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.
Michele Forte
UO di radiologia diagnostica ed interventistica, Ospedale “Madonna delle Grazie”, Matera
78-year-old patient with fever and cough for 1 week. pO2: 84 %.
CT
Diffuse ground-glass opacities associated with reticulations involving all lobes, predominantly in the upper lobes and in the left lower lobe.
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.
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.
R. Bonacini, G. Besutti, P. Pattacini
Radiologia IRCCS Reggio Emilia; Direttore Pierpaolo Pattacini
68-year-old male
with fever, dyspnea and diarrhea for 7 days. Blood test: leukocytosis, increased C-PR, procalcitonin in
the range. Medical history: chronic lymphocytic leukemia under follow-up,
dyslipidemia and HTA.
Chest radiography:
Multiple and bilateral band consolidations. No pleural effusion.
CT
Multiple and
bilateral scatterd ground-glass opacities with predominant subpleural
distribution associated with reticulations and alveolar consolidations.
12h after, the
patient went into a respiratory distress requiring the hospitalization in ICU.
The RT-PCR test on nasal swab turned positive.
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).
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
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
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.