Department of Radiology, Ege University Faculty of Medicine, Bornova, Izmir, Turkey.
Diagn Interv Radiol. 2021 Mar;27(2):188-194. doi: 10.5152/dir.2020.20304.
Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was first reported in Wuhan, China. The infection rapidly spread to more than 200 countries around the world. The clinical presentation of the disease may vary from mild illness to severe pneumonia such as acute respiratory distress syndrome (ARDS). The chest computed tomography (CT) has an important complementary role in diagnosis of the disease. The predominant CT findings of the disease are ground glass opacities and consolidations located in subpleural areas of lower lobes. Widespread ground-glass opacities, consolidation, air bronchograms, central involvement of lung parenchyma, mediastinal lymphadenopathy are more common in patients with the severe form of the disease. CT imaging also guides in differentiation of alternative diagnosis or in assessment of associated pulmonary embolism during the course of the disease. In this pictorial review we aim to review the CT features of COVID-19 pneumonia and mention the changes throughout the disease process.
新型冠状病毒病(COVID-19),由严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起,最初在中国武汉报告。该感染迅速传播到全球 200 多个国家。疾病的临床表现可能从轻度疾病到严重肺炎,如急性呼吸窘迫综合征(ARDS)。胸部计算机断层扫描(CT)在诊断疾病方面具有重要的补充作用。疾病的主要 CT 表现为位于下叶胸膜下区的磨玻璃影和实变。广泛的磨玻璃影、实变、空气支气管征、肺实质中央受累、纵隔淋巴结肿大在疾病严重形式的患者中更为常见。CT 成像还可指导鉴别诊断或在疾病过程中评估相关肺栓塞。在本图片综述中,我们旨在回顾 COVID-19 肺炎的 CT 特征,并提到整个疾病过程中的变化。