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Chest CT findings of early and progressive phase COVID-19 infection from a US patient.
Radiol Case Rep. 2020 Jul; 15(7):819-824.RC

Abstract

The SARS-CoV-2 infection (COVID-19), originally reported in Wuhan, China, has rapidly proliferated throughout several continents and the first case in the United States was reported on January 19, 2020. According to the ACR guidelines issued shortly after this disease was declared a pandemic, radiologists are expected to familiarize themselves with the CT appearance of COVID-19 infection in order to be able to identify specific findings of this entity. This case report discusses the relevant imaging findings of one of the first cases in the mid-western United States. It involves a 60-year-old man who presented with fever, dyspnea, and cough for 1 week and subsequently tested positive for COVID-19. The utility of the noncontrast CT chest in the diagnosis of COVID-19 has been controversial, but there are specific imaging findings that have been increasingly associated with this virus in the appropriate clinical context. The stages of imaging findings in COVID-19 are considered along with the implications of fibrosis throughout the stages. Future considerations include using artificial intelligence algorithms to distinguish between community acquired pneumonias and COVID-19 infection.

Authors+Show Affiliations

Summit Radiology, Lutheran Hospital, 7900 W Jefferson Blvd, Fort Wayne, IN 46804, USA.Envision Healthcare, 1A Burton Hills Boulevard, Nashville, TN 37215, USA.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

32313588

Citation

Adair, Luther B., and Eric J. Ledermann. "Chest CT Findings of Early and Progressive Phase COVID-19 Infection From a US Patient." Radiology Case Reports, vol. 15, no. 7, 2020, pp. 819-824.
Adair LB, Ledermann EJ. Chest CT findings of early and progressive phase COVID-19 infection from a US patient. Radiol Case Rep. 2020;15(7):819-824.
Adair, L. B., & Ledermann, E. J. (2020). Chest CT findings of early and progressive phase COVID-19 infection from a US patient. Radiology Case Reports, 15(7), 819-824. https://doi.org/10.1016/j.radcr.2020.04.031
Adair LB, Ledermann EJ. Chest CT Findings of Early and Progressive Phase COVID-19 Infection From a US Patient. Radiol Case Rep. 2020;15(7):819-824. PubMed PMID: 32313588.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chest CT findings of early and progressive phase COVID-19 infection from a US patient. AU - Adair,Luther B,2nd AU - Ledermann,Eric J, Y1 - 2020/04/20/ PY - 2020/03/28/received PY - 2020/04/14/accepted PY - 2020/4/22/pubmed PY - 2020/4/22/medline PY - 2020/4/22/entrez KW - ACR, American College of Radiology KW - COVID-19, coronavirus disease 2019 KW - COVNet, COVID-19 detection neural network KW - CT, computed tomography KW - DAD, diffuse alveolar damage KW - GGO, ground-glass opacity KW - ICU, intensive care unit KW - PCR, polymerase chain reaction KW - SARS-CoV-1 infection, severe acute respiratory syndrome coronavirus from the 2003 outbreak KW - SARS-CoV-2 infection, severe acute respiratory syndrome coronavirus 2 KW - SDU, step down unit KW - rRT-PCR, real-time reverse transcriptase polymerase chain reaction SP - 819 EP - 824 JF - Radiology case reports JO - Radiol Case Rep VL - 15 IS - 7 N2 - The SARS-CoV-2 infection (COVID-19), originally reported in Wuhan, China, has rapidly proliferated throughout several continents and the first case in the United States was reported on January 19, 2020. According to the ACR guidelines issued shortly after this disease was declared a pandemic, radiologists are expected to familiarize themselves with the CT appearance of COVID-19 infection in order to be able to identify specific findings of this entity. This case report discusses the relevant imaging findings of one of the first cases in the mid-western United States. It involves a 60-year-old man who presented with fever, dyspnea, and cough for 1 week and subsequently tested positive for COVID-19. The utility of the noncontrast CT chest in the diagnosis of COVID-19 has been controversial, but there are specific imaging findings that have been increasingly associated with this virus in the appropriate clinical context. The stages of imaging findings in COVID-19 are considered along with the implications of fibrosis throughout the stages. Future considerations include using artificial intelligence algorithms to distinguish between community acquired pneumonias and COVID-19 infection. SN - 1930-0433 UR - https://www.unboundmedicine.com/medline/citation/32313588/Chest_CT_Findings_of_Early_and_Progressive_Phase_COVID-19_Infection_from_a_US_Patient L2 - https://linkinghub.elsevier.com/retrieve/pii/S1930-0433(20)30137-0 DB - PRIME DP - Unbound Medicine ER -
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