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"documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Imaging tests in the diagnosis of dysimmune neuropathies: A study of three cases" "tienePdf" => "en" "tieneTextoCompleto" => "en" "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pruebas de imagen en el diagnóstico de las neuropatías disinmunes: estudio de tres casos" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 929 "Ancho" => 975 "Tamanyo" => 96094 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Case 2. Bilateral brachial plexus MRI (STIR sequence). Focal fusiform thickening and T2 hyperintensity of the upper trunk of the right brachial plexus at the level of the cervical spine and ipsilateral cords. Smaller and more homogeneous thickening is also seen at the level of the upper and middle trunks of the left brachial plexus at the supraclavicular level. Findings compatible with asymmetric bilateral involvement of CIDP.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "María García García, Belén Salvador Saenz, Ana Pinel González" "autores" => array:3 [ 0 => array:2 [ "nombre" => "María" "apellidos" => "García García" ] 1 => array:2 [ "nombre" => "Belén" "apellidos" => "Salvador Saenz" ] 2 => array:2 [ "nombre" => "Ana" "apellidos" => "Pinel González" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775324004561" "doi" => "10.1016/j.medcli.2024.06.008" "estado" => "S200" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775324004561?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020624005138?idApp=UINPBA00004N" "url" => "/23870206/unassign/S2387020624005138/v1_202411010427/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2387020624004637" "issn" => "23870206" "doi" => "10.1016/j.medcle.2024.04.030" "estado" => "S200" "fechaPublicacion" => "2024-10-21" "aid" => "6709" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Perineal leiomyoma: an infrecuent clinical entity" "tienePdf" => "en" "tieneTextoCompleto" => "en" "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Leiomioma perianal: una entidad poco frecuente" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1236 "Ancho" => 2050 "Tamanyo" => 374050 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0035" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Anal lesion: (A) Tumour measuring 4<span class="elsevierStyleHsp" style=""></span>cm in greatest diameter, pedunculated and located in the right posterolateral quadrant of the anus. (B) Image of the surgical specimen showing an oval lesion with well-defined margins. (C) Appearance of the anal region after surgical resection.</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Pathological study: (D) Cross-linked fascicles of spindle cells with eosinophilic cytoplasm, nuclei with conical ends and small nucleoli, consistent with smooth muscle cells (H&E stain, 200×) are visible.</p> <p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Immunohistochemistry study (E and F) showing strongly positive staining for actin (E) and negative for CD117, with positive mast cells as internal control, confirming the diagnosis of leiomyoma (F) (400×).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Raquel Ruiz-Fernández, Daniel Fernández-Martínez, Iván Fernández-Vega" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Raquel" "apellidos" => "Ruiz-Fernández" ] 1 => array:2 [ "nombre" => "Daniel" "apellidos" => "Fernández-Martínez" ] 2 => array:2 [ "nombre" => "Iván" "apellidos" => "Fernández-Vega" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775324003671" "doi" => "10.1016/j.medcli.2024.04.034" "estado" => "S200" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775324003671?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020624004637?idApp=UINPBA00004N" "url" => "/23870206/unassign/S2387020624004637/v1_202410210424/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Intrathoracic extrapleural pulmonary hernia and tracheal diverticulum in a COPD patient" "tieneTextoCompleto" => true "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Diego Varona Porres, Ana Lucía Sánchez, Laura Beatriz Cabanzo" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Diego" "apellidos" => "Varona Porres" "email" => array:1 [ 0 => "dvaronaporres@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Ana Lucía" "apellidos" => "Sánchez" ] 2 => array:2 [ "nombre" => "Laura Beatriz" "apellidos" => "Cabanzo" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Radiología, Hospital Universitario Vall d’Hebron, Barcelona, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hernia pulmonar extrapleural intratorácica y divertículo traqueal en paciente EPOC" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 447 "Ancho" => 1675 "Tamanyo" => 128539 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 75-year-old man with severe COPD who presented to our hospital 6 months ago with a respiratory infection and required admission. An outpatient chest CT scan identified a right posterolateral tracheal diverticulum in the upper intrathoracic trachea and a pulmonary hernia at the expense of the right lower lobe in an extrapleural location with no intercostal extension (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A and B, black arrows) and with a thickened and calcified pleura (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C, white arrows) with a defect through which the lung parenchyma herniated (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C, black arrow). The findings were already seen in previous CT studies from 5 and 7 years earlier.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Tracheal diverticula are often asymptomatic and have an incidence of 2.4%. They are usually located in the right posterolateral region and are divided into congenital and acquired. Acquired are due to a prolonged increase in intraluminal pressure in patients with chronic cough or COPD plus weakness in the tracheal wall.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Intrathoracic extrapleural pulmonary hernias consist of herniation of part of the lung into the extrapleural space without extension into the intercostal space. In the only 2 cases reported, a calcified pleural thickening with a defect through which the lung parenchyma was herniating was observed and they were managed conservatively.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical responsibilities</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they have the informed consent of the patients, have complied with the relevant ethical standards for publication and that the local ethics committee of Vall de Hebron Hospital approved the research.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0025" class="elsevierStylePara elsevierViewall">None.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Ethical responsibilities" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 447 "Ancho" => 1675 "Tamanyo" => 128539 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/unassign/S2387020624004856/v1_202410310611/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/23870206/unassign/S2387020624004856/v1_202410310611/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020624004856?idApp=UINPBA00004N" ]