Chest Computed Tomography Findings in Coronavirus Disease (COVID–19) in Kratumbean Hospital

Authors

  • Phoomphat Kiatthareethana M.D., Kratumbaen Hospital

Keywords:

COVID–19, chest radiographs, chest CT

Abstract

          Coronavirus disease (COVID–19) is an infectious disease caused by a newly discovered coronavirus. The COVID–19 pandemic has spread on countries around the world. Because of the primary involvement of the respiratory system, chest radiographs and chest CT have a potential role in diagnosis, detection of complications, and prognostication of COVID–19. Chest radiographs are of little diagnostic value in early stages, whereas CT findings may be present. Three typical chest CT features of COVID-19 have been reported: 1. peripheral, bilateral ground-glass opacities (GGO) with or without consolidation or visible intralobular lines (crazy–paving pattern); 2. multifocal GGO of rounded morphology with or without consolidation or visible intralobular lines; and 3. reverse halo sign or other findings of organizing pneumonia. In addition, it has been reported that perihilar, unilateral, or non-peripheral GGO can be seen in COVID–19, though they are non-specific appearance.

          In this article, we provide the chest radiograph and chest CT findings in 3 patients with COVID–19 in Kratumbean Hospital. Knowledge of these topics is important for all physicians to recognize chest radiographs and chest CT findings in patients with suspected or proven

COVID–19 and to those without known COVID–19 amid the ongoing pandemic.

References

1. World Health Organization. Timeline: WHO's COVID-19 response [Internet]. 2020 [cited 2020 Dec 22]; Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/interactive-timeline#!/
2. World Health Organization. Novel Coronavirus – Thailand (ex-China) [Internet]. 2020 [cited 2020 Dec 22]; Available from: https://www.who.int/csr/don/14-january-2020-novel-coronavirus-thailand-ex-china/en/
3. World Health Organization Thailand. โรคติดเชื้อไวรัสโคโรนา 2019 (โควิด 19): รายงานสถานการณ์โดยองค์การอนามัยโลก (WHO) ประเทศไทย – 15 มี.ค. 2563 [Internet]. [cited 2020 Dec 22]; Available from: https://www.who.int/docs/default-source/searo/thailand/20200315-tha-sitrep-22-covid19-th.pdf?sfvrsn=e43679f_0
4. Jin YH, Cai L, Cheng ZS, et al. A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019–nCoV) infected pneumonia (standard version). Mil Med Res. 2020; 7: 4.
5. Kim JY, Choe PG, Oh Y, et al. The first case of 2019 novel coronavirus pneumonia imported into Korea from Wuhan, China: implication for infection prevention and control measures. J Korean Med Sci. 2020; 35(5): e61. doi: 10.3346/jkms.2020.35.e61.
6. Shashank J, Jalil P, Abdul A, et al. Role of favipiravir in the treatment of COVID–19. Int J Infect Dis. 2020; 102: 501–8. doi: 10.1016/j.ijid.2020.10.069.
7. กรมการแพทย์. แนวทางเวชปฏิบัติ การวินิจฉัย ดูแลรักษา และป้องกันการติดเชื้อในโรงพยาบาล กรณีโรคติดเชื้อไวรัสโคโรนา 2019 (COVID–19) [Internet]. 2020[cited 2020 Dec 25]; Available from: http://covid19.dms.go.th/backend///Content//Content_File/Covid_Health/Attach/25630330113911AM_CPG%20COVID-19_30032020_v1@11.pdf.
8. Scott S, Fernando UK, Suhny A, et al. Radiological Society of North America Expert Consensus Document on Reporting Chest CT Findings Related to COVID–19: Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA. Radiology: Cardiothoracic Imaging. 2020; 2(2): e200152.

Published

2021-12-27

How to Cite

1.
Kiatthareethana P. Chest Computed Tomography Findings in Coronavirus Disease (COVID–19) in Kratumbean Hospital. Reg 4-5 Med J [internet]. 2021 Dec. 27 [cited 2025 Dec. 31];40(4):569-77. available from: https://he02.tci-thaijo.org/index.php/reg45/article/view/255550