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CT characteristics of patients infected with 2019 novel coronavirus: Association with clinical type

Clinical Radiology Apr 11, 2020

Wang J, Xu Z, Wang J, et al. - A series of 93 patients infected with 2019 novel coronavirus (2019-nCov) was examined to summarize their chest computed tomography (CT) features so that their recognition could be speed up and COVID-19 disease could be better understood. Observations revealed disparities in the CT and clinical appearances of COVID-19; the features may reflect the severity of COVID-19 to some extent. Ninety one cases showed abnormalities located at the subpleural level, presenting with ground-glass opacity (GGO; n = 69, 74.2%) and consolidation (n = 56, 60.2%) in multiple lobes. Following were the other CT features identified: vascular dilatation (n = 83, 89.2%), interlobular septal thickening (n = 29, 31.2%), bronchodilatation (n = 44, 47.3%), the crazy-paving sign (n = 34, 36.6%), the sieve-hole sign (n = 12, 12.9%), pleural thickening (n = 21, 22.6%), and pleural effusion (n = 8, 8.6%). Critical patients with heavy/critical infection more frequently had multiple lobe involvement, including the presence of consolidation, the crazy-paving sign, interlobular septal thickening, pleural thickening and pleural effusion, whereas patients with mild/common-type infections more frequently exhibited the presence of GGO, involvement of one or two lobes, and the halo sign. Moreover, heavy/critical infections were observed to be linked with older age, higher body temperature, complaints of chest tightness and breathlessness, and lymphopenia.

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