From the Department of Diagnostic, Molecular, and Interventional Radiology (M.C., A.B., M.H., Z.A.F., A.J.) and BioMedical Engineering and Imaging Institute (X.M., Y.Y., Z.A.F.), Icahn School of Medicine at Mount Sinai, New York, NY; Department of Radiology, The First Affiliated Hospital of Nanchang University, Nanchang, China (N.Z., X.Z.); Department of Radiology, The Affiliated Hospital of Qingdao University, Qingdao, China (J.C., W.X.); and Guangdong Provincial Key Laboratory of Biomedical Imaging, Department of Radiology, The Fifth Affiliated Hospital, Sun Yat-sen University, 52 East Meihua Rd, New Xiangzhou, Zhuhai, Guangdong Province, China, 519000 (K.L., S.L., H.S.).
Radiology. 2020 Apr;295(1):202-207. doi: 10.1148/radiol.2020200230. Epub 2020 Feb 4.
In this retrospective case series, chest CT scans of 21 symptomatic patients from China infected with the 2019 novel coronavirus (2019-nCoV) were reviewed, with emphasis on identifying and characterizing the most common findings. Typical CT findings included bilateral pulmonary parenchymal ground-glass and consolidative pulmonary opacities, sometimes with a rounded morphology and a peripheral lung distribution. Notably, lung cavitation, discrete pulmonary nodules, pleural effusions, and lymphadenopathy were absent. Follow-up imaging in a subset of patients during the study time window often demonstrated mild or moderate progression of disease, as manifested by increasing extent and density of lung opacities.
在这项回顾性病例系列研究中,我们对来自中国的 21 例 2019 年新型冠状病毒(2019-nCoV)感染有症状患者的胸部 CT 扫描结果进行了评估,重点在于识别和描述最常见的表现。典型的 CT 表现包括双侧肺部实质磨玻璃影和实变影,有时呈圆形形态,分布于肺外周。值得注意的是,未见肺空洞、离散性肺结节、胸腔积液和淋巴结病。在研究时间窗内,对部分患者进行随访影像学检查,常表现为疾病的轻度或中度进展,即肺部混浊程度和范围增加。