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The atypical imaging findings of novel coronavirus pneumonia (COVID-19) and its evolution.
Chen, Q; Guo, L-H; Xia, G-J; Wang, B; Li, J; Kuang, H-M; Wang, M.
  • Chen Q; Department of Radiology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, China. wangming_df@163.com.
Eur Rev Med Pharmacol Sci ; 25(2): 1080-1086, 2021 Jan.
Article in English | MEDLINE | ID: covidwho-1081037
ABSTRACT

OBJECTIVE:

This study aimed to explore the atypical imaging findings of the novel coronavirus pneumonia (COVID-19) and its evolution. MATERIALS AND

METHODS:

The atypical imaging data of ten patients in our hospital who tested positive for COVID-19 were analyzed retrospectively, and the distribution, morphology, and image evolution of the lesions were analyzed. High-resolution computed tomography (HRCT) was performed in all cases, and the imaging features were analyzed and summarized by two senior radiologists.

RESULTS:

Of these ten patients, three were male, and seven were female. The age of these patients ranged from 21-53 years, with an average age of 36.3 ± 3.6. The first symptom was fever in nine cases and dry cough in one case. A total of 17 lesions were detected in these ten patients. Five patients had a single lesion, and five patients had multiple lesions, for a total of 12 lesions. Ten lesions (58.82%) were located in the inferior lobe of the right lung, four lesions (23.53%) in the left inferior lobe, two lesions (11.76%) in the left upper lobe, and one lesion (5.88%) in the right middle lobe. Among the five single lesions, two were solid lesions, two were mixed ground-glass lesions, and one was a pure ground-glass lesion. Among the 12 multiple lesions, eight were solid lesions, two were mixed ground-glass lesions, and two were pure ground-glass lesions. Atypical manifestations in image signs five lesions (29.41%) had single solid and sub-solid nodules, and four lesions (23.53%) had cavitary nodules. Typical manifestation (the presence of "white lung") three lesions (17.65%) had an air bronchogram, two lesions (11.76%) had crazy-paving signs, two lesions (11.76%) had vascular thickening, and one lesion (5.88%) had halo signs. At reexamination 2-6 days later, 15 lesions (88.24%) had enlarged or increased, and two lesions (11.76%) had decreased or absorbed.

CONCLUSIONS:

Patients with COVID-19 may have atypical imaging findings. Radiologists should improve their understanding of the novel coronavirus pneumonia to avoid any missed diagnoses.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Tomography, X-Ray Computed / COVID-19 / Lung Limits: Adult / Female / Humans / Male / Middle aged / Young adult Language: English Journal: Eur Rev Med Pharmacol Sci Journal subject: Pharmacology / Toxicology Year: 2021 Document Type: Article Affiliation country: Eurrev_202101_24678

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Tomography, X-Ray Computed / COVID-19 / Lung Limits: Adult / Female / Humans / Male / Middle aged / Young adult Language: English Journal: Eur Rev Med Pharmacol Sci Journal subject: Pharmacology / Toxicology Year: 2021 Document Type: Article Affiliation country: Eurrev_202101_24678