COVID-19
Radiology
Radiologic Testing and Findings
Characteristic Ultrasound findings include:
- Thickened pleural line
- Pleural line thickening with uneven B lines can be seen in pulmonary fibrosis
- B lines (multifocal, discrete, or confluent)
- Focal B lines is the main feature in the early stage and in mild infection
- Both non-translobar and translobar consolidations
- Multilobal distribution of abnormalities
- Alveolar interstitial syndrome is the main feature in the progressive stage in critically ill patients
Lung Ultrasound Image Gallery Found Here
Examples:


Sources:
Copetti R, Feller-Kopman D, Mathis G, Maury E, Mongodi S, Mojoli F, et al. Findings of lung ultrasonography of novel corona virus pneumonia during the 2019–2020 epidemic [Internet]. Intensive Care Medicine. Springer Berlin Heidelberg; 1970 [cited 2020Apr12]. Available from: https://link.springer.com/article/10.1007/s00134-020-05996-6
COVID-19 gallery | Butterfly iQ [Internet]. Butterflynetwork.com. 2020 [cited 12 April 2020]. Available from: https://www.butterflynetwork.com/covid19/covid-19-ultrasound-gallery
Findings of lung ultrasonography of novel corona virus pneumonia during the 2019-2020 epidemic. Qian-Yi Peng, Xiao-Ting Wang, Li-Na Zhang, and Chinese Critical Care Ultrasound Study Group (CCUSG). Copyright Springer Nature, 2020.
Last Updated 9 months ago
Chest CT Findings:
- Thickened pleura
- Ground glass shadow and effusion
- Pulmondary infiltrating shadow
- Subpleural consolidation
- Translobar consolidation
- More than two lobes affected
- Negative or atypical lung CT images in the early stage, then diffuse scattered or ground glass shadow as the disease progresses to lung consolidation
- Pleural effusion is rare
Chest CT Image Gallery Found here
Examples:

COVID-19 Positive Scans medRxiv and bioRxiv preprints Sources:
Copetti R, Feller-Kopman D, Mathis G, Maury E, Mongodi S, Mojoli F, et al. Findings of lung ultrasonography of novel corona virus pneumonia during the 2019–2020 epidemic [Internet]. Intensive Care Medicine. Springer Berlin Heidelberg; 1970 [cited 2020Apr12]. Available from: https://link.springer.com/article/10.1007/s00134-020-05996-6
Zhao W, Zhong Z, Xei X, Yu Q, Liu J. Relation Between Chest CT Findings and Clinical Conditions of Coronavirus Disease (COVID-19) Pneumonia: A Multicenter Study : American Journal of Roentgenology: Ahead of Print (AJR) [Internet]. Ajronline.org. 2020 [cited 12 April 2020]. Available from: https://www.ajronline.org/doi/10.2214/AJR.20.22976
Image Source: https://towardsdatascience.com/covid-ct-dataset-a-ct-scan-dataset-about-covid-19-fb391de55ae6
Last Updated 9 months ago
Chest X-ray Radiographic Findings:
- Bilateral interstitial pneumonia
- Bilateral infiltrates common with gravitational distribution
- Asymmetry if bacterial superinfection (secondary bacterial infection is uncommon)
Chest X-ray Clinical Findings from NCID Singapore
- 17/64 patients with initial normal CXR progressed to abnormal CXR
- This was more common in older patients
- Didn’t happen in any patients <30
- Median was 7 days
- Chest X-ray with pneumonia was considered a high-risk feature
Examples Images:

Case courtesy of Dr Fabio Macori, Radiopaedia.org, rID: 74867 
Case courtesy of Anton Aubanell Creus, Radiopaedia.org, rID: 75204 Sources:
COVID-19 DATABASE [Internet]. SIRM. [cited 2020Apr12]. Available from: https://www.sirm.org/en/category/articles/covid-19-database/
Last Updated 9 months ago

https://www.sirm.org/wp-content/uploads/2020/03/covid-jacr.pdf
Last Updated 9 months ago
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Characteristic Ultrasound findings include:
- Thickened pleural line
- Pleural line thickening with uneven B lines can be seen in pulmonary fibrosis
- B lines (multifocal, discrete, or confluent)
- Focal B lines is the main feature in the early stage and in mild infection
- Both non-translobar and translobar consolidations
- Multilobal distribution of abnormalities
- Alveolar interstitial syndrome is the main feature in the progressive stage in critically ill patients
Lung Ultrasound Image Gallery Found Here
Examples:


Sources:
Copetti R, Feller-Kopman D, Mathis G, Maury E, Mongodi S, Mojoli F, et al. Findings of lung ultrasonography of novel corona virus pneumonia during the 2019–2020 epidemic [Internet]. Intensive Care Medicine. Springer Berlin Heidelberg; 1970 [cited 2020Apr12]. Available from: https://link.springer.com/article/10.1007/s00134-020-05996-6
COVID-19 gallery | Butterfly iQ [Internet]. Butterflynetwork.com. 2020 [cited 12 April 2020]. Available from: https://www.butterflynetwork.com/covid19/covid-19-ultrasound-gallery
Findings of lung ultrasonography of novel corona virus pneumonia during the 2019-2020 epidemic. Qian-Yi Peng, Xiao-Ting Wang, Li-Na Zhang, and Chinese Critical Care Ultrasound Study Group (CCUSG). Copyright Springer Nature, 2020.
Last Updated 9 months agoChest CT Findings:
- Thickened pleura
- Ground glass shadow and effusion
- Pulmondary infiltrating shadow
- Subpleural consolidation
- Translobar consolidation
- More than two lobes affected
- Negative or atypical lung CT images in the early stage, then diffuse scattered or ground glass shadow as the disease progresses to lung consolidation
- Pleural effusion is rare
Chest CT Image Gallery Found here
Examples:
Sources:
Copetti R, Feller-Kopman D, Mathis G, Maury E, Mongodi S, Mojoli F, et al. Findings of lung ultrasonography of novel corona virus pneumonia during the 2019–2020 epidemic [Internet]. Intensive Care Medicine. Springer Berlin Heidelberg; 1970 [cited 2020Apr12]. Available from: https://link.springer.com/article/10.1007/s00134-020-05996-6
Zhao W, Zhong Z, Xei X, Yu Q, Liu J. Relation Between Chest CT Findings and Clinical Conditions of Coronavirus Disease (COVID-19) Pneumonia: A Multicenter Study : American Journal of Roentgenology: Ahead of Print (AJR) [Internet]. Ajronline.org. 2020 [cited 12 April 2020]. Available from: https://www.ajronline.org/doi/10.2214/AJR.20.22976
Image Source: https://towardsdatascience.com/covid-ct-dataset-a-ct-scan-dataset-about-covid-19-fb391de55ae6
Last Updated 9 months agoChest X-ray Radiographic Findings:
- Bilateral interstitial pneumonia
- Bilateral infiltrates common with gravitational distribution
- Asymmetry if bacterial superinfection (secondary bacterial infection is uncommon)
Chest X-ray Clinical Findings from NCID Singapore
- 17/64 patients with initial normal CXR progressed to abnormal CXR
- This was more common in older patients
- Didn’t happen in any patients <30
- Median was 7 days
- Chest X-ray with pneumonia was considered a high-risk feature
Examples Images:


Sources:
COVID-19 DATABASE [Internet]. SIRM. [cited 2020Apr12]. Available from: https://www.sirm.org/en/category/articles/covid-19-database/
Last Updated 9 months ago