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Journal of Radiological Review 2020 May-June;7(3):233-6

DOI: 10.23736/S2723-9284.20.00016-2

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English, Italian

2019-novel Coronavirus: a case of severe lung involvement

Federica LUCEV 1 , Elena BELLONI 1, Paola GENEROSO 2, Alessandro SUPRANI 3, Ziad MOURAD 3, Maurizio RAIMONDI 4, Livio CARNEVALE 5

1 Department of Radiology, Civil Hospital, ASST Pavia, Vigevano, Pavia, Italy; 2 Department of Radiology, Civil Hospital, ASST Pavia, Voghera, Pavia, Italy; 3 Emergency Department, ASST Pavia, Pavia, Italy; 4 Intensive Care Unit, Civil Hospital, ASST Pavia, Voghera, Pavia, Italy; 5 Intensive Care Unit, Civil Hospital, ASST Pavia, Vigevano, Pavia, Italy


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Since first isolation in China of novel Coronavirus (2019-nCoV) in December 2019, we witnessed a worldwide epidemic of the infection resulting from the substantial capability of interhuman transmission of the virus. In our report we present the case of a woman presenting with acute respiratory insufficiency showing 2019-nCoV-related severe lung damage at CT examination. Since most of the infected patients are diagnosed with pneumonia and characteristic chest CT imaging findings, a prompt recognition of potentially 2019-nCoV-associated lung abnormalities is of extreme importance in early diagnosis and assessing the course of the disease. Focal or multifocal ground glass opacities (GGOs), GGOs associated with smooth inter- and intra-lobular interstitial thickening, patchy consolidations and posterior part or lower lobes involvement predilection are reported as the predominant CT features. In this scenario, the radiologist can play a pivotal role helping to limit further spreading of this potentially life-threatening infection.


KEY WORDS: COVID-19; Pneumonia; Acute chest syndrome; X-ray computed tomography; Coronavirus

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