Izzo Andrea, D’Aversa Lucia, Cerimoniale Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Casale Lorenzo, Di Pastena Francesca 

U.O.C.  Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina

57-year-old male
patient admitted to the ED with fever, cough and dyspnea for 3 days. No prior
medical history.  No epidemiologic risk
for SARS-CoV-2 exposure. 

Medical
examination: dyspnea, tachypnea, fever (39°C). pO2 90%.

Chest radiography:

Interstitial markings with opacities at the left base.

CT

Multiple
ground-glass opacities associated with scattered areas of GGOs and reticulations
in a “crazy-paving pattern” and consolidations.

Features were consistent
with Covid-19 pneumonia.

 RT-PCR on nasopharyngeal swab was positive.

Izzo Andrea, D’Aversa Lucia, Cerimoniale Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Casale Lorenzo, Di Pastena Francesca

U.O.C.  Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina

49-year-old male
patient admitted to the ED with fever (39°C) and dyspnea for 4 days, in
treatment with antibiotics for 2 days. No prior medical history

Portable chest film (performed in a tent set up outside the ED):

slight interstitial markings w/o alveolar consolidations.

CT

Multiple
ground-glass opacities with predominant subpleural distribution in the RUL, in
the ML and in the lower lobes. The findings were consistent with Covid-19 pneumonia.

The RT-PCR test on nasopharyngeal swab turned positive.

Izzo Andrea, D’Aversa Lucia, Cerimoniale Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Casale Lorenzo, Di Pastena Francesca

U.O.C.  Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina

56-year-old male patient presented to the ED with fever, anosmia, ageusia, pharyngalgia for 1 week. In self-isolation for Covid-19 positive contact. No prior medical history. Physical examination: no fever, pO2 97%.

CT

Ground-glass opacities with subpleural distribution in the apical and in the medial basal segments of the LLL, features consistent with interstitial pneumonia.

Izzo Andrea, D’Aversa Lucia, Cerimoniale Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Casale Lorenzo, Di Pastena Francesca

U.O.C.  Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina 

70 year-old male patient presented to the ED with fever for 10 days, occurred after exposure to a Covid-19 patient. No dyspnea neither cough. pO2: 95%.  Medical history: chronic thyroiditis, HTA.

Portable chest film (performed in a tent set up outside the ED):

diffuse interstitial markings w/o alveolar consolidations.

CT

Multiple and
bilateral ground-glass opacities with predominant subpleural distribution in
the upper lobes, in the ML and in the lower lobes. The findings were consistent
with COvid-19 pneumonia.

The RT-PCR test on nasopharyngeal swab turned positive.

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. No prior medical history.

Chest Radiography, March 6, 2020:

Bilateral
pulmonary “ground-glass” opacities in the upper pulmonary lobes, findings
consistent with pneumonia.

Chest Radiography, March 13, 2020:

Compared to the previous examination a radiological worsening is seen, with the onset of multiple and diffuse consolidations involving also the lower lobes. Findings consistent with multifocal pneumonia.

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

30-year-old male
patient with general malaise and fever for 5 days. Cough and dyspnea for two
days. No prior medical history.

Chest Radiography,
March 16, 2020:

Bilateral pulmonary consolidations, predominantly in the right lung.

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.