COVID-19 x ray: Difference between revisions
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==Overview== | ==Overview== | ||
An x-ray may be helpful in the diagnosis of COVID-19 infection. Findings of chest x-ray can be consistent with the disease severity and time of presentation. Chest X-ray findings of | An [[x-ray]] may be helpful in the [[diagnosis]] of COVID-19 infection. Findings of [[Chest X-ray|chest x-ray]] can be consistent with the [[disease]] severity and time of presentation. [[Chest X-ray]] findings of COVID-19 may be normal in early/mild disease. Findings are most extensive about 10-12 days after [[symptom]] onset. The most frequent findings are [[Consolidation (medicine)|consolidation]]. The distribution is most often bilateral, peripheral, and lower zone predominant. In contrast to parenchymal disease, [[pleural effusion]] is rare. | ||
==X Ray== | ==X Ray== | ||
* An [[x-ray]] may be helpful in the [[diagnosis]] of COVID-19 infection.<ref> Weinstock MB, Echenique A, Russell | |||
* An x-ray may be helpful in the diagnosis of COVID-19 infection. | JW, et al. Chest x-ray findings in 636 ambulatory patients with COVID-19 presenting to an urgent care center: a normal chest x-ray is no guarantee. J Urgent Care Med. April 13, 2020. [Epub ahead of print])</ref><ref name="YoonLee2020">{{cite journal|last1=Yoon|first1=Soon Ho|last2=Lee|first2=Kyung Hee|last3=Kim|first3=Jin Yong|last4=Lee|first4=Young Kyung|last5=Ko|first5=Hongseok|last6=Kim|first6=Ki Hwan|last7=Park|first7=Chang Min|last8=Kim|first8=Yun-Hyeon|title=Chest Radiographic and CT Findings of the 2019 Novel Coronavirus Disease (COVID-19): Analysis of Nine Patients Treated in Korea|journal=Korean Journal of Radiology|volume=21|issue=4|year=2020|pages=494|issn=1229-6929|doi=10.3348/kjr.2020.0132}}</ref> | ||
*Findings of chest x-ray can be consistent with the disease severity and time of presentation. | *Findings of [[chest x-ray]] can be consistent with the [[disease]] severity and time of presentation. | ||
*Chest X-ray findings of Covid-19 may be normal in early/mild disease. | *[[Chest X-ray]] findings of Covid-19 may be normal in early/mild disease. | ||
* Findings are most extensive about 10-12 days after symptom onset. | * Findings are most extensive about 10-12 days after [[symptom]] onset. | ||
*Findings on X-ray in severe COVID-19 infection include: | *Findings on X-ray in severe COVID-19 infection include: | ||
** Airspace opacities (consolidation) | ** Airspace opacities ([[Consolidation (medicine)|consolidation]]) | ||
*** Often bilateral, peripheral, and lower zone predominant. | *** Often bilateral, peripheral, and lower zone predominant. | ||
* Pleural effusions are rare. | *[[Pleural effusion|Pleural effusions]] are rare. | ||
*Table below provides information on the percentage of various x-ray findings in 636 patients with Covid-19 from Greater NYC UC Centers. | |||
{| class="wikitable" | {| class="wikitable" | ||
|+ | |+ | ||
| Line 24: | Line 24: | ||
!% of individuals | !% of individuals | ||
|- | |- | ||
|Severity | | rowspan="4" |Severity | ||
| | |Normal | ||
| | |58.3 | ||
|- | |- | ||
| | |Mild | ||
| | |30.7 | ||
|- | |- | ||
| | |Moderate | ||
| | |10.2 | ||
|- | |- | ||
| | |Severe | ||
| | |0.8 | ||
|- | |- | ||
| | | rowspan="3" |Type of Infiltrate | ||
| | |Interstitial | ||
| | |23.7 | ||
|- | |- | ||
| | |Ground glass opacities | ||
| | |18.9 | ||
|- | |- | ||
| | |Consolidation | ||
| | |5.3 | ||
|- | |- | ||
| | | rowspan="3" |Location | ||
| | |Lower | ||
| | |33.8 | ||
|- | |- | ||
| | |Upper | ||
| | |20.1 | ||
|- | |- | ||
| | |Diffuse | ||
| | |0.9 | ||
|- | |- | ||
| | | rowspan="2" |Number of Lesions | ||
| | |One | ||
| | |24.2 | ||
|- | |- | ||
| | |Multiple | ||
| | |11.2 | ||
|- | |- | ||
| | | rowspan="2" |Location of lesions | ||
| | |Central | ||
| | |7.1 | ||
|- | |- | ||
| | |Peripheral | ||
| | |35.4 | ||
|- | |- | ||
| | | rowspan="2" |Other findings | ||
| | |Lymphadenopathy | ||
| | |0.3 | ||
|- | |- | ||
| | |Effusion | ||
| | |0.3 | ||
| | |} | ||
| | {| | ||
| | ! colspan="2" style="background:#DCDCDC;" align="center" + |The above table adopted from JUCM The Journal of Urgent Care Medicine <ref> Weinstock MB, Echenique A, Russell | ||
JW, et al. Chest x-ray findings in 636 ambulatory patients with COVID-19 presenting to an urgent care center: a normal chest x-ray is no guarantee. J Urgent Care Med. April 13, 2020. [Epub ahead of print])</ref> | |||
|- | |||
|- | |||
|} | |} | ||
===Image=== | ===Image=== | ||
[[File:Covid-19-pneumonia-101.png|300px|left|thumb|COVID-19 pneumoni<ref>Case courtesy of Dr Subhan Iqbal, Radiopaedia.org, rID: 76341</ref>]] | [[File:Covid-19-pneumonia-101.png|300px|left|thumb|COVID-19 pneumoni<ref>Case courtesy of Dr Subhan Iqbal, Radiopaedia.org, rID: 76341</ref>]] | ||
Latest revision as of 14:50, 13 July 2020
For COVID-19 frequently asked inpatient questions, click here
For COVID-19 frequently asked outpatient questions, click here
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COVID-19 Microchapters |
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Diagnosis |
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Case Studies |
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COVID-19 x ray On the Web |
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American Roentgen Ray Society Images of COVID-19 x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
An x-ray may be helpful in the diagnosis of COVID-19 infection. Findings of chest x-ray can be consistent with the disease severity and time of presentation. Chest X-ray findings of COVID-19 may be normal in early/mild disease. Findings are most extensive about 10-12 days after symptom onset. The most frequent findings are consolidation. The distribution is most often bilateral, peripheral, and lower zone predominant. In contrast to parenchymal disease, pleural effusion is rare.
X Ray
- An x-ray may be helpful in the diagnosis of COVID-19 infection.[1][2]
- Findings of chest x-ray can be consistent with the disease severity and time of presentation.
- Chest X-ray findings of Covid-19 may be normal in early/mild disease.
- Findings are most extensive about 10-12 days after symptom onset.
- Findings on X-ray in severe COVID-19 infection include:
- Airspace opacities (consolidation)
- Often bilateral, peripheral, and lower zone predominant.
- Airspace opacities (consolidation)
- Pleural effusions are rare.
- Table below provides information on the percentage of various x-ray findings in 636 patients with Covid-19 from Greater NYC UC Centers.
| Radiologic Pattern | Categories | % of individuals |
|---|---|---|
| Severity | Normal | 58.3 |
| Mild | 30.7 | |
| Moderate | 10.2 | |
| Severe | 0.8 | |
| Type of Infiltrate | Interstitial | 23.7 |
| Ground glass opacities | 18.9 | |
| Consolidation | 5.3 | |
| Location | Lower | 33.8 |
| Upper | 20.1 | |
| Diffuse | 0.9 | |
| Number of Lesions | One | 24.2 |
| Multiple | 11.2 | |
| Location of lesions | Central | 7.1 |
| Peripheral | 35.4 | |
| Other findings | Lymphadenopathy | 0.3 |
| Effusion | 0.3 |
| The above table adopted from JUCM The Journal of Urgent Care Medicine [3] |
|---|
Image
References
- ↑ Weinstock MB, Echenique A, Russell JW, et al. Chest x-ray findings in 636 ambulatory patients with COVID-19 presenting to an urgent care center: a normal chest x-ray is no guarantee. J Urgent Care Med. April 13, 2020. [Epub ahead of print])
- ↑ Yoon, Soon Ho; Lee, Kyung Hee; Kim, Jin Yong; Lee, Young Kyung; Ko, Hongseok; Kim, Ki Hwan; Park, Chang Min; Kim, Yun-Hyeon (2020). "Chest Radiographic and CT Findings of the 2019 Novel Coronavirus Disease (COVID-19): Analysis of Nine Patients Treated in Korea". Korean Journal of Radiology. 21 (4): 494. doi:10.3348/kjr.2020.0132. ISSN 1229-6929.
- ↑ Weinstock MB, Echenique A, Russell JW, et al. Chest x-ray findings in 636 ambulatory patients with COVID-19 presenting to an urgent care center: a normal chest x-ray is no guarantee. J Urgent Care Med. April 13, 2020. [Epub ahead of print])
- ↑ Case courtesy of Dr Subhan Iqbal, Radiopaedia.org, rID: 76341
- ↑ Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 75844