This patient presented a history of high fever, cough, difficulty expanding the lungs, and dyspnea for eight days.
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Large area of ground-glass opacity with thickening of the interlobular and intralobular septa, which represents the crazy-paving pattern, with superimposed air space consolidations, at the right upper lobe. There are also discrete bilateral ground-glass opacities with round morphology.
There is no mediastinal, hilar or axillary lymphadenopathy, nor pleural effusion.
This patient tested positive for coronavirus disease-19 and had typical CT findings of this disease - COVID-19 pneumonia.
5 case question available
Coronavirus disease-19 or Covid-19 is a viral pandemic infectious disease caused by SARS-CoV-2 1, in which most patients present with respiratory symptoms. The prevalent CT features of COVID-19 pneumonia are ground-glass opacity (GGO), GGO with reticular and interlobular septal thickening (crazy-paving pattern), and GGO with consolidation 1,2,3. This case illustrates a patient with laboratory-confirmed SARS-CoV-2 and the CT features of COVID-19 pneumonia. The patient recovered from the disease and was discharged well.
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- 2. Fengxiang Song, Nannan Shi, Fei Shan, Zhiyong Zhang, Jie Shen, Hongzhou Lu, Yun Ling, Yebin Jiang, Yuxin Shi. Emerging 2019 Novel Coronavirus (2019-nCoV) Pneumonia. (2020) Radiology. 295 (1): 210-217. doi:10.1148/radiol.2020200274 - Pubmed
- 3. Salehi S, Abedi A, Balakrishnan S, Gholamrezanezhad A. Coronavirus Disease 2019 (COVID-19): A Systematic Review of Imaging Findings in 919 Patients. (2020) AJR. American journal of roentgenology. doi:10.2214/AJR.20.23034 - Pubmed