Computed Tomography Features of Coronavirus Disease 2019 (COVID-19): A Review for Radiologists

ABSTRACT

Coronavirus Disease 2019 (COVID-19) pneumonia has become a global pandemic. Although the rate of new infections in China has decreased, currently, 169 countries report confirmed cases, with many nations showing increasing numbers daily. Testing for COVID-19 infection is performed via reverse transcriptase polymerase chain reaction, but availability is limited in many parts of the world. The role of chest computed tomography is yet to be determined and may vary depending on the local prevalence of disease and availability of laboratory testing. A common but nonspecific pattern of disease with a somewhat predictable progression is seen in patients with COVID-19. Specifically, patchy ground-glass opacities in the periphery of the lower lungs may be present initially, eventually undergoing coalescence, consolidation, and organization, and ultimately showing features of fibrosis. In this article, we review the computed tomography features of COVID-19 infection. Familiarity with these findings and their evolution will help radiologists recognize potential COVID-19 and recognize the significant overlap with other causes of acute lung injury. The authors declare no conflicts of interest Correspondence to Nikhil Goyal, MD, Department of Radiology, Northwell Health System, 300 Community Drive, Manhasset, NY 11040 (e-mail ngoyal@northwell.edu). Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved