COVID-19 CT scan: Difference between revisions

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Revision as of 15:20, 13 April 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sabawoon Mirwais, M.B.B.S, M.D.[2] Syed Hassan A. Kazmi BSc, MD [3]

Overview

Chest CT scan findings in patients infected with coronavirus can include unilateral or bilateral pneumonia, mottling and ground glass opacity, focal or multifocal opacities, consolidation, and septal thickening with subpleural and lower lobe involvement more likely.

CT scan

Chest CT scan findings in patients infected with coronavirus can include:
- Unilateral or bilateral pneumonia^[1]^[2]^[3]
- Mottling and ground glass opacity
- Focal or multifocal opacities
- Consolidation
- Septal thickening
- Subpleural and lower lobe involvement more likely
- No thoracic lymphadenopathy
Chest CT scan findings common in patients infected with 2019-nCoV are:
- Bilateral peripheral lung opacities^[4]
- No subpleural sparing

Images

CT scan showing pulmonary focal opacity in a patient infected with COVID-19. ^[5]

CT scan showing pulmonary multifocal opacities in a patient infected with 2019-nCOV (Wuhan Coronavirus). ^[6]

References

↑ Paul NS, Roberts H, Butany J, Chung T, Gold W, Mehta S, Konen E, Rao A, Provost Y, Hong HH, Zelovitsky L, Weisbrod GL (2004). "Radiologic pattern of disease in patients with severe acute respiratory syndrome: the Toronto experience". Radiographics. 24 (2): 553–63. doi:10.1148/rg.242035193. PMID 15026600.
↑ Ajlan AM, Ahyad RA, Jamjoom LG, Alharthy A, Madani TA (October 2014). "Middle East respiratory syndrome coronavirus (MERS-CoV) infection: chest CT findings". AJR Am J Roentgenol. 203 (4): 782–7. doi:10.2214/AJR.14.13021. PMID 24918624.
↑ Chen, Nanshan; Zhou, Min; Dong, Xuan; Qu, Jieming; Gong, Fengyun; Han, Yang; Qiu, Yang; Wang, Jingli; Liu, Ying; Wei, Yuan; Xia, Jia'an; Yu, Ting; Zhang, Xinxin; Zhang, Li (2020). "Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study". The Lancet. doi:10.1016/S0140-6736(20)30211-7. ISSN 0140-6736.
↑ Lei, Junqiang; Li, Junfeng; Li, Xun; Qi, Xiaolong (2020). "CT Imaging of the 2019 Novel Coronavirus (2019-nCoV) Pneumonia". Radiology: 200236. doi:10.1148/radiol.2020200236. ISSN 0033-8419.
↑ Case courtesy of Medico Assistente Dr. Chong Keng Sang, Sam, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/73890">rID: 73890</a>
↑ Case courtesy of Medico Assistente Dr. Chong Keng Sang, Sam, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/73890">rID: 73890</a>

[pmid15026600-1] Paul NS, Roberts H, Butany J, Chung T, Gold W, Mehta S, Konen E, Rao A, Provost Y, Hong HH, Zelovitsky L, Weisbrod GL (2004). "Radiologic pattern of disease in patients with severe acute respiratory syndrome: the Toronto experience". Radiographics. 24 (2): 553–63. doi:10.1148/rg.242035193. PMID 15026600.

[pmid24918624-2] Ajlan AM, Ahyad RA, Jamjoom LG, Alharthy A, Madani TA (October 2014). "Middle East respiratory syndrome coronavirus (MERS-CoV) infection: chest CT findings". AJR Am J Roentgenol. 203 (4): 782–7. doi:10.2214/AJR.14.13021. PMID 24918624.

[ChenZhou2020-3] Chen, Nanshan; Zhou, Min; Dong, Xuan; Qu, Jieming; Gong, Fengyun; Han, Yang; Qiu, Yang; Wang, Jingli; Liu, Ying; Wei, Yuan; Xia, Jia'an; Yu, Ting; Zhang, Xinxin; Zhang, Li (2020). "Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study". The Lancet. doi:10.1016/S0140-6736(20)30211-7. ISSN 0140-6736.

[LeiLi2020-4] Lei, Junqiang; Li, Junfeng; Li, Xun; Qi, Xiaolong (2020). "CT Imaging of the 2019 Novel Coronavirus (2019-nCoV) Pneumonia". Radiology: 200236. doi:10.1148/radiol.2020200236. ISSN 0033-8419.

[5] Case courtesy of Medico Assistente Dr. Chong Keng Sang, Sam, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/73890">rID: 73890</a>

[6] Case courtesy of Medico Assistente Dr. Chong Keng Sang, Sam, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/73890">rID: 73890</a>

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[6]

@@ Line 21: / Line 21: @@
 ===Images===
-[[File:Coronavirus CT.jpg|300px|thumb|left|CT scan showing pulmonary focal opacity in a patient infected with 2019-nCOV (Wuhan Coronavirus). <ref>Case courtesy of Medico Assistente Dr. Chong Keng Sang, Sam, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/73890">rID: 73890</a></ref>]]
+[[File:Coronavirus CT.jpg|300px|thumb|left|CT scan showing pulmonary focal opacity in a patient infected with COVID-19. <ref>Case courtesy of Medico Assistente Dr. Chong Keng Sang, Sam, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/73890">rID: 73890</a></ref>]]
 [[File:Coronavirus CT 2.jpg|300px|thumb|center|CT scan showing pulmonary multifocal opacities in a patient infected with 2019-nCOV (Wuhan Coronavirus). <ref>Case courtesy of Medico Assistente Dr. Chong Keng Sang, Sam, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/73890">rID: 73890</a></ref>]]
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