Skip to main content
Erschienen in: European Radiology 8/2020

19.03.2020 | COVID-19 | Chest

Chest CT manifestations of new coronavirus disease 2019 (COVID-19): a pictorial review

verfasst von: Zheng Ye, Yun Zhang, Yi Wang, Zixiang Huang, Bin Song

Erschienen in: European Radiology | Ausgabe 8/2020

Einloggen, um Zugang zu erhalten

Abstract

Coronavirus disease 2019 (COVID-19) outbreak, first reported in Wuhan, China, has rapidly swept around the world just within a month, causing global public health emergency. In diagnosis, chest computed tomography (CT) manifestations can supplement parts of limitations of real-time reverse transcription polymerase chain reaction (RT-PCR) assay. Based on a comprehensive literature review and the experience in the frontline, we aim to review the typical and relatively atypical CT manifestations with representative COVID-19 cases at our hospital, and hope to strengthen the recognition of these features with radiologists and help them make a quick and accurate diagnosis.
Key Points
• Ground glass opacities, consolidation, reticular pattern, and crazy paving pattern are typical CT manifestations of COVID-19.
• Emerging atypical CT manifestations, including airway changes, pleural changes, fibrosis, nodules, etc., were demonstrated in COVID-19 patients.
• CT manifestations may associate with the progression and prognosis of COVID-19.
Literatur
14.
Zurück zum Zitat Xu X, Chen P, Wang J et al (2020) Evolution of the novel coronavirus from the ongoing Wuhan outbreak and modeling of its spike protein for risk of human transmission. Sci China Life Sci 2020:1–4 Xu X, Chen P, Wang J et al (2020) Evolution of the novel coronavirus from the ongoing Wuhan outbreak and modeling of its spike protein for risk of human transmission. Sci China Life Sci 2020:1–4
26.
Zurück zum Zitat Hansell DM, Bankier AA, MacMahon H, McLoud TC, Muller NL, Remy J (2008) Fleischner Society: glossary of terms for thoracic imaging. Radiology 246:697–722CrossRef Hansell DM, Bankier AA, MacMahon H, McLoud TC, Muller NL, Remy J (2008) Fleischner Society: glossary of terms for thoracic imaging. Radiology 246:697–722CrossRef
29.
Zurück zum Zitat Ajlan AM, Ahyad RA, Jamjoom LG, Alharthy A, Madani TA (2014) Middle East respiratory syndrome coronavirus (MERS-CoV) infection: chest CT findings. AJR Am J Roentgenol 203:782–787CrossRef Ajlan AM, Ahyad RA, Jamjoom LG, Alharthy A, Madani TA (2014) Middle East respiratory syndrome coronavirus (MERS-CoV) infection: chest CT findings. AJR Am J Roentgenol 203:782–787CrossRef
30.
Zurück zum Zitat Wong K, Antonio GE, Hui DS et al (2003) Thin-section CT of severe acute respiratory syndrome: evaluation of 73 patients exposed to or with the disease. Radiology 228:395–400CrossRef Wong K, Antonio GE, Hui DS et al (2003) Thin-section CT of severe acute respiratory syndrome: evaluation of 73 patients exposed to or with the disease. Radiology 228:395–400CrossRef
31.
Zurück zum Zitat Xi Liu RW, Guoqiang Q, Wang Y et al (2020) A observational autopsy report of COVID-19 (Chinese). J Forensic Med 36:19–21 Xi Liu RW, Guoqiang Q, Wang Y et al (2020) A observational autopsy report of COVID-19 (Chinese). J Forensic Med 36:19–21
33.
Zurück zum Zitat Franquet T (2011) Imaging of pulmonary viral pneumonia. Radiology 260:18–39CrossRef Franquet T (2011) Imaging of pulmonary viral pneumonia. Radiology 260:18–39CrossRef
35.
Zurück zum Zitat Kuhlman JE, Fishman EK, Siegelman S (1985) Invasive pulmonary aspergillosis in acute leukemia: characteristic findings on CT, the CT halo sign, and the role of CT in early diagnosis. Radiology 157:611–614CrossRef Kuhlman JE, Fishman EK, Siegelman S (1985) Invasive pulmonary aspergillosis in acute leukemia: characteristic findings on CT, the CT halo sign, and the role of CT in early diagnosis. Radiology 157:611–614CrossRef
36.
37.
Zurück zum Zitat Zompatori M, Poletti V, Battista G, Diegoli M (1999) Bronchiolitis obliterans with organizing pneumonia (BOOP), presenting as a ring-shaped opacity at HRCT (the atoll sign). A case report. Radiol Med 97:308PubMed Zompatori M, Poletti V, Battista G, Diegoli M (1999) Bronchiolitis obliterans with organizing pneumonia (BOOP), presenting as a ring-shaped opacity at HRCT (the atoll sign). A case report. Radiol Med 97:308PubMed
38.
Zurück zum Zitat Kim SJ, Lee KS, Ryu YH et al (2003) Reversed halo sign on high-resolution CT of cryptogenic organizing pneumonia: diagnostic implications. AJR Am J Roentgenol 180:1251–1254CrossRef Kim SJ, Lee KS, Ryu YH et al (2003) Reversed halo sign on high-resolution CT of cryptogenic organizing pneumonia: diagnostic implications. AJR Am J Roentgenol 180:1251–1254CrossRef
39.
Zurück zum Zitat Gasparetto EL, Escuissato DL, Davaus T et al (2005) Reversed halo sign in pulmonary paracoccidioidomycosis. AJR Am J Roentgenol 184:1932–1934CrossRef Gasparetto EL, Escuissato DL, Davaus T et al (2005) Reversed halo sign in pulmonary paracoccidioidomycosis. AJR Am J Roentgenol 184:1932–1934CrossRef
Metadaten
Titel
Chest CT manifestations of new coronavirus disease 2019 (COVID-19): a pictorial review
verfasst von
Zheng Ye
Yun Zhang
Yi Wang
Zixiang Huang
Bin Song
Publikationsdatum
19.03.2020

Weitere Artikel der Ausgabe 8/2020

European Radiology 8/2020 Zur Ausgabe

Passend zum Thema

ANZEIGE

IPD-Fallzahlen & Pneumokokken-Impfung bei Kindern in Deutschland

Das Niveau der postpandemischen Fallzahlen für invasive Pneumokokken-Erkrankungen (IPD) ist aus Sicht des Referenz-Zentrums für Streptokokken in Aachen alarmierend [1]. Wie sich die monatlichen IPD-Fallzahlen bei Kindern und Jugendlichen von Juli 2015 bis März 2023 entwickelt haben, lesen Sie hier.

ANZEIGE

HPV-Impfung: Auch für junge Erwachsene sinnvoll und wichtig

Auch nach dem 18. Lebensjahr kann eine HPV-Impfung sinnvoll und wichtig sein. Viele gesetzliche Krankenkassen übernehmen die Kosten auch zu einem späteren Zeitpunkt noch.

ANZEIGE

Impfstoffe – Krankheiten vorbeugen, bevor sie entstehen

Seit mehr als 130 Jahren entwickelt und produziert MSD Impfstoffe für alle Altersgruppen. Hier finden Sie nützliche Informationen und Praxismaterialien rund um das Thema Impfen.

MSD Sharp & Dohme GmbH