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Related Experiment Video

Updated: Sep 3, 2025

Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
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Radiological Finding of Crazy-Paving Pattern in COVID-19 Pneumonia.

Wahab A Gbadamosi1, Brandon Hanai1, Paul Kim1

  • 1Diagnostic Radiology, Medical Center of Trinity, Trinity, USA.

Cureus
|July 25, 2022
PubMed
Summary

Crazy paving, a radiographic finding, is discussed in a COVID-19 patient presenting with respiratory symptoms. This CT scan finding can indicate COVID-19 pneumonia.

Keywords:
acute hypoxic respiratory failurecovid-19 pneumoniacrazy paving patternsars-cov-2 (severe acute respiratory syndrome coronavirus -2)thorax radiology

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Area of Science:

  • Radiology
  • Infectious Diseases

Background:

  • The COVID-19 pandemic highlighted various radiographic manifestations in respiratory illnesses.
  • Crazy paving is a recognized radiological pattern observed in lung diseases.

Observation:

  • A 75-year-old female with dyspnea, cough, and chest pain tested positive for COVID-19.
  • Chest CT revealed ground-glass opacities and interlobular septal thickening, characteristic of crazy paving.

Findings:

  • The patient's CT findings presented a classic crazy-paving appearance.
  • This pattern was associated with confirmed COVID-19 infection.

Implications:

  • Crazy paving on chest CT is a significant finding in COVID-19 pneumonia.
  • Radiologists should consider COVID-19 in the differential diagnosis when encountering this pattern.