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.

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.

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.

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.

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.