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Involvement of the Mediastinal Subpleural Pulmonary Parenchyma on Chest CT in COVID-19 patients: A Case Series.
Urciuoli, Luigi; Guerriero, Elvira; Musto, Lanfranco.
  • Urciuoli L; Department of Radiology, G. Criscuoli Hospital, Sant'Angelo dei Lombardi, ASL Avellino, Avellino, Italy.
  • Guerriero E; Department of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
  • Musto L; Department of Radiology, G. Criscuoli Hospital, Sant'Angelo dei Lombardi, ASL Avellino, Avellino, Italy.
J Radiol Case Rep ; 14(11): 1-15, 2020 Nov.
Article in English | MEDLINE | ID: covidwho-961736
ABSTRACT
Coronavirus disease 2019 (COVID-19) is an infectious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). First identified in December 2019 in Wuhan, China, it has since become a global pandemic. Although the reference standard for SARS-CoV-2 diagnosis is real-time reverse transcription polymerase chain reaction (RT-PCR), computed tomography (CT) is recommended for both initial evaluation and follow-up. The CT findings in COVID-19 are varied, but typical ground-glass opacities are usually reported to occupy a peripheral costal subpleural distribution. Here we report eight confirmed COVID-19 cases who underwent clinical evaluation, laboratory testing, and unenhanced chest CT. In all patients, chest CT showed the presence of ground-glass opacities in the mediastinal subpleural parenchyma. While these cases also showed the typical CT features of COVID-19, involvement of the mediastinal subpleural parenchyma should not lower the index of suspicion for COVID-19.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Tomography, X-Ray Computed / Pandemics / SARS-CoV-2 / COVID-19 / Lung / Lung Diseases Type of study: Case report / Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: J Radiol Case Rep Year: 2020 Document Type: Article Affiliation country: Jrcr.v14i11.3974

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Tomography, X-Ray Computed / Pandemics / SARS-CoV-2 / COVID-19 / Lung / Lung Diseases Type of study: Case report / Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: J Radiol Case Rep Year: 2020 Document Type: Article Affiliation country: Jrcr.v14i11.3974