Lorenzo Monfardini, Fondazione Poliambulanza Istituto Ospedaliero, Brescia
Cough, fever and
progressive dyspnea for 7-8 days not responding to antibiotics. No exposure to
Covid-19 patients. His wife had fever and cough a week before. Medical history:
colon cancer.
RT-PCR positive for SARS-CoV-2.
HRCT
Stefania Ianniello, Michele Galluzzo, Riccardo Ferrari, Margherita Trinci, Stefano Giannecchini, Carmelo Rende, Viola Valentini, Riccardo Palliola. Diagnostica per Immagini nell’Emergenza Urgenza – Azienda Ospedaliera San Camillo-Forlanini, Roma
80-year old male patient with fever, dyspnea and cough. Medical history: HTA, cardiac failure.
HRCT
UOC di Radiologia Diagnostica e Interventistica, Ospedale Madonna delle Grazie, ASL 4 – Matera
Michele Nardella, Gerardo Di Costanzo, Claudia Lopez
Patient with cough and fever for one week not responding to antibiotics admitted to the ED for respiratory distress. No exposure to Covid-19 patients; hotel worker.
HRCT
Radiologist reported findings consistent with interstitial pneumonia. RT-PCR confirmed SARS-CoV-2 infection.
UOC Radiologia ASST Bergamo Est Direttore Dr Gianluigi Patelli
46-year-old asymptomatic female patient underwent chest radiography followed by CT since her husband was diagnosed of Covid-19 pneumonia (case n 14). pO2: 98%.
Chest radiography
Interstitial markings in the lower lobes with multiple ill-defined blurred consolidations. No pleural effusion.
CT
Multiple and bilateral consolidations at different stages, with predominant peribronchial and subpleural distribution. No pleural effusion. The patient was quarantined after performing the nasal swab.
UOC Radiologia ASST Bergamo Est Direttore Dr Gianluigi Patelli
50-year-old male outpatient presented for a chest radiography. He reported with sick cough asthenia and fever for two days, with progressive worsening of his clinical conditions. pO2: 93%.
Chest radiography
After the chest film, the patient underwent CT for a better characterization of his pulmonary abnormalities which were suspicious for Covid-19 interstitial pneumonia.
CT
The patient was then admitted to the ED to activate the procedures for nasopharyngeal swab and hospitalization.
UOC Radiologia ASST Bergamo Est Direttore Dr Gianluigi Patelli
61-year-old female
patient with fever (37.8°C) cough and asthenia. pO2: 98%. Previous flu symptoms
in November 2019, treated with antibiotics.
After the chest film, the patient underwent CT for a better characterization of his pulmonary abnormalities which were suspicious for Covid-19 interstitial pneumonia.
Chest radiography
Unremarkable.
CT
Unremarkable.
The patient was then put in isolation without obtaining a nasopharyngeal swab.
Anna Simeone
Casa Sollievo della Sofferenza – San Giovanni Rotondo
58-year-old male
patient presented to the ED for syncope after physical effort. Upper
respiratory inflammation with cough for few days. No previous medical history.
No recent travel.
T: 37.5°C; CBC normal.
Chest radiograph
The patient was then hospitalized and a RT-PCR test for SARS-CoV-2 was performed, turning positive. After clinical worsening the patient was transferred to the ICU
Chest radiography on mechanical ventilation
UOC Radiologia – AO Sant’Orsola – Bologna
A55-year-old patient with persistent fever, recently underwent prostatectomy, performing uro-CT scan in the suspicious of abdominal collection.
In the lower portion of the lungs included in the examination, inflammatory abnormalities are seen and a chest scan was then acquired.
The pulmonary findings were consistent with interstitial pneumonia.
A nasal swab for SARS-CoV-2 was performed, turning positive.
The patient reported to have been in “high-risk” zone and that he had fever since few days but he did not declare it because he was afraid the surgeon wouldn’t operated him.
UOC di Radiologia Diagnostica e Interventistica, Ospedale Madonna delle Grazie, ASL 4 – Matera
60-year-old male patient with fever for three days, coming from the “high-risk” zone. RT-PCR test positive
HRCT
Ill-defined ground glass opacities in the ML.
A cura di G.Patelli, A. Lenzi, F.Besana,S. Paganoni,, F. Codazzi, G.Colao, C.Coluccia, E.Faietti, G.Ghilardi
UOC Radiologia ASST Bergamo Est – Direttore Dr. Gianluigi Patelli
73-year-old female
patient with fever and respiratory distress.
The patient was intubated in the shock room immediately after a chest film for worsening of her respiratory failure.
Chest film:
multiple and diffuse consolidations with interstitial markings
CT
Diffuse ground-glass opacity with confluent consolidations in the dependent areas and peripheral band atelectasis.