COVID-19: case 8

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A cura di G.Patelli , S. Paganoni , F.Besana, A. Lenzi, F. Codazzi, G.Verderame, L.Selogni, C.Costa

UOC Radiologia ASST Bergamo Est Direttore Dr Gianluigi Patelli

67-year-old
patient with fever and cough for 1 week not responding to antibiotics.

The patient was intubated in the shock room immediately after a chest film for worsening of her respiratory failure.

Chest radiography: unremarkable

6 days after, the patient presented to the ED.

ABG: pO2 61.3%; C-RP 12.17 mg/dl,

Chest radiography:

multiple and diffuse consolidations with interstitial markings.

CT

ground-glass opacities and band atelectasis.

RT-PCR confirmed SARS-CoV-2 infection

COVID-19: case 7

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Radiologia ASST Cremona

43-year-old male patient
with fever, cough. No previous medical history. Exposure to Covid-19 patients.

Respiratory failure (hypoxemia and hypercapnia). Leukopenia. Nasal swab positive for SARS-CoV-2.

HRCT

Subpleural ground-glass opacity with consolidations in the LLL; scattered ground-glass opacities in the upper lobes and more extended in the lower lobes.

Chest film (for comparison)

Ill-defined opacity in the lower region of the left lung.

COVID-19: case 6

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Radiologia ASST Cremona

32-year-old female
patient in treatment with steroids for autoimmune disease. No exposure to
Covid-19 patients (first Covid + patient in Cremona).

Fever and cough, leukocytosis. Respiratory failure (hypoxemia and hypocapnia).

HRCT

Diffuse bilateral consolidations partially sparing the upper lobes and the apical segments of the lower lobes.

COVID-19: case 5

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Radiologia ASST Cremona

63-year-old male patient with no previous medical history. Exposure to Covid-19 patients. Fever, cough.

Respiratory failure (hypoxemia and hypocapnia). Leukocitosis. Nasal swab positive for SARS-CoV-2.

HRCT

Fig.1-2: Ground-glass opacities in the RUL and RLL with consolidations in the lower lobes, especially in the LLL.

Fig. 3 – 4: The ground-glass opacities in the lower lobes are more extended and consolidations are also noted.

COVID-19: case 4

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Radiologia ASST Cremona

45-year-old male
patient with fever, cough. No previous medical history. Potential exposure to
Covid-19 patients.

Respiratory failure (hypoxemia and hypocapnia). Leukopenia. Nasal swab positive for SARS-CoV-2.

HRCT

Multiple diffuse ground-glass opacities in all lobes, with random distribution, predominant subpleural and peribronchial in the upper lobes

Chest film (for comparison)

Small, blurred bilateral opacities.

COVID-19: case 3

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Radiologia ASST Cremona

57-year-old male patient with fever, cough. No previous medical history. Potential exposure to Covid-19 patients.

Respiratory
failure (hypoxemia and hypocapnia). Leukocitosi. Nasal swab positive for
SARS-CoV-2.

HRCT

Subpleural ground-glass opacity with predominant subpleural distribution and consolidations in all lobes, particularly in the lower lobes.

COVID-19: case 2

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G.Patelli, F.Besana, S. Paganoni, A. Lenzi, F. Codazzi, L.Di Mare, G.Esposito, C. Sala

UOC Radiologia ASST Bergamo Est Direttore Dr Gianluigi Patelli

62-year-old male patient with fever, cough and asthenia for three days. No previous medical history. pO2 97%, C.RP 0.75.

Chest radiography:

negative.

Due to the discrepancy between CXR and the clinical examination a CT is performed.

Scattered blurred ground-glass opacities suspected for early stage on interstitial pneumonia.

Nasal swab positive for SARS-CoV-2.

COVID-19: case 1

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A. Borgheresi, A. Agostini, L. Ottaviani, C. Floridi, A. Giovagnoni

Dipartimento di Scienze Radiologiche – Scuola di Specializzazione in Radiologia

Università Politecnica delle Marche – Azienda Ospedali Riuniti – Torrette – Ancona

80-year-old male patient with fever and dyspnea. Nasal swab positive for SARS-CoV-2.

HRCT

Multiple ground-glass opacities associated with reticulations in a “crazy-paving pattern” (clack circle) – particularly in the lower lobes. Subpleural consolidation (black arrow).