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在冠状动脉CT血管造影中偶然发现的2019冠状病毒病(COVID-19)肺炎:不可漏诊的诊断。

Coronavirus disease 2019 (COVID-19) pneumonia incidentally detected on coronary CT angiogram: a do-not-miss diagnosis.

作者信息

Behzad Shima, Velez Erik, Najafi Mohammad Hosein, Gholamrezanezhad Ali

机构信息

School of Medicine, Azad University, Tehran, Iran.

Department of Radiology, Keck School of Medicine, University of Southern California (USC), 1500 San Pablo Street, Los Angeles, CA, 90033, USA.

出版信息

Emerg Radiol. 2020 Dec;27(6):721-726. doi: 10.1007/s10140-020-01802-4. Epub 2020 Jun 9.

Abstract

Coronary CT angiograms are commonly performed for the evaluation of coronary artery disease and coronary arterial anatomy. However, extracardiac findings are frequently detected on these examinations and often can explain patients' underlying symptoms, having a significant impact on patient management. Here in, we discuss three cases of incidentally detected novel COVID-19-infected pneumonia (NCIP). This case series highlights the image findings in NCIP and emphasizes the importance of evaluating all organs in the field of view on coronary CT angiograms. In addition, with the ongoing outbreak of COVID-19 and exponentially increasing incidence throughout the world, this report stresses the need for including NCIP in the differential diagnosis of patients with typical image findings in at-risk populations, as early diagnosis is crucial for appropriate patient management and post-exposure recommendations.

摘要

冠状动脉CT血管造影常用于评估冠状动脉疾病和冠状动脉解剖结构。然而,在这些检查中经常会发现心外异常,且这些异常往往可以解释患者的潜在症状,对患者的管理有重大影响。在此,我们讨论3例偶然发现的新型冠状病毒感染肺炎(NCIP)病例。本病例系列突出了NCIP的影像表现,并强调了在冠状动脉CT血管造影中对视野内所有器官进行评估的重要性。此外,随着新型冠状病毒肺炎疫情的持续爆发以及全球发病率呈指数级上升,本报告强调在高危人群中,对于具有典型影像表现的患者,在鉴别诊断中需考虑NCIP,因为早期诊断对于恰当的患者管理和暴露后建议至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6390/7280472/62d11c6297b0/10140_2020_1802_Fig1_HTML.jpg

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