Incidentaloma on preoperative chest X-ray

López Herrero, R.; Sánchez Quirós, B.; Álvarez Fuente, E.; Román García, P.

doi:10.1016/j.redare.2021.03.009

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López Herrero, B. Sánchez Quirós, E. Álvarez Fuente, P. Román García" "autores" => array:4 [ 0 => array:4 [ "nombre" => "R." "apellidos" => "López Herrero" "email" => array:1 [ 0 => "rociolopezherrero@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "B." "apellidos" => "Sánchez Quirós" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Álvarez Fuente" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Román García" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Valladolid, Valladolid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Incidentaloma en radiografía de tórax preoperatoria" ] ] "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" => 572 "Ancho" => 1750 "Tamanyo" => 101945 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "A) Chest X-ray showing pulmonary masses in the left upper lobe and the right lower lobe (yellow arrow). B) Chest X-ray with no changes performed 6 months prior. C) Chest CT showing an “atoll sign” area of consolidation in the right lower lobe (yellow star)." ] ] ] "textoCompleto" => "Our patient was an 80-year-old man with a history of right carotid artery stenosis and hypertension. In the preoperative chest X-ray for carotid endarterectomy (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) masses were observed in the lower right and upper left lung lobes that were not visible in the radiograph taken 6 months earlier (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). The patient had suffered a respiratory tract infection 2 months prior, but was currently asymptomatic. A physical examination was unremarkable, and PCR for COVID-19 was negative. We decided to postpone surgery until the study had been completed, and after consulting with the Pulmonology department, a chest CT was requested (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C) that showed an “atoll sign” area of consolidation in the right lower lobe that was highly indicative of cryptogenic organizing pneumonia. Bronchoscopy was performed, which reported nonspecific findings, and treatment with corticosteroids was started at a dose of 1 mg/kg/day.<elsevierMultimedia ident="fig0005"></elsevierMultimedia>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: López Herrero R, Sánchez Quirós B, Álvarez Fuente E, Román García P. Incidentaloma en radiografía de tórax preoperatoria. Rev Esp Anestesiol Reanim. 2022;69:127." ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 572 "Ancho" => 1750 "Tamanyo" => 101945 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "A) Chest X-ray showing pulmonary masses in the left upper lobe and the right lower lobe (yellow arrow). B) Chest X-ray with no changes performed 6 months prior. 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ISSN: 2341-1929

Revista Española de Anestesiología y Reanimación (REDAR) -the Spanish Journal of Anesthesiology and Resuscitation- is the scientific body of the Spanish Society of Anesthesiology, Resuscitation and Pain Therapy. This is a monthly journal (10 issues) that publishes scientific articles of all areas within its specialty: clinical anesthesia, resuscitation-intensive medicine and critical care, diagnosis and treatment of acute and chronic pain, urgent care and emergencies and studies on basic science and related fields. The journal accepts work in both Spanish and English.

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