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Acad Radiol. Imaging Features of Coronavirus disease 2019 (COVID-19): Evaluation on Thin-Section CT

tetano

Editor, Senior Moderator
Acad Radiol. 2020 Mar 20. pii: S1076-6332(20)30143-4. doi: 10.1016/j.acra.2020.03.002. [Epub ahead of print]
Imaging Features of Coronavirus disease 2019 (COVID-19): Evaluation on Thin-Section CT.


Guan CS[SUP]1[/SUP], Lv ZB[SUP]1[/SUP], Yan S[SUP]1[/SUP], Du YN[SUP]1[/SUP], Chen H[SUP]1[/SUP], Wei LG[SUP]1[/SUP], Xie RM[SUP]1[/SUP], Chen BD[SUP]2[/SUP].

Author information




Abstract

RATIONALE AND OBJECTIVES:

To retrospectively analyze the chest imaging findings in patients with coronavirus disease 2019 (COVID-19) on thin-section CT.
MATERIALS AND METHODS:

Fifty-three patients with confirmed COVID-19 infection underwent thin-section CT examination. Two chest radiologists independently evaluated the imaging in terms of distribution, ground-glass opacity (GGO), consolidation, air bronchogram, stripe, enlarged mediastinal lymph node, and pleural effusion.
RESULTS:

Fourty-seven cases (88.7%) had findings of COVID-19 infection, and the other six (11.3%) were normal. Among the 47 cases, 78.7% involved both lungs, and 93.6% had peripheral infiltrates distributed along the subpleural area. All cases showed GGO, 59.6% of which were round and 40.4% patchy. Other imaging features included "crazy-paving pattern" (89.4%), consolidation (63.8%), and air bronchogram (76.6%). Air bronchograms were observed within GGO (61.7%) and consolidation (70.3%). Neither enlarged mediastinal lymph nodes nor pleural effusion were present. Thirty-three patients (62.3%) were followed an average interval of 6.2 ? 2.9 days. The lesions increased in 75.8% and resorbed in 24.2% of patients.
CONCLUSION:

COVID-19 showed the pulmonary lesions in patients infected with COVID-19 were predominantly distributed peripherally in the subpleural area.
Copyright ? 2020 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.



KEYWORDS:

Coronavirus; Lung; Multidetector computed tomography; Pneumonia


PMID:32204990DOI:10.1016/j.acra.2020.03.002
 
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