth edges and well-defined septa, enhanced after the administration of contrast in the coronal and sagittal views (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A and B, asterisks). The nodules were adjacent to bronchial and vascular structures. Some of the nodules – with tomodensitometric values close to water density- occupied the right descending pulmonary artery lumen, causing contrast filling defects (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A and B, asterisks). No pulmonary infarctions were detected due to adaptation of the pulmonary arteries to the slow growth of the cysts. An adequate opacification of all cardiac cavities was observed, with no lesions inside. No lesions were detected in the liver or in any other sites on abdominal CT.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Anthelmintic treatment and surgery – right middle and lower lobe bilobectomy – were performed. In the anatomopathological report, a multi-septated cyst formation with pseudomucoid and membrane content was found, with pleural involvement compatible with multi-septated hydatid cyst, as well as daughter vesicles within the corresponding pulmonary arteries.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Santos Sánchez JÁ, García Hernández P, Martín Sánchez MJ, Sáenz Acuña HY. Hidatidosis intravascular pulmonar. Med Clin (Barc). 2017;149:47.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 459 "Ancho" => 900 "Tamanyo" => 81641 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014900000001/v1_201707230028/S238702061730387X/v1_201707230028/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014900000001/v1_201707230028/S238702061730387X/v1_201707230028/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702061730387X?idApp=UINPBA00004N" ]
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