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2019 Novel Coronavirus (COVID-19) Pneumonia: Serial Computed Tomography Findings

Jiangping Wei1, Huaxiang Xu2, Jingliang Xiong3

  • 1Department of Radiology, Jiangxi Provincial People's Hospital, Nanchang, China.

Korean Journal of Radiology
|February 27, 2020
PubMed

Insights

This study details the CT scan findings of a COVID-19 pneumonia case in a 40-year-old female. It shows rapid lung lesion progression and subsequent absorption with fibrous scarring post-treatment.

Area of Science:

  • Radiology
  • Infectious Diseases
  • Pulmonology

Background:

  • Coronavirus disease 2019 (COVID-19) emerged in Wuhan, China, in December 2019.
  • The 2019 novel Coronavirus (2019-nCoV) causes a severe respiratory illness.
  • Early diagnosis and monitoring are crucial for managing COVID-19 pneumonia.

Observation:

  • A 40-year-old female presented with fever, chest tightness, and fatigue.
  • Diagnosis of COVID-19 infection was confirmed via real-time reverse-transcriptase-polymerase chain reaction.
  • Serial computed tomography (CT) scans were performed to monitor disease progression.

Findings:

  • CT revealed rapidly progressing peripheral consolidations and ground-glass opacities in both lungs.
  • These findings are characteristic of viral pneumonia, specifically COVID-19.
  • Post-treatment, CT scans indicated near-complete absorption of lesions, with residual fibrous changes.

Implications:

  • Serial CT imaging is valuable for assessing COVID-19 pneumonia severity and progression.
  • Understanding lesion evolution aids in treatment response evaluation.
  • Fibrous lesions may represent long-term sequelae of COVID-19 lung injury.

Keywords:
2019-nCoVCOVID-19CoronavirusPneumoniaTomography, X-ray computed

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