Filippo Barbiera – ASP Agrigento Presidio Ospedaliero di Sciacca (AG)
48-year-old female
MD with cough since February 29 and RT-PCR test positive. Blood test:
leukopenia.
Potential risk for SARS-CoV-2 exposure (one contact coming from “high-risk” area)
CT
Izzo Andrea, D’Aversa Lucia, Cerimoniale Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Di Pastena Francesca
U.O.C. Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina
58-year-old female
with dyspnea and fever for one week. Medical history: COPD and DCM and severe
hearth failure (EF: 25%), obesity.
Chest film:
Diffuse
interstitial markings with alveolar consolidations in the upper lobes. Cardiomegaly.
No pleural effusion.
Since the chest
radiography findings were highly suspicious for interstitial pneumonia, the
radiologist asked for a nasal swab which confirmed a SARS-CoV-2 infection.
The following CT revealed the typical Covid-19 pneumonia features.
Izzo Andrea, D’Aversa Lucia, Cerimoniale Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Di Pastena Francesca
U.O.C. Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina
55- year-old female
patient with dyspnea for a few days; no fever. pO2:70%. Potential exposure to
the SARS-CoV-2. Medical history: asthma and DM.
Chest radiography:
Findings
consistent with interstitial pneumonia.
The RT-PCR test on nasopharyngeal swab turned positive and the patient was transferred to the referral center (Spallanzani Hospital in Rome).
Izzo Andrea, D’Aversa Lucia, Cerimoniale Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Di Pastena Francesca
U.O.C. Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina
71- year-old female
patient admitted to the ED with dyspnea, no fever. pO2: 97%, tachypnea. Medical history: COPD, HTA, DM, chronic renal
failure, mitral valve replacement. No
exposure to Covid-19 patients.
Chest radiography:
L’indagine RX dimostra un diffuso incremento della trama interstiziale peribroncovascolare con associati multipli addensamenti parenchimali bilateralmente. Versamento pleurico a destra con obliterazione del seno costofrenico di questo lato.
The RT-PCR test
revealed SARS-CoV-2 infection.
CT
Multiple and large ground glass with reticulations with “crazy-paving” pattern associated with consolidations. Right pleural effusion.
Izzo Andrea, D’Aversa Lucia, Cerimoniale Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Di Pastena Francesca
U.O.C. Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina
78-year-old female
patient with acute respiratory distress transferred to the ICU from another
hospital.
pO2 50%, no fever,
tachypnea.
Chest radiography:
Diffuse interstitial markings with multiple bilateral alveolar consolidations, especially in the right lung.
CT
Diffuse ground-glass
opacities with reticulation in a “crazy-paving” pattern, associated with
alveolar consolidations in the dependent regions.
Her clinical conditions worsened; the patient died 6 days after.
Izzo Andrea, D’Aversa Lucia, Cerimoniale Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Di Pastena Francesca
U.O.C. Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina
27-year-old male patient transferred from another hospital for suspected pneumonia. No prior medical history, no exposure to Covid-19 patients. pO2: 92%.
Chest radiography
Slight interstitial markings with subpleural consolidation in the right upper/medium lobe.
The RT-PCR test on nasopharyngeal swab turned positive.
CT
Multiple ground-glass opacities and alveolar consolidations with predominant subpleural distribution in the upper and lower lobes.
Izzo Andrea, D’Aversa Lucia, Cerimoniale Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Di Pastena Francesca
U.O.C. Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina
69-year-old female patient presented to the ED with for 7 days, not responding to antibiotics. No prior medical history. T: 36.5°C measured at the ED. pO2: 96%.
Portable chest film (performed in a tent set up outside the ED):
Slight
interstitial markings with ill-defined consolidations at the bases.
The RT-PCR test on
nasopharyngeal swab turned positive.
The patient
recovered; a CT was performed 3 days after the hospitalization.
Multiple ground-glass opacities with predominant subpleural distribution associated with areas of “crazy-paving” pattern.
Izzo Andrea, D’Aversa Lucia, Cerimoniale Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Di Pastena Francesca
U.O.C. Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina
71-year-old male patient admitted to the ED with fever (37.8°C) and cough. Medical history: croonic myocardial ischemia. pO2: 97%
Portable chest film (performed in a tent set up outside the ED):
L’indagine radiografica dimostra un diffuso incremento della trama interstiziale peribroncovascolare con associate multiple zone di addensamento parenchimale disposte prevalentemente a livello del campo superiore di entrambi i polmoni. Cuore aumentato di volume; seni costofrenici ipoespansi ma liberi da versamento.
Il Pz viene sottoposto a tampone naso-faringeo (risultato positivo al COVID-19) e ricoverato per l’assistenza e le cure necessarie.
Diffuse
interstitial markings with ill-defined alveolar consolidations especially in
the upper lobes.
The RT-PCR test on
nasopharyngeal swab turned positive.
The patient
recovered; a CT was performed 3 days after the hospitalization.
Ground-glass opacities with predominant subpleural distribution in upper lobes and in the apical segment of the lower lobes.
G. Valeri, G. Neri, L. Cola°, A Rebonato °°
UOC Radiodiagnostica; ° UOC Anestesia e Rianimazione, Ospedale di Fermo, AV4 ASUR Marche; °° UOC Diagnostica per Immagini, AO Riuniti Marche Nord
75-year-old male
patient with asthenia, sick cough and fever for 3 days. No prior medical
history.
Blood test: C-RP
15, Procalcitonin: 8.9
RT-PCR on a nasopharyngeal swab positive for SARS-CoV-2.
CT
Multiple and predominantly subpleural “ground-glass” opacities with reticulation and consolidations, involving all lobes, especially the upper lobes.
CT 9 days after:
Regression of the pulmonary abnormalities.
Claudio Bnà, Lorenzo Monfardini, Fondazione Poliambulanza Istituto Ospedaliero, Brescia
Acute sinusitis treated with Tavanic for 10 days (held on February 28, 2020), followed by fever and cough in treatment with paracetamol with no benefit. Onset of asthenia, diarrhea and hyporexia since the day before the admission to the ED. T.39°C. C-RP 23 mg/l, RT-PCR on a nasopharyngeal swab positive for SARS-CoV-2.
HRCT
