Romeih Marwa, Mahrous Mary R, El Kassas Mohamed
Department of Radiodiagnosis, Faculty of Medicine, Helwan University, Cairo 11795, Egypt.
Department of Radiodiagnosis, National Heart institute, Cairo 11795, Egypt.
World J Radiol. 2022 Jan 28;14(1):1-12. doi: 10.4329/wjr.v14.i1.1.
Despite routine screening of patients for coronavirus disease 2019 (COVID-19) symptoms and signs at hospital entrances, patients may slip between the cracks and be incidentally discovered to have lung findings that could indicate COVID-19 infection on imaging obtained for other reasons. Multiple case reports and case series have been published to identify the pattern of this highly infectious disease. This article addresses the radiographic findings in different imaging modalities that may be incidentally seen in asymptomatic patients who carry COVID-19. In general, findings of COVID-19 infection may appear in computed tomography (CT), magnetic resonance imaging, positron emission tomography-CT, ultrasound, or plain X-rays that show lung or only apical or basal cuts. The identification of these characteristics by radiologists and clinicians is crucial because this would help in the early recognition of cases so that a rapid treatment protocol can be established, the immediate isolation to reduce community transmission, and the organization of close monitoring. Thus, it is important to both the patient and the physician that these findings are highlighted and reported.
尽管医院入口处会对患者进行2019冠状病毒病(COVID-19)症状和体征的常规筛查,但仍有患者可能被遗漏,并在因其他原因进行的影像学检查中偶然发现肺部有可提示COVID-19感染的表现。已有多篇病例报告和病例系列发表,以确定这种高传染性疾病的特征。本文探讨了在携带COVID-19的无症状患者中可能偶然出现的不同成像方式下的影像学表现。一般来说,COVID-19感染的表现可能出现在计算机断层扫描(CT)、磁共振成像、正电子发射断层扫描-CT、超声或仅显示肺部或仅显示肺尖或肺底层面的普通X线片中。放射科医生和临床医生识别这些特征至关重要,因为这有助于早期识别病例,从而制定快速治疗方案、立即隔离以减少社区传播,并组织密切监测。因此,突出并报告这些发现对患者和医生都很重要。