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Revista da Sociedade Brasileira de Medicina Tropical

Print version ISSN 0037-8682On-line version ISSN 1678-9849

Abstract

WERBERICH, Gabriel Madeira; MARCHIORI, Edson; BARRETO, Miriam Menna  and  RODRIGUES, Rosana Souza. Computed tomography findings in a Brazilian cohort of 48 patients with pneumonia due to coronavirus disease. Rev. Soc. Bras. Med. Trop. [online]. 2020, vol.53, e20200405.  Epub July 20, 2020. ISSN 1678-9849.  https://doi.org/10.1590/0037-8682-0405-2020.

INTRODUCTION:

This study was conducted to retrospectively review chest computed tomography (CT) findings in a Brazilian cohort of patients with pneumonia caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

METHODS:

Chest CT scans of 78 patients with confirmed coronavirus disease (COVID-19), obtained in March and April 2020, were reviewed. Of 78 cases, the CT scans of 48 (61.5%) showed lung opacities. CT opacity features, their distribution, and the extent of infiltration were evaluated.

RESULTS:

The most common CT findings were ground-glass opacities (97.9%), crazy-paving pattern (58.3%), and mixed pattern (18.8%). Rounded lung opacities were observed most frequently (70.8%). Other findings were cystic airspace changes (37.5%), vascular dilatation (35.4%), and the organizing pneumonia pattern (14.6%). The findings were frequently bilateral (87.5%), symmetrical (68.9%), and peripheral (60.2%).

CONCLUSIONS:

The most common CT findings were ground-glass opacities and the crazy-paving pattern. Involvement was mostly bilateral, symmetrical, and peripheral. Round opacity morphology was frequently observed and might have some degree of specificity to viral COVID-19 pneumonia.

Keywords : COVID-19; Viral infection; Viral pneumonia; Computed tomography.

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