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Spectrum of chest computed tomographic (CT) findings in coronavirus disease-19 (COVID-19) patients in India.
Eur J Radiol. 2020 Aug; 129:109147.EJ

Abstract

PURPOSE

To report the spectrum of chest computed tomographic (CT) imaging findings in coronavirus disease-19 (COVID-19) infected Indian patients.

METHODS

This was a prospective descriptive study comprising 147 consecutive reverse transcriptase polymerase chain reaction (RT-PCR) positive patients who underwent CT chest. Prevalence, distribution, extent and type of abnormal lung findings were recorded.

RESULTS

Among the total study cohort of 147 patients, 104 (70.7 %) were males and 43 (29.3 %) were females with mean age of 40.9 ± 17.2 years (range 24-71 years). We observed lung parenchymal abnormalities in 51 (34.7 %) cases whereas 96 (65.3 %) RT-PCR positive cases had a normal chest CT. Only 12.2 % of the patients were dyspneic, 6.1 % had desaturation, 7.4 % had increased respiratory rate and 10.9 % had comorbidities. Among the patients with abnormal CT findings bilateral 39/51 (76.5 %), multilobar (88.2 %) lung involvement with a predominant peripheral and posterior distribution was commonly observed. With regards to the type of opacity, ground glass opacity (GGO) was the dominant abnormality found in all 51 (100 %) cases. Pure GGO was observed in 15 (29.4 %), GGO with crazy paving pattern was seen in 15 (29.4 %) and GGO mixed with consolidation was noted in 21(41.2 %). Peri-lesional or intralesional segmental or subsegmental pulmonary vessel enlargement was observed in 36 (70.6 %) cases.

CONCLUSION

In this study population predominantly with mild symptoms and few comorbidities, two-thirds of RT-PCR positive patients had a normal chest CT; whereas the remaining patients showed typical findings of predominant GGOs with a bilateral distribution and peripheral predominance.

Authors+Show Affiliations

Department of Radiodiagnosis, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu & Kashmir, India.Department of Radiodiagnosis, Government Medical College, Srinagar, Jammu & Kashmir, India. Electronic address: soberseeb@gmail.com.Department of Anesthesiology and Critical Care Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu & Kashmir, India.Department of Respiratory Medicine, Chest Disease Hospital, Srinagar, Jammu & Kashmir, India.Department of Radiodiagnosis, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu & Kashmir, India.Department of Radiodiagnosis, Government Medical College, Srinagar, Jammu & Kashmir, India.Department of Respiratory Medicine, Chest Disease Hospital, Srinagar, Jammu & Kashmir, India.Department of Radiodiagnosis, Government Medical College, Srinagar, Jammu & Kashmir, India.

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

32623113

Citation

Parry, Arshed Hussain, et al. "Spectrum of Chest Computed Tomographic (CT) Findings in Coronavirus Disease-19 (COVID-19) Patients in India." European Journal of Radiology, vol. 129, 2020, p. 109147.
Parry AH, Wani AH, Yaseen M, et al. Spectrum of chest computed tomographic (CT) findings in coronavirus disease-19 (COVID-19) patients in India. Eur J Radiol. 2020;129:109147.
Parry, A. H., Wani, A. H., Yaseen, M., Dar, K. A., Choh, N. A., Khan, N. A., Shah, N. N., & Jehangir, M. (2020). Spectrum of chest computed tomographic (CT) findings in coronavirus disease-19 (COVID-19) patients in India. European Journal of Radiology, 129, 109147. https://doi.org/10.1016/j.ejrad.2020.109147
Parry AH, et al. Spectrum of Chest Computed Tomographic (CT) Findings in Coronavirus Disease-19 (COVID-19) Patients in India. Eur J Radiol. 2020;129:109147. PubMed PMID: 32623113.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spectrum of chest computed tomographic (CT) findings in coronavirus disease-19 (COVID-19) patients in India. AU - Parry,Arshed Hussain, AU - Wani,Abdul Haseeb, AU - Yaseen,Mudasira, AU - Dar,Khurshid Ahmad, AU - Choh,Naseer Ahmad, AU - Khan,Naseer Ahmad, AU - Shah,Naveed Nazir, AU - Jehangir,Majid, Y1 - 2020/06/24/ PY - 2020/04/17/received PY - 2020/06/11/revised PY - 2020/06/22/accepted PY - 2020/7/6/pubmed PY - 2020/7/18/medline PY - 2020/7/6/entrez KW - COVID-19 KW - CT KW - SARS-CoV-2 SP - 109147 EP - 109147 JF - European journal of radiology JO - Eur J Radiol VL - 129 N2 - PURPOSE: To report the spectrum of chest computed tomographic (CT) imaging findings in coronavirus disease-19 (COVID-19) infected Indian patients. METHODS: This was a prospective descriptive study comprising 147 consecutive reverse transcriptase polymerase chain reaction (RT-PCR) positive patients who underwent CT chest. Prevalence, distribution, extent and type of abnormal lung findings were recorded. RESULTS: Among the total study cohort of 147 patients, 104 (70.7 %) were males and 43 (29.3 %) were females with mean age of 40.9 ± 17.2 years (range 24-71 years). We observed lung parenchymal abnormalities in 51 (34.7 %) cases whereas 96 (65.3 %) RT-PCR positive cases had a normal chest CT. Only 12.2 % of the patients were dyspneic, 6.1 % had desaturation, 7.4 % had increased respiratory rate and 10.9 % had comorbidities. Among the patients with abnormal CT findings bilateral 39/51 (76.5 %), multilobar (88.2 %) lung involvement with a predominant peripheral and posterior distribution was commonly observed. With regards to the type of opacity, ground glass opacity (GGO) was the dominant abnormality found in all 51 (100 %) cases. Pure GGO was observed in 15 (29.4 %), GGO with crazy paving pattern was seen in 15 (29.4 %) and GGO mixed with consolidation was noted in 21(41.2 %). Peri-lesional or intralesional segmental or subsegmental pulmonary vessel enlargement was observed in 36 (70.6 %) cases. CONCLUSION: In this study population predominantly with mild symptoms and few comorbidities, two-thirds of RT-PCR positive patients had a normal chest CT; whereas the remaining patients showed typical findings of predominant GGOs with a bilateral distribution and peripheral predominance. SN - 1872-7727 UR - https://www.unboundmedicine.com/medline/citation/32623113/Spectrum_of_chest_computed_tomographic__CT__findings_in_coronavirus_disease_19__COVID_19__patients_in_India_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0720-048X(20)30336-3 DB - PRIME DP - Unbound Medicine ER -