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

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.