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Spectrum of chest computed tomographic (CT) findings in coronavirus disease-19 (COVID-19) patients in India.

Authors :
Parry, Arshed Hussain
Wani, Abdul Haseeb
Yaseen, Mudasira
Dar, Khurshid Ahmad
Choh, Naseer Ahmad
Khan, Naseer Ahmad
Shah, Naveed Nazir
Jehangir, Majid
Source :
European Journal of Radiology. Aug2020, Vol. 129, pN.PAG-N.PAG. 1p.
Publication Year :
2020

Abstract

<bold>Purpose: </bold>To report the spectrum of chest computed tomographic (CT) imaging findings in coronavirus disease-19 (COVID-19) infected Indian patients.<bold>Methods: </bold>This was a prospective descriptive study comprising 147 consecutive reverse transcriptase polymerase chain reaction (RT-PCR) positive patients who underwent CT chest. Prevalence, distribution, extent and type of abnormal lung findings were recorded.<bold>Results: </bold>Among the total study cohort of 147 patients, 104 (70.7 %) were males and 43 (29.3 %) were females with mean age of 40.9 ± 17.2 years (range 24-71 years). We observed lung parenchymal abnormalities in 51 (34.7 %) cases whereas 96 (65.3 %) RT-PCR positive cases had a normal chest CT. Only 12.2 % of the patients were dyspneic, 6.1 % had desaturation, 7.4 % had increased respiratory rate and 10.9 % had comorbidities. Among the patients with abnormal CT findings bilateral 39/51 (76.5 %), multilobar (88.2 %) lung involvement with a predominant peripheral and posterior distribution was commonly observed. With regards to the type of opacity, ground glass opacity (GGO) was the dominant abnormality found in all 51 (100 %) cases. Pure GGO was observed in 15 (29.4 %), GGO with crazy paving pattern was seen in 15 (29.4 %) and GGO mixed with consolidation was noted in 21(41.2 %). Peri-lesional or intralesional segmental or subsegmental pulmonary vessel enlargement was observed in 36 (70.6 %) cases.<bold>Conclusion: </bold>In this study population predominantly with mild symptoms and few comorbidities, two-thirds of RT-PCR positive patients had a normal chest CT; whereas the remaining patients showed typical findings of predominant GGOs with a bilateral distribution and peripheral predominance. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
0720048X
Volume :
129
Database :
Academic Search Index
Journal :
European Journal of Radiology
Publication Type :
Academic Journal
Accession number :
144502034
Full Text :
https://doi.org/10.1016/j.ejrad.2020.109147