Sunday, April 12, 2020

Covid-19 What are the typical radiological findings?

Covid-19
What are the typical radiological findings?
The findings that make us strongly suspect that we are dealing with a COVID-19 infection are the ground glass patterned areas, which, even in the initial stages, affect both lungs, in particular the lower lobes, and especially the posterior segments, with a fundamentally peripheral and subpleural distribution. These findings are present on chest CT scan in practically 50% of patients in the first two days; For this, in China, CT scan is being used as a screening or diagnostic method.
These lesions progress in the following days until they become more diffuse. If they associate with septal thickening, they will present with a crazy paving pattern.
Image
These two X-ray images are from a 72-year-old woman who has a cough and respiratory distress from last year (left) and now. The yellow circle and ovoid indicate the typical subpleural peripheral opacities.


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