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COVID-19 与胸部 CT 的表现:图像综述及影像学指导。

COVID-19 mimics on chest CT: a pictorial review and radiologic guide.

机构信息

Graduate Program in Pathology, Federal University of Health Sciences of Porto Alegre - R. Sarmento Leite, Porto Alegre, Brazil.

Department of Radiology, Pontificia Universidade Catolica do Rio Grande do Sul, Porto Alegre, Brazil.

出版信息

Br J Radiol. 2021 Feb 1;94(1118):20200703. doi: 10.1259/bjr.20200703. Epub 2020 Dec 9.

Abstract

Chest imaging is often used as a complementary tool in the evaluation of coronavirus disease 2019 (COVID-19) patients, helping physicians to augment their clinical suspicion. Despite not being diagnostic for COVID-19, chest CT may help clinicians to isolate high suspicion patients with suggestive imaging findings. However, COVID-19 findings on CT are also common to other pulmonary infections and non-infectious diseases, and radiologists and point-of-care physicians should be aware of possible mimickers. This state-of-the-art review goal is to summarize and illustrate possible etiologies that may have a similar pattern on chest CT as COVID-19. The review encompasses both infectious etiologies, such as non-COVID viral pneumonia, , , and pulmonary granulomatous infectious, and non-infectious disorders, such as pulmonary embolism, fat embolism, cryptogenic organizing pneumonia, non-specific interstitial pneumonia, desquamative interstitial pneumonia, and acute and chronic eosinophilic pneumonia.

摘要

胸部影像学常用于评估 2019 冠状病毒病(COVID-19)患者,帮助医生增强临床怀疑。尽管胸部 CT 对 COVID-19 无诊断价值,但可能有助于临床医生隔离影像学表现提示 COVID-19 的高度疑似患者。然而,COVID-19 在 CT 上的表现也常见于其他肺部感染和非传染性疾病,放射科医生和即时护理医生应该注意可能的类似疾病。本综述的目的是总结并说明可能在胸部 CT 上与 COVID-19 具有相似模式的各种病因。本综述涵盖了传染性病因,如非 COVID 病毒性肺炎、细菌、真菌和分枝杆菌感染,以及非传染性疾病,如肺栓塞、脂肪栓塞、特发性机化性肺炎、非特异性间质性肺炎、脱屑性间质性肺炎和急性和慢性嗜酸性粒细胞肺炎。

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