Departments of Diagnostic Radiology and Nuclear Medicine, Imaging Institute, Cleveland Clinic
Clinical Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
Cleve Clin J Med. 2020 Jul 31;87(8):469-476. doi: 10.3949/ccjm.87a.ccc032.
The typical findings of COVID-19 on chest radiography and computed tomography (CT) include bilateral, multifocal parenchymal opacities (ground-glass opacities with or without consolidation, and "crazy paving"). In most cases, the opacities are predominantly in the peripheral and lower lung zones, and several have rounded morphology. However, these imaging findings are not pathognomonic for COVID-19 pneumonia and can be seen in other viral and bacterial infections, as well as with noninfectious causes such as drug toxicity and connective tissue disease. Most radiology professional organizations and societies recommend against routine screening CT to diagnose or exclude COVID-19.
COVID-19 在胸部 X 线摄影和计算机断层扫描(CT)上的典型表现包括双侧、多灶性肺实质混浊(磨玻璃影伴或不伴实变,“铺路石征”)。在大多数情况下,混浊主要位于外周和下肺区,有几个呈圆形形态。然而,这些影像学表现并非 COVID-19 肺炎的特征性表现,也可见于其他病毒和细菌感染,以及非传染性原因,如药物毒性和结缔组织疾病。大多数放射学专业组织和协会不建议常规进行 CT 筛查以诊断或排除 COVID-19。