4 months ago
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COVID-19: CT Findings



#emergency radiology #atypical infection #radiology residents #consolidation #Education
Audience: Radiology Residents, Radiologists, and other Medical Professionals
Recommended playback speed: 1.25 to 1.5
Learning Objectives, -Identify and describe the spectrum of findings in viral pneumonia
-Explain a basic algorithm for managing patients with suspected viral pneumonia in a radiology department
Note: CT is not recommended for screening or diagnosis of COVID-19 pneumonia by The American College of Radiology or the Society of Thoracic Radiology. CT should only be used when indicated by the severity of the patients symptoms.
Summary, The Findings are non-specific with CT showing a pattern of acute lung injury (organizing pneumonia)
There is a broad differential diagnosis, -Viral pneumonia (Influenza A, influenza B, RSV, coronavirus, rhinovirus, parainfluenza, and adenovirus)
-Bacteria pneumonia (Legionella, mycoplasma)
-Drug induced (chemotherapy, immunotherapy)
-Cryptogenic organizing pneumonia.
New consensus statement, directly quoted, " Essentials
■ Imaging is not indicated in patients with suspected COVID-19 and mild clinical features unless they are at risk for disease progression.
■ Imaging is indicated in a patient with COVID-19 and worsening respiratory status.
■ In a resource-constrained environment, imaging is indicated for medical triage of patients with suspected COVID-19 who present with moderate-severe clinical features and a high pre-test probability of disease"
https://pubs.rsna.org/doi/10.1148/radiol.2020201365
Clinical context is key with specificity dependent on a high pretest probability, Symptoms of COVID-19: Fever, shortness of breath, cough, fatigue, no rhinorrhea (runny nose)
Please Wash Your Hands (for 20 seconds and more frequently than in the past)
Do Not Touch Your Face (Touching a contaminated surface and then you face is a primary route of spread).
If you are over 60 y/o (or under 60 with high blood pressure, diabetes, or cardiovascular disease), consider staying at home, and avoiding groups, crowds, and travel.
Comprehensive collection of COVID-19 related radiology articles: https://pubs.rsna.org/2019-ncov
Kentucky webpage for up to date information on Local COVID-19: https://kycovid19.ky.gov
References, Ai, Tao, et al. "Correlation of chest CT and RT-PCR testing in coronavirus disease 2019 (COVID-19) in China: A report of 1014 cases." Radiology (2020): 200642.
Bernheim, Adam, et al. "Chest CT Findings in Coronavirus Disease-19 (COVID-19): Relationship to Duration of Infection." Radiology (2020): 200463.

#coronavirus #Organizing pneumonia #cvd 19 #viral pneumonia #covid 19 lungs #CT #Radiology #SARS-CoV-2 #ground glass opacities #computed tomography #COVDI-19

Joseph W. Owen, MD photo 1 COVID-19: CT Findings Joseph W. Owen, MD photo 2 COVID-19: CT Findings Joseph W. Owen, MD photo 3 COVID-19: CT Findings Joseph W. Owen, MD photo 4 COVID-19: CT Findings

Thanks for this nice and descriptive presentation 🌼
But, i have some questions:
1- can ct be considered as a prognostic tool ?
Many patients show complete remission of symptoms and turn -ve for pcr; yet their ct findings remain present
And so the question is can we discharge the patient in these circumstances?
2- on the other hand, many patients demonstrate +ve pcr with -ve symptoms and -ve ct findings
Is there a possibility that ct findings may be delayed ?
And so the question is do i need to repeat the ct? And after how much time? And how frequent?
3- many patients with typical ct findings, doing it initially for reassurance, have actually no symptoms at all, no signs, no lab evidence of infection and even -ve pcr for covid-19
And the question is does ct be considered as an evidence to start isolation ? Or treatment?
Thanks so much 😊

by Sahar H. Mostafa 1 month ago

Am an Engineering, but from this great Video, I can be a Radiologist. Thank you

by shaban albrka 3 months ago

Theoretically, could a patient test positive for flu and covid-19 concurrently?

by angelofmydreams 26 3 months ago

Good and concise information. Thank you!

by Daniel Pitti 3 months ago

Wonderful images and great summary. Thanks

by Anil Gopinath 4 months ago

Thank you. Awesome lesson.

by comandante 3 months ago

Anyone else think the image on the right side of the thumbnail for this video looks like a crescent moon with a face?

by B B 3 months ago

No entiendo todo lo que dice pero si entiendo algo :v

by Gaby Vazquez 1 month ago

On 4/6
Tested negative to covid
Lung X-ray -said no pneumonia

But this was my ct scan result
LUNGS AND PLEURA: No pleural effusion or pneumothorax. Mild basal
atelectasis. Irregular/spiculated consolidative opacities in the medial
right upper lobe abutting the medial pleural surface measuring
approximately 3.6 cm on axial image 30. There is mild surrounding
groundglass. Minimal patchy groundglass and the lateral right upper lobe
on axial image 36.

by Paula M 2 months ago

Is there a publicly available CT image of the cvoid-19 virus infection? Could some images be shared with me.

by 刷房贷 3 months ago

¿Alguien viendo este video en 2020?
Dale like si tú lo haces.
Grettings from Sri Lanka.

by J-ckazx10 2 months ago

Thank you very much.simple and very useful.

by Abdullah Bal 3 months ago

Is it possible to see the ground glass opacity in the chest x ray?

by Mirian Liz 3 months ago

I was wondering if anyone is doing post covid19 studies to see if there is lasting damage to lungs?

by Carolyn Odell 3 months ago

Mp3 Download

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