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Technique in radiology, a question of perspective
La técnica en radiología, una cuestión de perspectiva
M.J. García-Cebrián
, B. Fernández Torres
Corresponding author
Hospital Universitario Virgen Macarena, Sevilla, Spain
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García-Cebrián, B. Fernández Torres" "autores" => array:2 [ 0 => array:4 [ "nombre" => "M.J." "apellidos" => "García-Cebrián" "email" => array:1 [ 0 => "mjgceb@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "B." "apellidos" => "Fernández Torres" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Hospital Universitario Virgen Macarena, Sevilla, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "La técnica en radiología, una cuestión de perspectiva" ] ] "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" => 532 "Ancho" => 1340 "Tamanyo" => 67559 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Preoperative chest X-ray (alteration with no clinical significance) and image of the lumbar spine showing a large hiatus hernia in the form of an air-fluid level overlapping cardiac silhouette.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 62-year-old patient underwent a pre-anaesthesia evaluation for scheduled hiatus hernia surgery. The preoperative chest X-ray (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) showed some alterations that were not initially considered significant in the pre-anaesthesia evaluation.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">However, when reviewing previous radiographic studies to determine the size and possible implications of the hiatal hernia, we found an x-ray that had been performed 6 months earlier to assess the spine that showed a large hiatal hernia seen as an air-fluid level that overlapped the cardiac silhouette (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). On the basis of these findings, we changed our anaesthesia approach in order to avoid pulmonary aspiration during intubation manoeuvres.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The comparison of both radiographs makes us reflect on the importance of the technique to reach a specific diagnosis. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 December | 2 | 2 | 4 |
