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Incidentaloma on preoperative chest X-ray
Incidentaloma en radiografía de tórax preoperatoria
R. López Herrero
, B. Sánchez Quirós, E. Álvarez Fuente, P. Román García
Corresponding author
Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
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B) Radiografía de tórax sin alteraciones realizada 6<span class="elsevierStyleHsp" style=""></span>meses antes. C) TC de tórax donde se observa un área de consolidación en el lóbulo inferior derecho adoptando una imagen en «atolón» (estrella amarilla).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R. López Herrero, B. Sánchez Quirós, E. Álvarez Fuente, P. Román García" "autores" => array:4 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "López Herrero" ] 1 => array:2 [ "nombre" => "B." "apellidos" => "Sánchez Quirós" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Álvarez Fuente" ] 3 => array:2 [ "nombre" => "P." 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A) View from outside the oral cavity. B) Detail of the video laryngoscope used (GlideScope®). C) Video laryngoscope image with visualization of tonsillar pillar perforation. D) Video laryngoscope image, advancing from the previous view, showing the epiglottis and confirming tracheal intubation. Green arrow: injured portion of the mucosa of the tonsillar pillar. Yellow arrow: epiglottis.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. López-Baamonde, M. Arias Salazar, M. Ubré, J. Martínez Ocón" "autores" => array:4 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "López-Baamonde" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Arias Salazar" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Ubré" ] 3 => array:2 [ "nombre" => "J." 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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" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">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).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">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.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">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.</p>" ] ] "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" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">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).</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006900000002/v1_202203120614/S2341192922000373/v1_202203120614/en/main.assets" "Apartado" => array:4 [ "identificador" => "70433" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006900000002/v1_202203120614/S2341192922000373/v1_202203120614/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192922000373?idApp=UINPBA00004N" ]
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