Chest CT manifestations of new coronavirus disease 2019 (COVID-19): a pictorial review

Hussin A. Rothana, Siddappa N. Byrareddy

Chest CT manifestations of new coronavirus disease 2019 (COVID-19): a pictorial review

Zheng Ye, Yun Zhang, Yi Wang, Zixiang Huang, Bin Song

Eur Radiol. 2020 Mar 19. doi: 10.1007/s00330-020-06801-0. [Epub ahead of print]

ABSTRACT

The coronavirus disease 2019 (COVID-19) outbreak, first reported in Wuhan, China, has spread rapidly across the world in just one month, causing a global public health emergency. In diagnosis, chest computed tomography (CT) findings may complement some of the limitations of the real-time reverse transcription polymerase chain reaction (RT-PCR) assay.

Based on a complete review of the literature and frontline experience, our objective was to review the typical and relatively atypical CT manifestations in representative cases of COVID-19 in our hospital, hoping to contribute thereby to the recognition of these characteristics by radiologists and help them make a quick and accurate diagnosis.

Key points:

  • Ground glass opacities, consolidation, reticular pattern, and cobblestone pattern are typical CT manifestations of COVID-19.
  • Emerging manifestations of atypical CT, including airway changes, pleural changes, fibrosis, nodules, etc., were demonstrated in COVID-19 patients.
  • TC manifestations may be associated with the progression and prognosis of COVID-19.