P.Nespoli, P. Moretto, D. Sardo, P. Hosseinollahi, A. De Pascale, G. Garofalo, A. Veltri

AOU San Luigi Gonzaga, Orbassano

Radiodiagnostica, Direttore: Prof. A. Veltri

60-year-old male
patient with dyspnea and fever. Prior medical history: DM type 2, HTA, ex
heavy-smoker

Chest Radiography,
March 3, 2020:

Diffuse pulmonary
consolidations of the left lung. Blurred consolidations at the right base. 

HRCT, March 4,
2020:

Multiple and diffuse “ground-glass” opacities, predominantly in the posterior regions of the lungs, especially in the lower lobes.

Priotto Roberto, Negri Alberto, Demaria Paolo, Baralis Ilaria,  Cerutti Andrea, Violino Paolo

S.C.  Radiodiagnostica – A.O. “S. Croce e Carle” – Cuneo

40-year-old male
patient with dyspnea and fever for 10 days not responding to antibiotics to the
ED on March 13, 2020. Prior medical history: previous pneumonia, smoker. Epidemiologic
risk for SARS-CoV-2 (the patient returned home from Milan (high-risk area) on
March 5).

Fever (T
40 °C), dyspnea, no
bronchial secretion, wheezing.

PaO2 63,4 mmHg, pH 7,5, pCO2 35 mmHg. C-RP 87,16 mg/L, Fibrinogen: 621 mg/dL,
Procalcitonin: 0,16 ng/ml, LDH: 328 U/L

Chest Radiography:

bilateral blurred pulmonary consolidations, mainly at the right base (suspected for SARS COV 2). Other ill-defined consolidations at the right base. 

HRCT, March 4,
2020:

Multiple scattered
“ground-glass” opacities with predominant subpleural distribution involving all
lobes, findings consistent with Covid 19 pneumonia. No pleural effusion. In the
anterior segment of the RUL a 10 cm lung thin-wall cyst is noted.

RT-PCR on a
nasopharyngeal swab was positive for SARS-CoV-2. The patient was hospitalized
in the infectious disease department and started the Covid-19 treatment
protocol.

Gallarato Gabriele, Demaria Paolo, Negri Alberto, Baralis Ilaria, Cerutti Andrea, Priotto Roberto, Violino Paolo.

S.C.  Radiodiagnostica – A.O. “S. Croce e Carle” – Cuneo

53-year-old female
patient with fever and malaise for 4 days, in clinical worsening. The patient
was admitted to ED for head and costal trauma after micturition syncope. Prior
medical history: asthma in treatment with montelukast, beclomethasone and
formoterol.

Blood test: C-RP 10.12
mg/L, Procalcitonin: 0,13 ng/ml, LDH: 279 U/L.

RT-PCR on a
nasopharyngeal swab for SARS-CoV-2 was positive

Chest radiography

No pulmonary abnormalities.

CT

Subpleural ground-glass opacity in the left posterior basal segment, suspicious for early stage of Covid pneumonia. Fibrotic bands are also seen in the RLL.

UOC di Radiologia Diagnostica e Interventistica

Direttore Dott. Stefano Colopi, Ospedale Carlo Poma ASST Mantova.

65-years-old
female patient presented to the ED for cough and chest oppression, no fever.
The patient denied COVID-19 positive contacts. Medical history: previous
bariatric surgery, bipolar disorder. Non-smoker.

Arterial Blood Gas
(ABG):  PaO2 69 mmHg, pH 7.4, pCO2 37
mmHg.

Blood test: WBC:
12.420/ul, Hb 9,8G/dl,C-RP 178 mg/L.

Nasal swab was not
performed.

Chest radiography:

Bilateral interstitial thickening and scattered alveolar consolidations in the right lung. No pleural effusion.

CTA for suspected pulmonary embolism was performed due to the clinical worsening:

Diffuse scattered
ground-glass opacities in all segments. No pleural effusion. No pulmonary embolism.

RT-PCR on a
nasopharyngeal swab was the obtained, and SARS-CoV-2 was confirmed

HRCT performed 10 days after:

Significative regression of the bilateral GGOs. No pleural effusion.

R. Campa, A. Leonardi, C. Valentini, R. Occhiato

Radiologia AOU Policlinico Umberto I – Sapienza Università di Roma, Dir. Prof. C. Catalano.

Patient presented
for cough and dyspnea for 5 days, not responding to antibiotics. Potential risk
for SARS-CoV-2: he traveled from Florence to Rome by train coming from a “high-risk
area” on February 24.

Medical history: HTA. At physical examination: crackles of the left base.

Chest radiography

Ill-defined consolidations with peripheral distribution, associated with increased interstitial marking. No pleural effusion.

CT

Ground-glass opacities with reticulations in a peripheral distribution. No pleural effusion neither mediastinal or hilar adenopathies. Findings consistent with Covid-19 pneumonia.

Michele Forte

UO di radiologia diagnostica ed interventistica, Ospedale “Madonna delle Grazie”, Matera 

78-year-old patient with fever and cough for 1 week. pO2: 84 %.

CT

Diffuse ground-glass opacities associated with reticulations involving all lobes, predominantly in the upper lobes and in the left lower lobe.

Resta E.C., Del Buono F., D’Ettorre E., Burdi N., Di Stasi C.

S.S. Radiologia Oncologica Ospedale San Giuseppe Moscati Taranto

57-year-old male
patient smoker with COPD. No epidemiologic risk either exposure to Covid-19 patients.

The patient was admitted
to ED for dyspnea and fever not responding to therapy. Po2: 50%.

Blood analysis
revealed high C-RP levels, with normal value of the others parameters (included
procalcitonin).  RT-PCR positive for
SARS-CoV-2.

CT

Immagini assiali, ricostruzione con algoritmo Lung, scansione apicale, media e basale. Plurime aree di aumentata densità polmonare “a vetro smerigliato”, in particolare ai lobi superiori e lobo medio, a prevalente distribuzione peribroncovasale e subpleurica, cui si associa ispessimento settale inter- e intra-lobulare; aree di addensamento parenchimale, con broncogramma aereo pervio nel contesto, a livello dei lobi inferiori. Cannula endotracheale.

Multiple ground-glass opacities with peribronchial and subpleural distribution, predominantly in the upper lobes and in the ML, associated with reticulations. Alveolar consolidations in the lower lobes.

Resta E.C., Del Buono F., D’Ettorre E., Burdi N., Di Stasi C.

S.S. Radiologia Oncologica Ospedale San Giuseppe Moscati, Taranto

55-year-old
female patient affected by obesity and systemic lupus erythematosus in
treatment with steroids. Asymptomatic, exposure to Covid-19 patient (husband).
Swab negative.

10 days after, the
patient presented to the ED for cough, dyspnea and fever.

Blood analysis revealed high C-RP levels, with normal value of the others parameters (included procalcitonin).

CT

Multiple ground-glass opacities in a peribronchial and subpleural distribution located in the upper lobes, associated with alveolar consolidations in the lower lobes.

G. Carbognin, F. Lombardo, A. Nardi, G. Giannotti, G. Sala

UOC Radiologia, Direttore G. Carbognin – Ospedale IRCSS Sacro Cuore Don Calabria – Regione Veneto – Negrar di Valpolicella – VR

60-year-old male
patient with abdominal pain and fever for 4 days admitted to ED on March 14. No
previous medical history. Physical examination: unremarkable

Blood analysis at
the admission: lymphocytes 0.8 x 10mg/L, C-RP: 95/mg/l;

RT-PCR: positive
for SARS-CoV-2.

Blood analysis during the hospitalization: lymphocytes 1.1 x 10mg/L.

Chest film

CT

Stefania Ianniello, Carlo Giangregorio, Giovanna Calabrese, Pierfrancesco Ottaviani, Gavina Cuneo, Marco Di Pietropaolo, Caterina M.Trinci,  Valeria Saracco, Caterina Pizzi, Michele Galluzzo.

DIAGNOSTICA PER IMMAGINI NELL’URGENZA. AZ.OSP.SAN CAMILLO-FORLANINI ROMA.

84-years-old male
patient with fever for 2 weeks, recent evidence of moderate respiratory
failure.

RT-PCR: positive for SARS-CoV-2.

CT:

Typical features consistent with interstitial pneumonia, such as “crazy paving” pattern, ground-glass opacities and consolidation at lung bases. Small amount of pleural effusion and small mediastinal lymph-nodes are also detected, unusual findings in Covid-19 pneumonia.