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She was referred for an incidental finding on chest-abdominal computed tomography (CT) of a pulmonary nodular image 30 mm in diameter in the left lower lobe (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A–B, asterisks), with associated mild volume loss and some traction effect on adjacent vascular structures. Radiological follow-up with contrast-enhanced chest CT at three months confirmed the persistence of the lesion and revealed that its irrigation came from three branches of the descending aorta and its venous drainage flowed into the left inferior pulmonary vein (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a><span class="elsevierStyleSmallCaps">C</span>–D, arrows). With this, the diagnosis of intralobar pulmonary sequestration was established.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Pulmonary sequestration is a fragment of non-functioning lung tissue with anomalous vascular supply, whose arterial supply comes from one or more arteries of the systemic circulation, and whose venous drainage flows into the pulmonary circulation.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The differential diagnosis of pulmonary nodules is broad and encompasses multiple aetiologies, including tumour, infectious and inflammatory causes. However, it is important to consider less common causes such as vascular causes, including pulmonary sequestration.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0020" class="elsevierStylePara elsevierViewall">This paper has not received any type of funding.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Martínez-Besteiro E, Eiros Bachiller JM, Solís García M, Ruiz-Álvarez I, Secuestro pulmonar, Med Clin (Barc). 2022;158:449.</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" => 872 "Ancho" => 1255 "Tamanyo" => 159421 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Reconstruction of two CT scans in lateral and axial projections.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015800000009/v1_202206050640/S2387020622001760/v1_202206050640/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/23870206/0000015800000009/v1_202206050640/S2387020622001760/v1_202206050640/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020622001760?idApp=UINPBA00004N" ]
Journal Information
Vol. 158. Issue 9.
Pages 449 (May 2022)
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Vol. 158. Issue 9.
Pages 449 (May 2022)
Image in medicine
Pulmonary sequestration
Secuestro pulmonar
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Elisa Martínez-Besteiro
, José María Eiros Bachiller, Marta Solís García, Inés Ruiz-Álvarez
Corresponding author
Servicio de Neumología, Hospital de la Princesa, Madrid, Spain
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