Pulmonary target sign in covid-19 pneumonia

Case contributed by Ramezan Jafari
Diagnosis certain

Presentation

Fever, dyspnoea, cough, myalgia, and headache (Rt-PCR positive for Covid-19)

Patient Data

Age: 30 years
Gender: Male

Axial chest CT scan without contrast shows multifocal bilateral patchy ground-glass opacities with multiple round and target-like lesions with a central high attenuation core and peripheral ring-like opacities on both lungs field which known as pulmonary target sign in a known case of Covid-19 pneumonia.

Case Discussion

The typical pattern of CT imaging features of COVID-19 pneumonia comprised predominantly of multifocal subpleural patchy ground-glass opacity (GGO), patchy consolidation, and crazy-paving 4.

Pulmonary target sign 1,3 and its variants such as rings of Saturn 2, reversed halo or atoll sign are uncommon but unique and specific imaging findings of Covid-19 pneumonia in chest CT. They present as a focal core ground glass or consolidative opacity surrounded with a ring-like opacity “pulmonary target sign” and two or more ring-like opacities immediately around “rings of Saturn”.

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