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patientidoffsetsexagefindingsurvivalintubatedintubation_presentwent_icuin_icuneeded_supplemental_O2extubatedtemperaturepO2_saturationleukocyte_countneutrophil_countlymphocyte_countviewmodalitydatelocationfolderfilenamedoiurllicenseclinical_notesother_notes
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20M65COVID-19YNNNNYPAX-rayJanuary 22, 2020Cho Ray Hospital, Ho Chi Minh City, Vietnamimagesauntminnie-a-2020_01_28_23_51_6665_2020_01_28_Vietnam_coronavirus.jpeg10.1056/nejmc2001272https://www.nejm.org/doi/full/10.1056/NEJMc2001272On January 22, 2020, a 65-year-old man with a history of hypertension, type 2 diabetes, coronary heart disease for which a stent had been implanted, and lung cancer was admitted to the emergency department of Cho Ray Hospital, the referral hospital in Ho Chi Minh City, for low-grade fever and fatigue. He had become ill with fever on January 17, a total of 4 days after he and his wife had flown to Hanoi from the Wuchang district in Wuhan, where outbreaks of 2019-nCoV were occurring. He reported that he had not been exposed to a ?wet market? (a market where dead and live animals are sold) in Wuhan. Chest radiographs obtained on admission showed an infiltrate in the upper lobe of the left lung
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23M65COVID-19YNNNNYPAX-rayJanuary 25, 2020Cho Ray Hospital, Ho Chi Minh City, Vietnamimagesauntminnie-b-2020_01_28_23_51_6665_2020_01_28_Vietnam_coronavirus.jpeg10.1056/nejmc2001272https://www.nejm.org/doi/full/10.1056/NEJMc2001272On January 22, 2020, a 65-year-old man with a history of hypertension, type 2 diabetes, coronary heart disease for which a stent had been implanted, and lung cancer was admitted to the emergency department of Cho Ray Hospital, the referral hospital in Ho Chi Minh City, for low-grade fever and fatigue. He had become ill with fever on January 17, a total of 4 days after he and his wife had flown to Hanoi from the Wuchang district in Wuhan, where outbreaks of 2019-nCoV were occurring. He reported that he had not been exposed to a ?wet market? (a market where dead and live animals are sold) in Wuhan. On January 25, he received supplemental oxygen through a nasal cannula at a rate of 5 liters per minute because of increasing dyspnea with hypoxemia. The partial pressure of oxygen was 57.2 mm Hg while he was breathing ambient air, and a progressive infiltrate and consolidation were observed on chest radiographs
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25M65COVID-19YNNNNYPAX-rayJanuary 27, 2020Cho Ray Hospital, Ho Chi Minh City, Vietnamimagesauntminnie-c-2020_01_28_23_51_6665_2020_01_28_Vietnam_coronavirus.jpeg10.1056/nejmc2001272https://www.nejm.org/doi/full/10.1056/NEJMc2001272On January 22, 2020, a 65-year-old man with a history of hypertension, type 2 diabetes, coronary heart disease for which a stent had been implanted, and lung cancer was admitted to the emergency department of Cho Ray Hospital, the referral hospital in Ho Chi Minh City, for low-grade fever and fatigue. He had become ill with fever on January 17, a total of 4 days after he and his wife had flown to Hanoi from the Wuchang district in Wuhan, where outbreaks of 2019-nCoV were occurring. He reported that he had not been exposed to a ?wet market? (a market where dead and live animals are sold) in Wuhan. On January 25, he received supplemental oxygen through a nasal cannula at a rate of 5 liters per minute because of increasing dyspnea with hypoxemia. The partial pressure of oxygen was 57.2 mm Hg while he was breathing ambient air, and a progressive infiltrate and consolidation were observed on chest radiographs
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26M65COVID-19YNNNNYPAX-rayJanuary 28, 2020Cho Ray Hospital, Ho Chi Minh City, Vietnamimagesauntminnie-d-2020_01_28_23_51_6665_2020_01_28_Vietnam_coronavirus.jpeg10.1056/nejmc2001272https://www.nejm.org/doi/full/10.1056/NEJMc2001272On January 22, 2020, a 65-year-old man with a history of hypertension, type 2 diabetes, coronary heart disease for which a stent had been implanted, and lung cancer was admitted to the emergency department of Cho Ray Hospital, the referral hospital in Ho Chi Minh City, for low-grade fever and fatigue. He had become ill with fever on January 17, a total of 4 days after he and his wife had flown to Hanoi from the Wuchang district in Wuhan, where outbreaks of 2019-nCoV were occurring. He reported that he had not been exposed to a ?wet market? (a market where dead and live animals are sold) in Wuhan. Progressive infiltrate and consolidation
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40F52COVID-19NNNNNPAX-rayJanuary 25, 2020Changhua Christian Hospital, Changhua City, Taiwan imagesnejmc2001573_f1a.jpeg10.1056/NEJMc2001573https://www.nejm.org/doi/full/10.1056/NEJMc2001573diffuse infiltrates in the bilateral lower lungs
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45F52COVID-19NNNNNPAX-rayJanuary 30, 2020Changhua Christian Hospital, Changhua City, Taiwan imagesnejmc2001573_f1b.jpeg10.1056/NEJMc2001573https://www.nejm.org/doi/full/10.1056/NEJMc2001573progressive diffuse interstitial opacities and consolidation in the bilateral parahilar areas and lower lung fields
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5ARDSYYYYPAX-ray2017imagesARDSSevere.pnghttps://en.wikipedia.org/wiki/File:ARDSSevere.pngCC BY-SASevere ARDS. Person is intubated with an OG in place.
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60COVID-19YYYYPAX-rayJanuary 6, 2020Wuhan Jinyintan Hospital, Wuhan, Hubei Province, Chinaimageslancet-case2a.jpg10.1016/S0140-6736(20)30211-7https://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2820%2930211-7/fulltextCase 2: chest x-ray obtained on Jan 6 (2A). The brightness of both lungs was decreased and multiple patchy shadows were observed; edges were blurred, and large ground-glass opacity and condensation shadows were mainly on the lower right lobe. Tracheal intubation could be seen in the trachea. Heart shadow roughly presents in the normal range. On the left side, the diaphragmatic surface is not clearly displayed. The right side of the diaphragmatic surface was light and smooth and rib phrenic angle was less sharp. Chest x-ray on Jan 10 showed worse status (2B)
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64COVID-19YYYYPAX-rayJanuary 10, 2020Wuhan Jinyintan Hospital, Wuhan, Hubei Province, Chinaimageslancet-case2b.jpg10.1016/S0140-6736(20)30211-7https://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2820%2930211-7/fulltextCase 2: chest x-ray obtained on Jan 6 (2A). The brightness of both lungs was decreased and multiple patchy shadows were observed; edges were blurred, and large ground-glass opacity and condensation shadows were mainly on the lower right lobe. Tracheal intubation could be seen in the trachea. Heart shadow roughly presents in the normal range. On the left side, the diaphragmatic surface is not clearly displayed. The right side of the diaphragmatic surface was light and smooth and rib phrenic angle was less sharp. Chest x-ray on Jan 10 showed worse status (2B)
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34M74SARSN38APX-ray2004Mount Sinai Hospital, Toronto, Ontario, CanadaimagesSARS-10.1148rg.242035193-g04mr34g0-Fig8a-day0.jpeg10.1148/rg.242035193https://pubs.rsna.org/doi/10.1148/rg.242035193SARS in a 74-year-old man who developed symptoms 4 days after exposure. Initial anteroposterior chest radiograph shows bilateral airspace disease that is more extensive in the left lung.
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39M74SARSNAPX-ray2004Mount Sinai Hospital, Toronto, Ontario, CanadaimagesSARS-10.1148rg.242035193-g04mr34g0-Fig8b-day5.jpeg10.1148/rg.242035193https://pubs.rsna.org/doi/10.1148/rg.242035193SARS in a 74-year-old man who developed symptoms 4 days after exposure. Anteroposterior radiograph obtained 5 days later shows a resolution of consolidation in the left lung but increased consolidation in the right lung.
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310M74SARSNAPX-ray2004Mount Sinai Hospital, Toronto, Ontario, CanadaimagesSARS-10.1148rg.242035193-g04mr34g0-Fig8c-day10.jpeg10.1148/rg.242035193https://pubs.rsna.org/doi/10.1148/rg.242035193SARS in a 74-year-old man who developed symptoms 4 days after exposure. Anteroposterior radiograph obtained 1 day later shows diffuse persistent bilateral airspace disease. The patient died 13 days after exposure to SARS.
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77F29SARSYPAX-ray2004Mount Sinai Hospital, Toronto, Ontario, CanadaimagesSARS-10.1148rg.242035193-g04mr34g04a-Fig4a-day7.jpeg10.1148/rg.242035193https://pubs.rsna.org/doi/10.1148/rg.242035193SARS in a 29-year-old woman who presented 7 days after exposure. (a) Posteroanterior radiograph depicts a subtle focus of consolidation in the right lower zone, partly obscured by breast tissue.
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712F29SARSYPAX-ray2004Mount Sinai Hospital, Toronto, Ontario, CanadaimagesSARS-10.1148rg.242035193-g04mr34g04b-Fig4b-day12.jpeg10.1148/rg.242035193https://pubs.rsna.org/doi/10.1148/rg.242035193SARS in a 29-year-old woman who presented 7 days after exposure. (b) Posteroanterior radiograph obtained 5 days later shows that the consolidation has expanded and become more dense. The chest radiograph obtained 13 days after admission was normal.
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89F42SARSPAX-ray2004Mount Sinai Hospital, Toronto, Ontario, CanadaimagesSARS-10.1148rg.242035193-g04mr34g05x-Fig5-day9.jpeg10.1148/rg.242035193https://pubs.rsna.org/doi/10.1148/rg.242035193SARS in a 42-year-old woman who presented 9 days after exposure. Posteroanterior radiograph shows extensive consolidation in the left lower lobe.
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95F46SARSAPX-ray2004Mount Sinai Hospital, Toronto, Ontario, CanadaimagesSARS-10.1148rg.242035193-g04mr34g07a-Fig7a-day5.jpeg10.1148/rg.242035193https://pubs.rsna.org/doi/10.1148/rg.242035193SARS in a 46-year-old woman who presented 5 days after developing symptoms. (a) Anteroposterior radiograph shows bilateral multifocal opacities, which are more extensive in the left lung.
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917F46SARSAPX-ray2004Mount Sinai Hospital, Toronto, Ontario, CanadaimagesSARS-10.1148rg.242035193-g04mr34g07b-Fig7b-day12.jpeg10.1148/rg.242035193https://pubs.rsna.org/doi/10.1148/rg.242035193SARS in a 46-year-old woman who presented 5 days after developing symptoms. (b) Anteroposterior radiograph obtained 12 days after admission shows a resolution of central airspace consolidation and residual peripheral consolidation. The patient was asymptomatic.
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1019F73SARSNAPX-ray2004Mount Sinai Hospital, Toronto, Ontario, CanadaimagesSARS-10.1148rg.242035193-g04mr34g09a-Fig9a-day17.jpeg10.1148/rg.242035193https://pubs.rsna.org/doi/10.1148/rg.242035193SARS in a 73-year-old woman who presented 17 days after exposure. The chest radiograph obtained on admission (not shown) was normal. (a) Anteroposterior radiograph obtained 2 days after admission shows focal consolidation in the right lung. (b) Anteroposterior radiograph obtained 8 days later shows bilateral multifocal consolidation. (c) Anteroposterior radiograph obtained 8 days later shows diffuse airspace disease. The patient died 36 days after exposure to SARS.
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1027F73SARSNAPX-ray2004Mount Sinai Hospital, Toronto, Ontario, CanadaimagesSARS-10.1148rg.242035193-g04mr34g09b-Fig9b-day19.jpeg10.1148/rg.242035193https://pubs.rsna.org/doi/10.1148/rg.242035193SARS in a 73-year-old woman who presented 17 days after exposure. The chest radiograph obtained on admission (not shown) was normal. (a) Anteroposterior radiograph obtained 2 days after admission shows focal consolidation in the right lung. (b) Anteroposterior radiograph obtained 8 days later shows bilateral multifocal consolidation. (c) Anteroposterior radiograph obtained 8 days later shows diffuse airspace disease. The patient died 36 days after exposure to SARS.
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1035F73SARSNAPX-ray2004Mount Sinai Hospital, Toronto, Ontario, CanadaimagesSARS-10.1148rg.242035193-g04mr34g09c-Fig9c-day27.jpeg10.1148/rg.242035193https://pubs.rsna.org/doi/10.1148/rg.242035193SARS in a 73-year-old woman who presented 17 days after exposure. The chest radiograph obtained on admission (not shown) was normal. (a) Anteroposterior radiograph obtained 2 days after admission shows focal consolidation in the right lung. (b) Anteroposterior radiograph obtained 8 days later shows bilateral multifocal consolidation. (c) Anteroposterior radiograph obtained 8 days later shows diffuse airspace disease. The patient died 36 days after exposure to SARS.
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110M56COVID-19Y38.6977.4PAX-ray2020Sunnybrook Health Sciences Centre, Toronto, Ontario, Canadaimages1-s2.0-S0140673620303706-fx1_lrg.jpg10.1016/S0140-6736(20)30370-6https://www.sciencedirect.com/science/article/pii/S0140673620303706A 56-year-old man presented to our Emergency Department in Toronto, ON, Canada, with fever and non-productive cough, 1 day after returning from a 3-month visit to Wuhan, China. Given this travel history, the transferring ambulance and receiving hospital personnel used appropriate personal protective equipment. He had a medical history of well controlled hypertension. On examination, his maximum temperature was 38?6?C, oxygen saturation was 97% on room air, and respiratory rate was 22 breaths per min?without any signs of respiratory distress. Laboratory investigations showed mild thrombocytopenia (113 ? 109 per L, normal 150?400), haemoglobin concentration 146 g/L (normal 130?180), white blood cell count 7?4 ? 109 per L (normal 4?11), creatinine concentration 81 ?mol/L, alanine aminotransferase 29 IU/L (normal <40), and lactate concentration 1?1 mmol/L (normal 0?5?2?0). A chest x-ray showed patchy bilateral, peribronchovascular, ill-defined opacities in all lung zones.
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127M42COVID-19Y39.62.880.9PAX-rayJanuary 1, 2020Tongji Medical College, Wuhan, Hubei Province, ChinaimagesnCoV-radiol.2020200269.fig1-day7.jpeg10.1148/radiol.2020200269https://pubs.rsna.org/doi/10.1148/radiol.2020200269On January 1, 2020, a 42-year-old man was admitted to the emergency department of Union Hospital (Tongji Medical College, Wuhan, Hubei Province) due to a high-grade fever (39.6?C [103.28?C]), cough, and fatigue for 1 week. Bilateral coarse breath sounds with wet rales distributed at the bases of both lungs were heard on auscultation. A, Chest radiograph obtained on day 7 after the onset of symptoms shows opacities in the left lower and right upper lobes.
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134M35COVID-19YNNNNY37.296PAX-rayJanuary 19, 2020Snohomish County, Washington, USAimagesnejmoa2001191_f1-PA.jpeg10.1056/NEJMoa2001191https://www.nejm.org/doi/full/10.1056/NEJMoa2001191On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. No thoracic abnormalities were noted.
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134M35COVID-19YNNNNYLX-rayJanuary 19, 2020Snohomish County, Washington, USAimagesnejmoa2001191_f1-L.jpeg10.1056/NEJMoa2001191https://www.nejm.org/doi/full/10.1056/NEJMoa2001191On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. No thoracic abnormalities were noted.
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137M35COVID-19YNNNNYPAX-rayJanuary 22, 2020Snohomish County, Washington, USAimagesnejmoa2001191_f3-PA.jpeg10.1056/NEJMoa2001191https://www.nejm.org/doi/full/10.1056/NEJMoa2001191On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. No acute intrathoracic plain-film abnormality was noted.
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137M35COVID-19YNNNNYLX-rayJanuary 22, 2020Snohomish County, Washington, USAimagesnejmoa2001191_f3-L.jpeg10.1056/NEJMoa2001191https://www.nejm.org/doi/full/10.1056/NEJMoa2001191On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. No acute intrathoracic plain-film abnormality was noted.
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139M35COVID-19YNNNNYPAX-rayJanuary 24, 2020Snohomish County, Washington, USAimagesnejmoa2001191_f4.jpeg10.1056/NEJMoa2001191https://www.nejm.org/doi/full/10.1056/NEJMoa2001191On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever.Increasing left basilar opacity was visible, arousing concern about pneumonia.
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1310M35COVID-19YNNNNYPAX-rayJanuary 26, 2020Snohomish County, Washington, USAimagesnejmoa2001191_f5-PA.jpeg10.1056/NEJMoa2001191https://www.nejm.org/doi/full/10.1056/NEJMoa2001191On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. Stable streaky opacities in the lung bases were visible, indicating likely atypical pneumonia; the opacities have steadily increased in density over time.
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1310M35COVID-19YNNNNYLX-rayJanuary 26, 2020Snohomish County, Washington, USAimagesnejmoa2001191_f5-L.jpeg10.1056/NEJMoa2001191https://www.nejm.org/doi/full/10.1056/NEJMoa2001191On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. Stable streaky opacities in the lung bases were visible, indicating likely atypical pneumonia; the opacities have steadily increased in density over time.
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140FCOVID-19PAX-ray2020Hong Kongimagesryct.2020200034.fig2.jpeg10.1148/ryct.2020200034https://pubs.rsna.org/doi/full/10.1148/ryct.2020200034
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150MCOVID-19PAX-ray2020Hong Kongimagesryct.2020200034.fig5-day0.jpeg10.1148/ryct.2020200034https://pubs.rsna.org/doi/full/10.1148/ryct.2020200034Chest radiographs of an elderly male patient from Wuhan, China, who travelled to Hong Kong, China. These are 3 chest radiographs selected out of the daily chest radiographs acquired in this patient. The consolidation in the right lower zone on day 0 persist into day 4 with new consolidative changes in the right midzone periphery and perihilar region. This midzone change improves on the day 7 film.
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154MCOVID-19PAX-ray2020Hong Kongimagesryct.2020200034.fig5-day4.jpeg10.1148/ryct.2020200034https://pubs.rsna.org/doi/full/10.1148/ryct.2020200034Chest radiographs of an elderly male patient from Wuhan, China, who travelled to Hong Kong, China. These are 3 chest radiographs selected out of the daily chest radiographs acquired in this patient. The consolidation in the right lower zone on day 0 persist into day 4 with new consolidative changes in the right midzone periphery and perihilar region. This midzone change improves on the day 7 film.
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157MCOVID-19PAX-ray2020Hong Kongimagesryct.2020200034.fig5-day7.jpeg10.1148/ryct.2020200034https://pubs.rsna.org/doi/full/10.1148/ryct.2020200034Chest radiographs of an elderly male patient from Wuhan, China, who travelled to Hong Kong, China. These are 3 chest radiographs selected out of the daily chest radiographs acquired in this patient. The consolidation in the right lower zone on day 0 persist into day 4 with new consolidative changes in the right midzone periphery and perihilar region. This midzone change improves on the day 7 film.
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165F59COVID-19YPAX-ray2020Sichuan Provincial People?s Hospital, Chengdu, Chinaimagesryct.2020200028.fig1a.jpeg10.1148/ryct.2020200028https://pubs.rsna.org/doi/full/10.1148/ryct.2020200028A 59-year-old female from Sichuan Provincial People?s Hospital presented with fever and chills. She had no history of sick contacts in the family, but she referred a plane ride 5 days prior to onset of symptoms from London, U.K., to Chengdu, China. Chest radiograph in a patient with COVID-19 infection demonstrates right infrahilar airspace opacities.
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173M54COVID-19YAPX-rayJanuary 25, 2020Myongji Hospital, Goyang, South Koreaimagesjkms-35-e79-g001-l-a.jpg10.3346/jkms.2020.35.e79https://www.jkms.org/DOIx.php?id=10.3346/jkms.2020.35.e79CC BY-NC-SASmall consolidation in right upper lobe and ground-glass opacities in both lower lobes were observed on high-resolution computed tomography scan
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179M54COVID-19YAPX-rayJanuary 31, 2020Myongji Hospital, Goyang, South Koreaimagesjkms-35-e79-g001-l-b.jpg10.3346/jkms.2020.35.e79https://www.jkms.org/DOIx.php?id=10.3346/jkms.2020.35.e79CC BY-NC-SASmall consolidation in right upper lobe and ground-glass opacities in both lower lobes were observed on high-resolution computed tomography scan
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1715M54COVID-19YAPX-rayFebruary 6, 2020Myongji Hospital, Goyang, South Koreaimagesjkms-35-e79-g001-l-c.jpg10.3346/jkms.2020.35.e79https://www.jkms.org/DOIx.php?id=10.3346/jkms.2020.35.e79CC BY-NC-SASmall consolidation in right upper lobe and ground-glass opacities in both lower lobes were observed on high-resolution computed tomography scan
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179M54COVID-19YAxialCTJanuary 31, 2020Myongji Hospital, Goyang, South Koreaimagesjkms-35-e79-g001-l-d.jpg10.3346/jkms.2020.35.e79https://www.jkms.org/DOIx.php?id=10.3346/jkms.2020.35.e79CC BY-NC-SASmall consolidation in right upper lobe and ground-glass opacities in both lower lobes were observed on high-resolution computed tomography scan
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1715M54COVID-19YAxialCTFebruary 6, 2020Myongji Hospital, Goyang, South Koreaimagesjkms-35-e79-g001-l-e.jpg10.3346/jkms.2020.35.e79https://www.jkms.org/DOIx.php?id=10.3346/jkms.2020.35.e79CC BY-NC-SASmall consolidation in right upper lobe and ground-glass opacities in both lower lobes were observed on high-resolution computed tomography scan
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185F53COVID-19PAX-ray2020Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, Chinaimagesradiol.2020200490.fig3.jpeg10.1148/radiol.2020200490https://pubs.rsna.org/doi/full/10.1148/radiol.2020200490Chest radiography of confirmed Coronavirus Disease 2019 (COVID-19) pneumonia A 53-year-old female had fever and cough for 5 days. Multifocal patchy opacities can be seen in both lungs (arrows).
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1910F55COVID-19YNNNNY36.491APX-rayJanuary 20, 2020Taoyuan General Hospital, Taoyuan, Taiwanimages1-s2.0-S0929664620300449-gr2_lrg-a.jpg10.1016/j.jfma.2020.02.007https://www.sciencedirect.com/science/article/pii/S0929664620300449CC BY-NC-NDOn January 20, 2020, a 55-year-old woman who worked in Wuhan, China, arrived at Taiwan Taoyuan International Airport and presented to quarantine officials immediately, with a history of sore throat, dry cough, fatigue, and low-grade subjective fever since January 11, 2020. Apart from a history of hypothyroidism with regular medical follow-up, she had no other underlying disease before this onset. Chest X-ray showed progression of prominent bilateral perihilar infiltration and ill-defined patchy opacities at bilateral lungs, which slowly resolved on the follow-up image.
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1913F55COVID-19YNNNNYAPX-rayJanuary 23, 2020Taoyuan General Hospital, Taoyuan, Taiwanimages1-s2.0-S0929664620300449-gr2_lrg-b.jpg10.1016/j.jfma.2020.02.007https://www.sciencedirect.com/science/article/pii/S0929664620300449CC BY-NC-NDOn January 20, 2020, a 55-year-old woman who worked in Wuhan, China, arrived at Taiwan Taoyuan International Airport and presented to quarantine officials immediately, with a history of sore throat, dry cough, fatigue, and low-grade subjective fever since January 11, 2020. Apart from a history of hypothyroidism with regular medical follow-up, she had no other underlying disease before this onset. Chest X-ray showed progression of prominent bilateral perihilar infiltration and ill-defined patchy opacities at bilateral lungs, which slowly resolved on the follow-up image.
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1917F55COVID-19YNNNNYAPX-rayJanuary 27, 2020Taoyuan General Hospital, Taoyuan, Taiwanimages1-s2.0-S0929664620300449-gr2_lrg-c.jpg10.1016/j.jfma.2020.02.007https://www.sciencedirect.com/science/article/pii/S0929664620300449CC BY-NC-NDOn January 20, 2020, a 55-year-old woman who worked in Wuhan, China, arrived at Taiwan Taoyuan International Airport and presented to quarantine officials immediately, with a history of sore throat, dry cough, fatigue, and low-grade subjective fever since January 11, 2020. Apart from a history of hypothyroidism with regular medical follow-up, she had no other underlying disease before this onset. Chest X-ray showed progression of prominent bilateral perihilar infiltration and ill-defined patchy opacities at bilateral lungs, which slowly resolved on the follow-up image.
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1925F55COVID-19YNNNNYAPX-rayFebruary 4, 2020Taoyuan General Hospital, Taoyuan, Taiwanimages1-s2.0-S0929664620300449-gr2_lrg-d.jpg10.1016/j.jfma.2020.02.007https://www.sciencedirect.com/science/article/pii/S0929664620300449CC BY-NC-NDOn January 20, 2020, a 55-year-old woman who worked in Wuhan, China, arrived at Taiwan Taoyuan International Airport and presented to quarantine officials immediately, with a history of sore throat, dry cough, fatigue, and low-grade subjective fever since January 11, 2020. Apart from a history of hypothyroidism with regular medical follow-up, she had no other underlying disease before this onset. Chest X-ray showed progression of prominent bilateral perihilar infiltration and ill-defined patchy opacities at bilateral lungs, which slowly resolved on the follow-up image.
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1927F55COVID-19YNNNNYAxialCTFebruary 6, 2020Taoyuan General Hospital, Taoyuan, Taiwanimages1-s2.0-S0929664620300449-gr3_lrg-a.jpg10.1016/j.jfma.2020.02.007https://www.sciencedirect.com/science/article/pii/S0929664620300449CC BY-NC-NDChest CT in convalescent stage showed persistent multifocal GGOs with or without superimposed reticulation and mild fibrotic change at bilateral lungs, including peripheral subpleural regions of both lower lobes. Two small irregular opacities at the RUL and RML were probably partially resolved consolidations (arrows).
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1927F55COVID-19YNNNNYAxialCTFebruary 6, 2020Taoyuan General Hospital, Taoyuan, Taiwanimages1-s2.0-S0929664620300449-gr3_lrg-b.jpg10.1016/j.jfma.2020.02.007https://www.sciencedirect.com/science/article/pii/S0929664620300449CC BY-NC-NDChest CT in convalescent stage showed persistent multifocal GGOs with or without superimposed reticulation and mild fibrotic change at bilateral lungs, including peripheral subpleural regions of both lower lobes. Two small irregular opacities at the RUL and RML were probably partially resolved consolidations (arrows).
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1927F55COVID-19YNNNNYAxialCTFebruary 6, 2020Taoyuan General Hospital, Taoyuan, Taiwanimages1-s2.0-S0929664620300449-gr3_lrg-c.jpg10.1016/j.jfma.2020.02.007https://www.sciencedirect.com/science/article/pii/S0929664620300449CC BY-NC-NDChest CT in convalescent stage showed persistent multifocal GGOs with or without superimposed reticulation and mild fibrotic change at bilateral lungs, including peripheral subpleural regions of both lower lobes. Two small irregular opacities at the RUL and RML were probably partially resolved consolidations (arrows).
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1927F55COVID-19YNNNNYAxialCTFebruary 6, 2020Taoyuan General Hospital, Taoyuan, Taiwanimages1-s2.0-S0929664620300449-gr3_lrg-d.jpg10.1016/j.jfma.2020.02.007https://www.sciencedirect.com/science/article/pii/S0929664620300449CC BY-NC-NDChest CT in convalescent stage showed persistent multifocal GGOs with or without superimposed reticulation and mild fibrotic change at bilateral lungs, including peripheral subpleural regions of both lower lobes. Two small irregular opacities at the RUL and RML were probably partially resolved consolidations (arrows).
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20MCOVID-19PAX-ray2020Jonkoping, Swedenimagescovid-19-pneumonia-15-PA.jpghttps://radiopaedia.org/cases/covid-19-pneumonia-15CC BY-NC-SAElderly male, covid-19 positive. Fever and elevated c-reactive protein. Perihilar and apical, mostly peripheral,opacifications bilaterally.Case courtesy of Dr Ali Mashalla hre, Radiopaedia.org, rID: 75037
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20MCOVID-19LX-ray2020Jonkoping, Swedenimagescovid-19-pneumonia-15-L.jpghttps://radiopaedia.org/cases/covid-19-pneumonia-15CC BY-NC-SAElderly male, covid-19 positive. Fever and elevated c-reactive protein. Perihilar and apical, mostly peripheral,opacifications bilaterally.Case courtesy of Dr Ali Mashalla hre, Radiopaedia.org, rID: 75037
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217F50COVID-19PAX-ray2020Macao, Chinaimagescovid-19-pneumonia-2.jpghttps://radiopaedia.org/cases/covid-19-pneumonia-2CC BY-NC-SAProductive cough with a sore throat for 1 week, no fever or chest pain, traveling to Macau from Wuhan 3 days prior, denied close contact with wet market. Multiple small bilateral areas of patchy confluent opacification, including a discrete rounded opacity in the right lower zone.Case courtesy of Medico Assistente Dr, Chong Keng Sang, Sam, Radiopaedia.org, rID: 73893
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2210M70COVID-19PAX-ray2020Riccione, Italyimagescovid-19-pneumonia-7-PA.jpghttps://radiopaedia.org/cases/covid-19-pneumonia-7CC BY-NC-SAFever, cough, breathing difficulties for about ten days. Vertical air space consolidation along the left costal margin.Case courtesy of Dr Domenico Nicoletti, Radiopaedia.org, rID: 74724
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2210M70COVID-19LX-ray2020Riccione, Italyimagescovid-19-pneumonia-7-L.jpghttps://radiopaedia.org/cases/covid-19-pneumonia-7CC BY-NC-SAFever, cough, breathing difficulties for about ten days. Vertical air space consolidation along the left costal margin.Case courtesy of Dr Domenico Nicoletti, Radiopaedia.org, rID: 74724
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2210M70COVID-19AxialCT2020Riccione, Italyvolumesradiopaedia_org_covid-19-pneumonia-7_85703_0-dcm.nii.gzhttps://radiopaedia.org/cases/covid-19-pneumonia-7CC BY-NC-SAThere are large areas of ground glass opacities in the lower right lobe, in the upper lobes, with interlobular septal thickening in the subpleural area. Paraseptal emphysema is present in the upper lobes. No evidence of mediastinal adenopathy.Case courtesy of Dr Domenico Nicoletti, Radiopaedia.org, rID: 74724
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23F70COVID-19PAX-ray2020Ospedale Santo Spirito. Rome, Italyimagescovid-19-pneumonia-14-PA.pnghttps://radiopaedia.org/cases/covid-19-pneumonia-14CC BY-NC-SAAdmitted at A&E with shortness of breath. There is a coarsening of lung markings more evident at the lower fields (R>L) but no clear consolidation seen. Surgical clips overlie the right breast shadow.Case courtesy of Dr Fabio Macori, Radiopaedia.org, rID: 74887
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23F70COVID-19LX-ray2020Ospedale Santo Spirito. Rome, Italyimagescovid-19-pneumonia-14-L.pnghttps://radiopaedia.org/cases/covid-19-pneumonia-14CC BY-NC-SAAdmitted at A&E with shortness of breath. There is a coarsening of lung markings more evident at the lower fields (R>L) but no clear consolidation seen. Surgical clips overlie the right breast shadow.Case courtesy of Dr Fabio Macori, Radiopaedia.org, rID: 74887
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23F70COVID-19AxialCT2020Ospedale Santo Spirito. Rome, Italyvolumesradiopaedia_org_covid-19-pneumonia-14_85914_0-dcm.nii.gzhttps://radiopaedia.org/cases/covid-19-pneumonia-14CC BY-NC-SABilateral ground-glass opacities are seen in both lungs, mostly mid to lower zones. Non-specific mediastinal lymph nodes. Surgical clips at the right breast. Case courtesy of Dr Fabio Macori, Radiopaedia.org, rID: 74887
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24M75COVID-19PAX-ray2020Ospedale Santo Spirito. Rome, Italyimagescovid-19-pneumonia-12.jpghttps://radiopaedia.org/cases/covid-19-pneumonia-12CC BY-NC-SAAP chest radiograph for CVC position shows the presence of extensive bilateral ground-glass opacities as demonstrated on the recent CT. Also right IJV catheter and ETT noted.Case courtesy of Dr Fabio Macori, Radiopaedia.org, rID: 74867
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25M50ARDSPAX-rayFebruary 26, 2019Royal Brisbane and Women's Hospital, Brisbane, Australiaimagesacute-respiratory-distress-syndrome-ards-1.jpghttps://radiopaedia.org/cases/acute-respiratory-distress-syndrome-ards-1CC BY-NC-SAETT tip above the carina. NGT in situ. Right jugular CVL tip projected at the SVC/RA junction. Diffuse bilateral and symmetric coalescent air space opacities which are less severe at the lung apices with numerous small rounded lucencies through out. Heart is mildly enlarged (although a supine projection).Case courtesy of Assoc Prof Craig Hacking, Radiopaedia.org, rID: 66478
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26M65ARDSPAX-rayMay 10, 2015Melbourne, Australiaimagesacute-respiratory-distress-syndrome-ards.jpghttps://radiopaedia.org/cases/acute-respiratory-distress-syndrome-ardsCC BY-NC-SAAdmitted to ICU with necrotizing fasciitis, septic shock and acute renal failure. Progressive respiratory failure requiring ventilation. Multifocal bilateral air-space opacities, in a predominantly perihilar and lower zone distribution.Case courtesy of Assoc Prof Frank Gaillard, Radiopaedia.org, rID: 35985
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272M35ARDSPAX-rayJune 5, 2017Royal Brisbane and Women's Hospital, Brisbane, Australiaimagesards-secondary-to-tiger-snake-bite.pnghttps://radiopaedia.org/cases/ards-secondary-to-tiger-snake-biteCC BY-NC-SAETT, NGT and right jugular CVL are well positioned. Diffuse hazy and coalescent airspace opacification bilaterally with a predominance in the lower and mid zones (which has increased from the initial daily CXRs).Case courtesy of Assoc Prof Craig Hacking, Radiopaedia.org, rID: 53759
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28M40PneumocystisPAX-rayMay 4, 2010Melbourne, Australiaimagespneumocystis-pneumonia-2-PA.pnghttps://radiopaedia.org/cases/pneumocystis-pneumonia-2CC BY-NC-SAThere is hazy, predominantly perihilar mid and upper zone opacification with some interstitial prominence. A few discrete cysts (pneumatocoeles) measuring up to 1 cm can be seen. No pleural effusion. No obvious nodal enlargement.Case courtesy of Dr Andrew Dixon, radiopaedia.org, rID: 9613
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28M40PneumocystisLX-rayMay 4, 2010Melbourne, Australiaimagespneumocystis-pneumonia-2-L.pnghttps://radiopaedia.org/cases/pneumocystis-pneumonia-2CC BY-NC-SAThere is hazy, predominantly perihilar mid and upper zone opacification with some interstitial prominence. A few discrete cysts (pneumatocoeles) measuring up to 1 cm can be seen. No pleural effusion. No obvious nodal enlargement.Case courtesy of Dr Andrew Dixon, radiopaedia.org, rID: 9613
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29565StreptococcusPAX-rayMay 9, 2019Laniado Hospital, Netanya, Israelimagesstreptococcus-pneumoniae-pneumonia-1.jpghttps://radiopaedia.org/cases/streptococcus-pneumoniae-pneumonia-1CC BY-NC-SALarge consolidations in the right upper lobe, with abulging horizontal fissure, and right lower lobe.Case courtesy of Dr Yair Glick, Radiopaedia.org, rID: 68055
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30F30StreptococcusPAX-rayOct 8, 2010Melbourne, Australiaimagespneumonia-7.jpghttps://radiopaedia.org/cases/pneumonia-7CC BY-NC-SAExtensive consolidation and air bronchograms with loss of the right hemidiaphragm in keeping with right lower lobe pneumonia.Case courtesy of Assoc Prof Frank Gaillard, radiopaedia.org, rID: 11009
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310F25StreptococcusPAX-ray2014Melbourne, Australiaimagesstreptococcus-pneumoniae-pneumonia-temporal-evolution-1-day0.jpghttps://radiopaedia.org/cases/streptococcus-pneumoniae-pneumonia-temporal-evolution-1CC BY-NC-SAWhen patient presented to ED there was wide spread opacity across patient right lung field especially on lower lung field with positive air-bronchogram which indicate consolidation of right lower or middle lobe. There was some opacity just above the right horizontal fissure which may suggest progression of infection into right upper lobe. The right heart border was lost. During her admission at hospital, the opacity spread to right upper lobe and started to develop opacity on left lung field and more prominent air-bronchogram which consistent with wide spread of infection across both lung. Endotracheal tube can be seen at 2nd day of admission.Case courtesy of Dr Jack Ren, radiopaedia.org, rID: 29090
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311F25StreptococcusPAX-ray2014Melbourne, Australiaimagesstreptococcus-pneumoniae-pneumonia-temporal-evolution-1-day1.jpghttps://radiopaedia.org/cases/streptococcus-pneumoniae-pneumonia-temporal-evolution-1CC BY-NC-SAWhen patient presented to ED there was wide spread opacity across patient right lung field especially on lower lung field with positive air-bronchogram which indicate consolidation of right lower or middle lobe. There was some opacity just above the right horizontal fissure which may suggest progression of infection into right upper lobe. The right heart border was lost. During her admission at hospital, the opacity spread to right upper lobe and started to develop opacity on left lung field and more prominent air-bronchogram which consistent with wide spread of infection across both lung. Endotracheal tube can be seen at 2nd day of admission.Case courtesy of Dr Jack Ren, radiopaedia.org, rID: 29090
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312F25StreptococcusPAX-ray2014Melbourne, Australiaimagesstreptococcus-pneumoniae-pneumonia-temporal-evolution-1-day2.jpghttps://radiopaedia.org/cases/streptococcus-pneumoniae-pneumonia-temporal-evolution-1CC BY-NC-SAWhen patient presented to ED there was wide spread opacity across patient right lung field especially on lower lung field with positive air-bronchogram which indicate consolidation of right lower or middle lobe. There was some opacity just above the right horizontal fissure which may suggest progression of infection into right upper lobe. The right heart border was lost. During her admission at hospital, the opacity spread to right upper lobe and started to develop opacity on left lung field and more prominent air-bronchogram which consistent with wide spread of infection across both lung. Endotracheal tube can be seen at 2nd day of admission.Case courtesy of Dr Jack Ren, radiopaedia.org, rID: 29090
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313F25StreptococcusPAX-ray2014Melbourne, Australiaimagesstreptococcus-pneumoniae-pneumonia-temporal-evolution-1-day3.jpghttps://radiopaedia.org/cases/streptococcus-pneumoniae-pneumonia-temporal-evolution-1CC BY-NC-SAWhen patient presented to ED there was wide spread opacity across patient right lung field especially on lower lung field with positive air-bronchogram which indicate consolidation of right lower or middle lobe. There was some opacity just above the right horizontal fissure which may suggest progression of infection into right upper lobe. The right heart border was lost. During her admission at hospital, the opacity spread to right upper lobe and started to develop opacity on left lung field and more prominent air-bronchogram which consistent with wide spread of infection across both lung. Endotracheal tube can be seen at 2nd day of admission.Case courtesy of Dr Jack Ren, radiopaedia.org, rID: 29090
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327M43COVID-19APX-rayMarch 10, 2020Italyimages39EE8E69-5801-48DE-B6E3-BE7D1BCF3092.jpeghttps://www.sirm.org/2020/03/10/covid-19-caso-32/43-year-old man, in the absence of known medical history pathologies.For 7 days fever and asthenia Blood count, PCR and procalciton in the norm. Extended and nuanced parenchymal thickening in the middle-lower right field.Credit to R. Bonacini, G. Besutti, P. Pattacini Radiology IRCCS Reggio Emilia; Director Pierpaolo Pattacini
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327M43COVID-19AxialCTMarch 10, 2020Italyimages191F3B3A-2879-4EF3-BE56-EE0D2B5AAEE3.jpeghttps://www.sirm.org/2020/03/10/covid-19-caso-32/43-year-old man, in the absence of known medical history pathologies.For 7 days fever and asthenia Blood count, PCR and procalciton in the norm. Extended and nuanced parenchymal thickening in the middle-lower right field.Credit to R. Bonacini, G. Besutti, P. Pattacini Radiology IRCCS Reggio Emilia; Director Pierpaolo Pattacini
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327M43COVID-19AxialCTMarch 10, 2020ItalyimagesDE488FE1-0C44-428B-B67A-09741C1214C0.jpeghttps://www.sirm.org/2020/03/10/covid-19-caso-32/43-year-old man, in the absence of known medical history pathologies.For 7 days fever and asthenia Blood count, PCR and procalciton in the norm. Extended and nuanced parenchymal thickening in the middle-lower right field.Credit to R. Bonacini, G. Besutti, P. Pattacini Radiology IRCCS Reggio Emilia; Director Pierpaolo Pattacini
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333M62COVID-1997PAX-rayMar 3, 2020Italyimages7C69C012-7479-493F-8722-ABC29C60A2DD.jpeghttps://www.sirm.org/2020/03/03/covid19-caso-2/Remote history changes, not copatologies. Onset with asthenia, dry cough and 3 days serotin fever. pO 2 = 97% in air; PCR = 0.75.Credit to UOC Radiology ASST Bergamo Est Director Dr Gianluigi Patelli
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333M62COVID-1997LX-rayMar 3, 2020Italyimages44C8E3D6-20DA-42E9-B33B-96FA6D6DE12F.jpeghttps://www.sirm.org/2020/03/03/covid19-caso-2/Remote history changes, not copatologies. Onset with asthenia, dry cough and 3 days serotin fever. pO 2 = 97% in air; PCR = 0.75.Credit to UOC Radiology ASST Bergamo Est Director Dr Gianluigi Patelli
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333M62COVID-19AxialCTMar 3, 2020Italyimages3ED3C0E1-4FE0-4238-8112-DDFF9E20B471.jpeghttps://www.sirm.org/2020/03/03/covid19-caso-2/Standard CT, reconstruction with lung algorithm on axial and coronal images. Only a few nuanced bilateral alveolar infiltrative thickens are observed in a picture of interstitial-alveolar pneumonia at onset.Credit to UOC Radiology ASST Bergamo Est Director Dr Gianluigi Patelli
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34M45COVID-19APX-rayMar 4, 2020Italyimages2C10A413-AABE-4807-8CCE-6A2025594067.jpeghttps://www.sirm.org/2020/03/04/covid-19-caso-4/Chest X-ray (AP in bed). We compare the chest radiographic examination, performed a few hours before the CT investigation. Small and subtle bilateral opacities are evident. The radiographic investigation underestimates the degree of lung involvement.Credit to Radiology ASST Cremona
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34M45COVID-19AxialCTMar 4, 2020ItalyimagesFC230FE2-1DDF-40EB-AA0D-21F950933289.jpeghttps://www.sirm.org/2020/03/04/covid-19-caso-4/In all the lung lobes are evident multiple airs of increased ground glass density. In the subpleural regions of the apical segments of both lower lobes, perilobular arrangement of ground-glass alterations is appreciated. Credit to Radiology ASST Cremona
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34M45COVID-19AxialCTMar 4, 2020Italyimages66298CBF-6F10-42D5-A688-741F6AC84A76.jpeghttps://www.sirm.org/2020/03/04/covid-19-caso-4/In all the lung lobes are evident multiple airs of increased ground glass density. In the subpleural regions of the apical segments of both lower lobes, perilobular arrangement of ground-glass alterations is appreciated. Credit to Radiology ASST Cremona
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35M43COVID-19APX-rayMar 4, 2020ItalyimagesE1724330-1866-4581-8CD8-CEC9B8AFEDDE.jpeghttps://www.sirm.org/2020/03/04/covid-19-caso-7/Chest X-ray (AP in bed): We compare the chest radiographic examination, performed a few hours before the CT scan. It is evident nuanced peripheral hypodiaphaly in the lower III of the left hemithorax. Data poorly correlated to CT findings, by underestimation.Credit to Radiology ASST Cremona
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35M43COVID-19AxialCTMar 4, 2020Italyimages925446AE-B3C7-4C93-941B-AC4D2FE1F455.jpeghttps://www.sirm.org/2020/03/04/covid-19-caso-7/Extended ground glass alteration in the LIS, with consolidative areas in the context. Smaller alteration with similar densitometric characteristics in the LID. Small ground glass areas in both upper lobes.Credit to Radiology ASST Cremona
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35M43COVID-19AxialCTMar 4, 2020Italyimages6A7D4110-2BFC-4D9A-A2D6-E9226D91D25A.jpeghttps://www.sirm.org/2020/03/04/covid-19-caso-7/Extended ground glass alteration in the LIS, with consolidative areas in the context. Smaller alteration with similar densitometric characteristics in the LID. Small ground glass areas in both upper lobes.Credit to Radiology ASST Cremona
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367M67COVID-1961.3PAX-ray2020Italyimages8FDE8DBA-CFBD-4B4C-B1A4-6F36A93B7E87.jpeghttps://www.sirm.org/2020/03/05/covid-19-caso-8/Chest radiogram at onset, performed on an outpatient basis in another hospital: o pleuroparenchymal thickenings; thickening of the peribronco-vascular interstitium. "Credit to UOC Radiology ASST Bergamo Est Director Dr Gianluigi Patelli
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3613M67COVID-19PAX-ray2020Italyimages9C34AF49-E589-44D5-92D3-168B3B04E4A6.jpeghttps://www.sirm.org/2020/03/05/covid-19-caso-8/At the entrance: pO2 = 61.3% (emogas) PCR = 12.17 mg / dL. Multiple bilateral parenchymal thickenings in the lower lobes.Increase in interstitial thickening.
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3613M67COVID-19AxialCT2020Italyimages21DDEBFD-7F16-4E3E-8F90-CB1B8EE82828.jpeghttps://www.sirm.org/2020/03/05/covid-19-caso-8/On the same day he performs CT Thorax which highlights a mixed type pattern with multiple bilateral alveolar infiltrates, associated with parenchymal thickening and disventilative striae.Credit to UOC Radiology ASST Bergamo Est Director Dr Gianluigi Patelli
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375M58COVID-19YNY37.588PAX-ray3/3/2020ItalyimagesF2DE909F-E19C-4900-92F5-8F435B031AC6.jpeghttps://www.sirm.org/2020/03/07/covid-19-caso-12/Upon entering PS: TC 37.5;SPO2 = 88%;Hemoglobin 11.50;GB 7250;Neutrophils 90.20%;Platelets 67000. Hospitalization and, in the light of the radiological finding, request for Covid 19 infectious disease assessment and research, which is positive. In the next hour worsening of dyspnea and need for hospitalization in Resuscitation.Credit to Anna Simeone House of Relief of Suffering - San Giovanni Rotondo
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377M58COVID-19YYYYPAX-ray3/7/2020Italyimages31BA3780-2323-493F-8AED-62081B9C383B.jpeghttps://www.sirm.org/2020/03/07/covid-19-caso-12/Upon entering PS: TC 37.5;SPO2 = 88%;Hemoglobin 11.50;GB 7250;Neutrophils 90.20%;Platelets 67000. Hospitalization and, in the light of the radiological finding, request for Covid 19 infectious disease assessment and research, which is positive. In the next hour worsening of dyspnea and need for hospitalization in Resuscitation.Credit to Anna Simeone House of Relief of Suffering - San Giovanni Rotondo
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380F61No FindingYNN37.898PAX-ray2019ItalyimagesF051E018-DAD1-4506-AD43-BE4CA29E960B.jpeghttps://www.sirm.org/2020/03/08/covid-19-caso-13/Female, 61 years old, smoker. In November 2019 fever cough and asthenia treated with Ceftriaxone, subsequently with Amoxicillin and cortisone therapy. For a few days, the appearance of cough and fever 37.8 ?, modest asthenia. 98% pO2 saturation is detected in ambient air. No pleuro-parenchymal outbreaks in progress.Heart and small circle within limits.Credit to UOC Radiology ASST Bergamo Est Director Dr Gianluigi Patelli
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380F61No FindingYNN37.898AxialCT2019Italyimages5083A6B7-8983-472E-A427-570A3E03DDEE.jpeghttps://www.sirm.org/2020/03/08/covid-19-caso-13/Female, 61 years old, smoker. In November 2019 fever cough and asthenia treated with Ceftriaxone, subsequently with Amoxicillin and cortisone therapy. For a few days, the appearance of cough and fever 37.8 ?, modest asthenia. 98% pO2 saturation is detected in ambient air. No pleuro-parenchymal outbreaks in progress.Heart and small circle within limits.Credit to UOC Radiology ASST Bergamo Est Director Dr Gianluigi Patelli
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392M50COVID-193893PAX-ray2020Italyimages1312A392-67A3-4EBF-9319-810CF6DA5EF6.jpeghttps://www.sirm.org/2020/03/08/covid-19-caso-14/Male, 50 years old, non-co-pathological, symptomatic for two days, worsening, with dry cough, pyrexia over 38 ? C, asthenia. 93% pO2 saturation is detected in ambient air. The radiological picture is typical for COVID-19 interstitial pneumonia.The patient is accompanied to the emergency room, subjected to a pharyngeal swab and hospitalized for appropriate treatment.Credit to UOC Radiology ASST Bergamo Est Director Dr Gianluigi Patelli
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392M50COVID-193893AxialCT2020Italyimages396A81A5-982C-44E9-A57E-9B1DC34E2C08.jpeghttps://www.sirm.org/2020/03/08/covid-19-caso-14/Male, 50 years old, non-co-pathological, symptomatic for two days, worsening, with dry cough, pyrexia over 38 ? C, asthenia. 93% pO2 saturation is detected in ambient air. The radiological picture is typical for COVID-19 interstitial pneumonia.The patient is accompanied to the emergency room, subjected to a pharyngeal swab and hospitalized for appropriate treatment.Credit to UOC Radiology ASST Bergamo Est Director Dr Gianluigi Patelli
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4010F46COVID-19YNN98PAX-ray2020Italyimages23E99E2E-447C-46E5-8EB2-D35D12473C39.pnghttps://www.sirm.org/2020/03/08/covid-19-caso-15/46-year-old female, non-co-pathological, asymptomatic. 98% pO2 saturation is detected in ambient air. He reports nonspecific low back pain about 10 days ago, resolved spontaneously. In cohabitation with her husband (case 14), whom she accompanies, without personal protective equipment. CLINICAL DIAGNOSTIC PATH: following the radiological diagnosis of interstitial pneumonia of the husband, it was decided to subject the woman, although asymptomatic, to Standard Radiogram of the chest and subsequently to Basal CT of the chest. Chest x-ray: thickening of the peribroncovascular interstitium in the lower left pulmonary field.Multiple areas of small parenchymal thickening on the left both in the upper and lower lung field and on the right in the upper right lung field.No pleural effusion.Heart and small circle within limits.Credit to UOC Radiology ASST Bergamo Est Director Dr Gianluigi Patelli
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41M71COVID-1937.897PAX-ray2020Italyimages7AF6C1AF-D249-4BD2-8C26-449304105D03.jpeghttps://www.sirm.org/2020/03/10/covid-19-caso-21/Male, 71 years old, travels to PS for fever (37.8 ?) and cough, eupnoic. In history of ischemic heart disease. Saturation pO2 97%. Chest x-ray performed with portable device positioned in a tensile structure specifically used outside the PS. The radiographic investigation shows a widespread increase in the peribroncovascular interstitial plot with associated multiple areas of parenchymal thickening arranged mainly at the level of the upper field of both lungs.Heart increased in volume;hypo-expanded but free of pouring costofrenic sinuses.Credit to Izzo Andrea, D'Aversa Lucia, Ceremonial Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Di Pastena Francesca
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427F69COVID-1936.596PAX-ray2020Italyimages1B734A89-A1BF-49A8-A1D3-66FAFA4FAC5D.jpeghttps://www.sirm.org/2020/03/10/covid-19-caso-22/Women, 69 years old, has reported fever since one week treated with antibiotics without benefit. In the anamnesis, he does not report any noteworthy pathologies. PS temperature in the normal range (36.5 ?), pO2 96%, eupnoic. The radiographic investigation shows a discrete increase in the peribroncovascular interstitium with associated some nuanced parenchymal thickenings at the base of both lungs.Cardiomediastinal shadow in the norm.Normo-expanded costophrenic sinusesCredit to Izzo Andrea, D'Aversa Lucia, Ceremonial Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Di Pastena Francesca
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43M27COVID-1992PAX-ray2020ItalyimagesCD50BA96-6982-4C80-AE7B-5F67ACDBFA56.jpeghttps://www.sirm.org/2020/03/10/covid-19-caso-23/Male, 27 years old, transferred from another hospital for suspected pneumonia. Deny other pathologies. Deny contact with COVID-19 positive Pcs and with people from risk areas. Eupnoic, apiretic with 92% pO2. The radiographic investigation demonstrates the presence of an increase in the peribroncovascular interstitial plot with associated parenchymal thickenings especially in the basal and lateral subpleural site at the level of the middle-upper field of the right lung.Credit to Izzo Andrea, D'Aversa Lucia, Ceremonial Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Di Pastena Francesca
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44F78COVID-19N50PAX-ray2020Italyimages85E52EB3-56E9-4D67-82DA-DEA247C82886.jpeghttps://www.sirm.org/2020/03/10/covid-19-caso-24/Woman, 78 years old, transported since 118 from another hospital for acute respiratory failure. Conscious, tachypnoic, apyretic with 50% pO2. Chest x-ray required, hospitalized in resuscitation and predisposed to nasopharyngeal swab (COVID-19 positive). The X-ray investigation demonstrates a widespread increase in the peribroncovascular interstitial plot with associated bilateral bilateral thickening, especially on the right.Credit to Izzo Andrea, D'Aversa Lucia, Ceremonial Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Di Pastena Francesca
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45F71COVID-1997PAX-ray2020Italyimages6CB4EFC6-68FA-4CD5-940C-BEFA8DAFE9A7.jpeghttps://www.sirm.org/2020/03/10/covid-19-caso-25/Woman, 71 years old, reports dyspnea and fever. In anamnesis COPD, IRC, arterial hypertension, DM, mitral valve replacement. In slightly tachypnoic PS, apyretic with 97% pO2. Deny contact with COVID-19 positive Pcs and with people from risk areas. The X-ray investigation demonstrates a widespread increase in the peribroncovascular interstitial plot with associated bilateral bilateral parenchymal thickening.Pleural effusion on the right with obliteration of the costophrenic sinus on this side.Credit to Izzo Andrea, D'Aversa Lucia, Ceremonial Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Di Pastena Francesca
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465F55COVID-1970PAX-ray2020Italyimages01E392EE-69F9-4E33-BFCE-E5C968654078.jpeghttps://www.sirm.org/2020/03/10/covid-19-caso-26/Woman, 55 years old, reports dyspnea for a few days, does not report fever. In the history of asthma and type II diabetes. At first he denies contacts with people in a feverish state and coming from areas at risk. After a more accurate and "insistent" anamnesis, he reports that the cohabiting son works in a company where COVID-19 cases have occurred in the risk area (Lombardy).Credit to Izzo Andrea, D'Aversa Lucia, Ceremonial Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Di Pastena Francesca
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47F58COVID-19PAX-ray2020ItalyimagesF63AB6CE-1968-4154-A70F-913AF154F53D.jpeghttps://www.sirm.org/2020/03/10/covid-19-caso-27/Woman, 58, has been reporting wheezing and fever for over a week. COPD history and dilated cardiomyopathy with severe congestive heart failure (FE 25%); severe obesity. The patient reports that she has not been in regions and / or cities with epidemic outbreaks nor has she received people from areas at risk. The radiographic investigation shows a widespread increase in the peribroncovascular interstitial plot with associated multiple areas of parenchymal thickening arranged in correspondence with the upper field of both lungs. Heart increased in volume; hypo-expanded but free of pouring costofrenic sinuses. The X-ray pattern confirms the presence of bilateral interstitial pneumonia strongly suspected for a positivity to COVID-19.Credit to Izzo Andrea, D'Aversa Lucia, Ceremonial Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Di Pastena Francesca
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487M68COVID-19PAX-ray2020Italyimages2C26F453-AF3B-4517-BB9E-802CF2179543.jpeghttps://www.sirm.org/2020/03/10/covid-19-caso-29/68-year-old man with chronic lymphatic leukemia in follow-up, high blood pressure and dyslipidemia. For 7 days, hyperpyrexia with dyspnoea and diarrheal alve has appeared. Leukocytosis, elevated PCR and normal procalcitonin. Multiple bilateral ribbon-like parenchymal thickenings.No pleural effusion.Credit to R. Bonacini, G. Besutti, P. Pattacini Radiology IRCCS Reggio Emilia; Director Pierpaolo Pattacini
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493M64COVID-19PAX-ray2020Italyimages93FE0BB1-022D-4F24-9727-987A07975FFB.jpeghttps://www.sirm.org/2020/03/10/covid-19-caso-30/64 year old man suffering from diabetes mellitus and hypertension. Dyspnoea, cough and hyperpyrexia for 3 days. Normal blood count and procalcitonin. High PCR (13.44 mg / dL). Multiple bilateral parenchymal thickenings.Credit to R. Bonacini, G. Besutti, P. Pattacini Radiology IRCCS Reggio Emilia; Director Pierpaolo Pattacini
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505M63COVID-19APX-ray2020ItalyimagesB59DD164-51D5-40DF-A926-6A42DD52EBE8.jpeghttps://www.sirm.org/2020/03/10/covid-19-caso-31/63 year old man with night apnea in home CPAP. For 5 days fever, asthenia, pharyngodynia and diarrheal alvo. High PCR (16.27 mg / dL), normal hematocrit and procalcitonin. Extended and multiple bilateral parenchymal thickenings.Credit to R. Bonacini, G. Besutti, P. Pattacini Radiology IRCCS Reggio Emilia; Director Pierpaolo Pattacini
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513M47COVID-19Y3995PAX-rayMarch 4, 2020ItalyimagesF4341CE7-73C9-45C6-99C8-8567A5484B63.jpeghttps://www.sirm.org/2020/03/10/covid-19-caso-34/Male patient, 47 years old. Remote history changes, not co-pathologies. Onset March 1, 2020 with asthenia, arthralgias, headache, dry cough and pyrexia 39 ?. pO 2 = 95% in ambient air. PS access on March 4, 2020. There are some nuanced bilateral alveolar infiltrative thickenings in a picture of onset alveolar interstitial pneumonia.Credit to G.Patelli , F.Besana , S. Paganoni *, F.Codazzi *, A.Tedeschi ** * UOC Radiology ASST Bergamo Est; ** UOC Medicine ASST Bergamo Est
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513M47COVID-19Y3995LX-rayMarch 4, 2020ItalyimagesD5ACAA93-C779-4E22-ADFA-6A220489F840.jpeghttps://www.sirm.org/2020/03/10/covid-19-caso-34/Male patient, 47 years old. Remote history changes, not co-pathologies. Onset March 1, 2020 with asthenia, arthralgias, headache, dry cough and pyrexia 39 ?. pO 2 = 95% in ambient air. PS access on March 4, 2020. There are some nuanced bilateral alveolar infiltrative thickenings in a picture of onset alveolar interstitial pneumonia.Credit to G.Patelli , F.Besana , S. Paganoni *, F.Codazzi *, A.Tedeschi ** * UOC Radiology ASST Bergamo Est; ** UOC Medicine ASST Bergamo Est
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519M47COVID-19YPAX-rayMarch 10, 2020ItalyimagesE63574A7-4188-4C8D-8D17-9D67A18A1AFA.jpeghttps://www.sirm.org/2020/03/10/covid-19-caso-34/Appearance of pulmonary parenchymal thickenings, some with interstitial changes.Credit to G.Patelli , F.Besana , S. Paganoni *, F.Codazzi *, A.Tedeschi ** * UOC Radiology ASST Bergamo Est; ** UOC Medicine ASST Bergamo Est
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519M47COVID-19YLX-rayMarch 10, 2020Italyimages35AF5C3B-D04D-4B4B-92B7-CB1F67D83085.jpeghttps://www.sirm.org/2020/03/10/covid-19-caso-34/Appearance of pulmonary parenchymal thickenings, some with interstitial changes.Credit to G.Patelli , F.Besana , S. Paganoni *, F.Codazzi *, A.Tedeschi ** * UOC Radiology ASST Bergamo Est; ** UOC Medicine ASST Bergamo Est
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523F72COVID-1936.992APX-rayMarch 5, 2020Italyimages5CBC2E94-D358-401E-8928-965CCD965C5C.jpeghttps://www.sirm.org/2020/03/11/covid-19-caso-38/72-year-old woman shows up on March 5, 2020 in PS with fever and dyspepsia with diarrheal episodes for about 3 days. Patient in close contact with another positive COVID person in the last days of February. Medical history: diabetic in oral treatment Physical examination: good general conditions, eupnoic, norm-transmitted FVT; temperature 36.9 ? C, saturation 92%. Laboratory tests at the entrance (07/03/2020) after admission to the Tropical Diseases ward: GB 4.6 U / l, lymphocytopenia (0.7 U / L) .; PCR 80 mg / l. Laboratory tests of 10/03/2020: GB 6.1 U / l; lymphocytes 0.7 U / l; PCR 141 mg / l. Bilateral parenchymal consolidations at the posterior regions of the lower lung lobes, bilaterally.Subpleural nodules at the anterior segments of the left upper lung lobe.Multiple frosted glass opacities across the lung.No pleural effusion.Credit to Andrea Nardi, Giovanni Carbognin Radiology - IRCSS Sacro Cuore Don Calabria Hospital - Veneto Region - Negrar (VR)
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53M53COVID-19AP SupineX-ray2020Italyimages446B2CB6-B572-40AB-B01F-1910CA07086A.jpeghttps://www.sirm.org/2020/03/11/covid-19-caso-40/Patient of 53 years, with arterial hypertension in pharmacological treatment and with recent CT-scan of significant monovasal obstructive epicardial coronary artery disease, on the list for coronary angiography, enters PS for syncopal episode in the absence of angor, dyspnoea and declining edemas. The patient at admission is apiretic (T: 36 ? C) and denies potential contacts with patients with COVID-19 or recent stay in areas at risk. Laboratory tests on admission reveal a slight reduction in white blood cells (3.47 x10 ^ 3 / ul; vn 4.5 - 10.0) in the absence of significant lymphopenia, increased fibrinogen (650 mg / dL vn 150-450 ), negative troponin, ESR within the limits (13 mm / h; vn <15). In the evening he develops a slight increase in body temperature (T 37 ? C) and performs negative chest X-ray for defined parenchymal alterations.Credit to Marco Di Serafino, Francesca Iacobellis, Giovanna Russo, Luigia Romano. AORN "Antonio Cardarelli" - Naples
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5410M73COVID-19PAX-ray2020Italyimages80446565-E090-4187-A031-9D3CEAA586C8.jpeghttps://www.sirm.org/2020/03/11/covid-19-caso-41/73-year-old male patient. He enters Mortara's PS for a 10-day fever not responsive to paracetamol. WBC within limits, PCR not available PS radiography at Mortara Hospital (fever indication). Feedback of right interstitial paracardial thickening with tendency to cavitation in its most cranial portion.Mild right hilar enlargement.The phlogistic-infectious nature is hypothesized.Credit to Federico Paltenghi, Lucia Volpato, Giuseppe Bandi ASST Pavia, hospitals of Vigevano and Mortara, director f / f Elena Belloni
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5510M87COVID-1995APX-rayMarch 7, 2020Italyimages7E335538-2F86-424E-A0AB-6397783A38D0.jpeghttps://www.sirm.org/2020/03/13/covid-19-caso-42/Male patient, 87 years old, hospitalized from 02/27 to 01/03/2020 with diagnosis of right heart failure in hypertensive heart disease and PM, regressed with diuretic therapy. At home, unproductive cough without fever. Progressive dyspnea for which he is transported to DEA on 07/03. Apiretic patient, bilateral middle-basal crepitations. Chest x - ray: bilateral middle - basal pulmonary parenchymal thickening, more evident on the right.Credit to Bozzalla Cassione Francesca, Demaria Paolo, Baralis Ilaria, Negri Alberto, Cerutti Andrea, Priotto Roberto, Violin Paolo SC Radiodiagnostics - AO . Croce e Carle Cuneo
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569F82COVID-196.84AP SupineX-rayMarch 5, 2020ItalyimagesD7AF463C-2369-492D-908D-BE1911CCD74C.jpeghttps://www.sirm.org/2020/03/13/covid-19-caso-43/82 year old female patient. On 3/3 he enters the PS of Vigevano for dyspnea and fever for 7 days, in anamnesis k renal and arterial hypertension. Blood chemistry tests: WBC 6.84; PCR 106.93 (limit 5); VES 45 (limit 15); LDH 314 (limit 214); Glucose 137. Findings of alterations in the interstitium of the left hemithorax with discrete diffuse reduction in pulmonary transparency, greater in the peripheral area, and in suspected traces of effusion. Pleural parenchymal findings within the limits on the right. No signs of heart failure. TC deepening is recommended.Credit to Federico Paltenghi, Federica Lucev, Elena Belloni ASST Pavia, hospital of Vigevano, director of ff Elena Belloni
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5712F67COVID-19YPAX-rayJanuary 12, 2020Hospital of Wuhan University, Wuhan, Chinaimagesall14238-fig-0001-m-b.jpg10.1111/all.14238https://onlinelibrary.wiley.com/doi/full/10.1111/all.14238Chest Xay and CT images of a 67ld woman with onset of cough and sputum on January 1, 2020, and progressively developed dyspnea. A, Transverse CT scan image on January 9 showing multiple lobular and segmental consolidation combined with groundlass opacities diffusely distributed in bilateral lung field. B, Chest Xay showing extended bilateral consolidation on January 12. C, The attenuation and the involvement of the consolidation decreased in chest Xay of January 17 (D) CT scan on January 22 showing absorption of bilateral consolidation, scattered fibrous can be observed. The symptoms and dyspnea of the patient improved after treatment, and the patient was discharged on January 24
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5722F67COVID-19YPAX-rayJanuary 22, 2020Hospital of Wuhan University, Wuhan, Chinaimagesall14238-fig-0001-m-c.jpg10.1111/all.14238https://onlinelibrary.wiley.com/doi/full/10.1111/all.14238Chest Xay and CT images of a 67ld woman with onset of cough and sputum on January 1, 2020, and progressively developed dyspnea. A, Transverse CT scan image on January 9 showing multiple lobular and segmental consolidation combined with groundlass opacities diffusely distributed in bilateral lung field. B, Chest Xay showing extended bilateral consolidation on January 12. C, The attenuation and the involvement of the consolidation decreased in chest Xay of January 17 (D) CT scan on January 22 showing absorption of bilateral consolidation, scattered fibrous can be observed. The symptoms and dyspnea of the patient improved after treatment, and the patient was discharged on January 24
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586M36COVID-19NYNYAP SupineX-rayJanuary 12Hospital of Wuhan University, Wuhan, Chinaimagesall14238-fig-0002-m-d.jpg10.1111/all.14238https://onlinelibrary.wiley.com/doi/full/10.1111/all.14238Chest Xay and CT scan images of a 36ld man without history of smoking. The patient had fever, cough, and diarrhea on January 6, 2020. A, Transverse CT images on January 9. A, Bilateral multiple groundlass opacities, most of them are irregular small round lesions scattered in the lung field in upper lobe. B, Bilateral multiple irregular groundlass opacities and a wedgehaped opacity located in the right upper lobe under the pleura. C, Bilateral multiple irregular groundlass opacities and a small nodular opacity located in the left lower upper lobe under the pleura. D, The symptoms of the patient deteriorated on January 12, chest Xay showing bilateral diffuse patchy and consolidation, soalled hite lung.E, Chest Xay after intubation and mechanical ventilation on January 13, the attenuation lowered down, leaving scattered small irregular consolidation. F, On January 20, bilateral lung lesions deteriorated, and bilateral costophrenic angles were not clearly displayed, suggesting pleural effusion. The patient died on January 21
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587M36COVID-19NYYYYAP SupineX-rayJanuary 13Hospital of Wuhan University, Wuhan, Chinaimagesall14238-fig-0002-m-e.jpg10.1111/all.14238https://onlinelibrary.wiley.com/doi/full/10.1111/all.14238Chest Xay and CT scan images of a 36ld man without history of smoking. The patient had fever, cough, and diarrhea on January 6, 2020. A, Transverse CT images on January 9. A, Bilateral multiple groundlass opacities, most of them are irregular small round lesions scattered in the lung field in upper lobe. B, Bilateral multiple irregular groundlass opacities and a wedgehaped opacity located in the right upper lobe under the pleura. C, Bilateral multiple irregular groundlass opacities and a small nodular opacity located in the left lower upper lobe under the pleura. D, The symptoms of the patient deteriorated on January 12, chest Xay showing bilateral diffuse patchy and consolidation, soalled hite lung.E, Chest Xay after intubation and mechanical ventilation on January 13, the attenuation lowered down, leaving scattered small irregular consolidation. F, On January 20, bilateral lung lesions deteriorated, and bilateral costophrenic angles were not clearly displayed, suggesting pleural effusion. The patient died on January 21
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5814M36COVID-19NYYYYAP SupineX-rayJanuary 20Hospital of Wuhan University, Wuhan, Chinaimagesall14238-fig-0002-m-f.jpg10.1111/all.14238https://onlinelibrary.wiley.com/doi/full/10.1111/all.14238Chest Xay and CT scan images of a 36ld man without history of smoking. The patient had fever, cough, and diarrhea on January 6, 2020. A, Transverse CT images on January 9. A, Bilateral multiple groundlass opacities, most of them are irregular small round lesions scattered in the lung field in upper lobe. B, Bilateral multiple irregular groundlass opacities and a wedgehaped opacity located in the right upper lobe under the pleura. C, Bilateral multiple irregular groundlass opacities and a small nodular opacity located in the left lower upper lobe under the pleura. D, The symptoms of the patient deteriorated on January 12, chest Xay showing bilateral diffuse patchy and consolidation, soalled hite lung.E, Chest Xay after intubation and mechanical ventilation on January 13, the attenuation lowered down, leaving scattered small irregular consolidation. F, On January 20, bilateral lung lesions deteriorated, and bilateral costophrenic angles were not clearly displayed, suggesting pleural effusion. The patient died on January 21
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595F46COVID-19YNNNN3897PAX-rayFeb 5, 2020Taiwanimages1-s2.0-S1684118220300608-main.pdf-001.jpg10.1016/j.jmii.2020.03.003https://www.sciencedirect.com/science/article/pii/S1684118220300608CC BY-NC-NDChest X-ray films of the case of COVID-19. (A) Hospital day 1: increased pulmonary infiltrations, esp. in left lung field (white arrows). (B) Hospital day 14: Resolution of pulmonary infiltrates at left lung field (white arrows).
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5919F46COVID-19YNNNNPAX-rayFeb 18, 2020Taiwanimages1-s2.0-S1684118220300608-main.pdf-002.jpg10.1016/j.jmii.2020.03.003https://www.sciencedirect.com/science/article/pii/S1684118220300608CC BY-NC-NDChest X-ray films of the case of COVID-19. (A) Hospital day 1: increased pulmonary infiltrations, esp. in left lung field (white arrows). (B) Hospital day 14: Resolution of pulmonary infiltrates at left lung field (white arrows).
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60F71COVID-19PAX-ray2020Chinaimagesciaa199.pdf-001-a.png10.1093/cid/ciaa199https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciaa199/5766408Chest x-ray images and chest CT images from a 71-year-old woman showing that there are scattered high-density shadows with fuzzy patches in the lower lobes of the two lungs, with ground glass like changes, with clear hilar structure, unobstructed trachea, no displacement of mediastinum, no enlarged lymph node shadow, and local thickening of bilateral pleura;
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61M38COVID-19PAX-ray2020Chinaimagesciaa199.pdf-001-b.png10.1093/cid/ciaa199https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciaa199/5766408Chest x-ray images and chest CT images from a 38-year-old man showing that there are small patchy ground glass like density increasing shadow in the upper and lower lobes of the left lung, with clear hilar structure, unobstructed trachea, no mediastinum displacement, no enlarged lymph node shadow, and no abnormality of pleura on both sides;
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62M12COVID-19PAX-ray2020Chinaimagesciaa199.pdf-001-c.png10.1093/cid/ciaa199https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciaa199/5766408Chest x-ray images and chest CT images from a 12-year-old boy showing that there was no abnormal density shadow in the parenchyma of both lungs, the structure of pulmonary hilus was clear, the trachea was unobstructed, mediastinum was not displaced, and no enlarged lymph node shadow was found.
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63COVID-19PAX-ray2020South Koreaimageskjr-21-e24-g001-l-a.jpg10.3348/kjr.2020.0132https://www.kjronline.org/DOIx.php?id=10.3348/kjr.2020.0132CC BY-NC-SACOVID-19 pneumonia. Anteroposterior chest radiograph shows multifocal patchy peripheral consolidations in bilateral lungs, except for left upper lung zone.
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63COVID-19CoronalCT2020South Koreaimageskjr-21-e24-g001-l-b.jpg10.3348/kjr.2020.0132https://www.kjronline.org/DOIx.php?id=10.3348/kjr.2020.0132CC BY-NC-SACOVID-19 pneumonia manifesting as confluent mixed ground-glass opacities and consolidation on CT. Coronal and axial chest CT images show confluent mixed ground-glass opacities and consolidative lesions in peripheral bilateral lungs. Discrete patchy consolidation (arrowheads) is noted in left upper lobe.
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63COVID-19AxialCT2020South Koreaimageskjr-21-e24-g001-l-c.jpg10.3348/kjr.2020.0132https://www.kjronline.org/DOIx.php?id=10.3348/kjr.2020.0132CC BY-NC-SACOVID-19 pneumonia manifesting as confluent mixed ground-glass opacities and consolidation on CT. Coronal and axial chest CT images show confluent mixed ground-glass opacities and consolidative lesions in peripheral bilateral lungs. Discrete patchy consolidation (arrowheads) is noted in left upper lobe. Most of lesions spare juxtapleural area, and minor proportion of lesions touch pleura. Lesions contain multiple air-bronchograms, and air-bronchogram in superior segment of right lower lobe is distorted (arrows).
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64COVID-19PAX-ray2020South Koreaimageskjr-21-e24-g002-l-a.jpg10.3348/kjr.2020.0132https://www.kjronline.org/DOIx.php?id=10.3348/kjr.2020.0132CC BY-NC-SACOVID-19 pneumonia. Baseline anteroposterior chest radiograph shows patchy ground-glass opacities in right upper and lower lung zones and patchy consolidation in left middle to lower lung zones. Several calcified granulomas are incidentally noted in left upper lung zone.
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64COVID-19AxialCT2020South Koreaimageskjr-21-e24-g002-l-b.jpg10.3348/kjr.2020.0132https://www.kjronline.org/DOIx.php?id=10.3348/kjr.2020.0132CC BY-NC-SACOVID-19 pneumonia manifesting as confluent pure ground-glass opacities on CT. Baseline axial and coronal chest CT images show confluent pure ground-glass opacities involving both lungs. Most of confluent and patchy ground-glass opacities about pleura and fissure in peripheral lung. A few calcified granulomas are incidentally noted in left upper lobe.
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64COVID-19CoronalCT2020South Koreaimageskjr-21-e24-g002-l-c.jpg10.3348/kjr.2020.0132https://www.kjronline.org/DOIx.php?id=10.3348/kjr.2020.0132CC BY-NC-SACOVID-19 pneumonia manifesting as confluent pure ground-glass opacities on CT. Baseline axial and coronal chest CT images show confluent pure ground-glass opacities involving both lungs. Most of confluent and patchy ground-glass opacities about pleura and fissure in peripheral lung. A few calcified granulomas are incidentally noted in left upper lobe.
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65COVID-19PAX-ray2020South Koreaimageskjr-21-e24-g003-l-a.jpg10.3348/kjr.2020.0132https://www.kjronline.org/DOIx.php?id=10.3348/kjr.2020.0132CC BY-NC-SACOVID-19 pneumonia manifesting as single nodular lesion. Anteroposterior chest radiograph shows single nodular consolidation (arrows) in left lower lung zone.
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65COVID-19CoronalCT2020South Koreaimageskjr-21-e24-g003-l-b.jpg10.3348/kjr.2020.0132https://www.kjronline.org/DOIx.php?id=10.3348/kjr.2020.0132CC BY-NC-SACOVID-19 pneumonia manifesting as single nodular lesion. Coronal chest CT image taken on same day shows 2.3-cm ill-defined nodular lesion with reversed halo sign with thick rim in left lower lobe, abutting adjacent pleura.
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66COVID-19AxialCT2020South Koreaimageskjr-21-e24-g004-l-a.jpg10.3348/kjr.2020.0132https://www.kjronline.org/DOIx.php?id=10.3348/kjr.2020.0132CC BY-NC-SACOVID-19 pneumonia manifesting as radiograph-negative multiple patchy to nodular mixed ground-glass opacities and consolidations. Axial chest CT image shows ill-defined mixed ground-glass opacities and consolidative lesions with patchy and elongated shape (arrows) touching pleura in superior segment of right lower lobe.
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66COVID-19AxialCT2020South Koreaimageskjr-21-e24-g004-l-b.jpg10.3348/kjr.2020.0132https://www.kjronline.org/DOIx.php?id=10.3348/kjr.2020.0132CC BY-NC-SACOVID-19 pneumonia manifesting as radiograph-negative multiple patchy to nodular mixed ground-glass opacities and consolidations. Axial chest CT image, mixed ground-glass opacities and solid nodules) along bronchovascular bundles in posterior segment of right upper lobe. Shows ill-defined part-solid nodules (arrows; mixed ground-glass opacities and solid nodules) along bronchovascular bundles in posterior segment of right upper lobe. es in posterior segment of right upper lobe.
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6720COVID-19YPAX-rayFeb 16, 2020Taiwanimages1-s2.0-S1684118220300682-main.pdf-002-a1.png10.1016/j.jmii.2020.03.008https://www.sciencedirect.com/science/article/pii/S1684118220300682CC BY-NC-NDNo active lung lesion was noted in patient A on admission (16 February illness day 20). The initial chest radiograph of COVID-19 patient A on hospital admission (illness day 20) was normal without active lesions (normal white blood cell (WBC) counts without lymphocytopenia and the neutrophil to lymphocyte ratio in the normal range)
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6725COVID-19YPAX-rayFeb 21, 2020Taiwanimages1-s2.0-S1684118220300682-main.pdf-002-a2.png10.1016/j.jmii.2020.03.008https://www.sciencedirect.com/science/article/pii/S1684118220300682CC BY-NC-NDright upper lung interstitial infiltrates were st presented on day 6 on admission (21 February illness day 25) (normal white blood cell (WBC) counts without lymphocytopenia and the neutrophil to lymphocyte ratio in the normal range)
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6815COVID-19YPAX-rayFeb 17, 2020Taiwanimages1-s2.0-S1684118220300682-main.pdf-003-b1.png10.1016/j.jmii.2020.03.008https://www.sciencedirect.com/science/article/pii/S1684118220300682CC BY-NC-NDLeft lower lung interstitial infiltrates were noted in patient B on admission and persisted to day 5 of admission (normal white blood cell (WBC) counts without lymphocytopenia and the neutrophil to lymphocyte ratio in the normal range)
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6819COVID-19YPAX-rayFeb 21, 2020Taiwanimages1-s2.0-S1684118220300682-main.pdf-003-b2.png10.1016/j.jmii.2020.03.008https://www.sciencedirect.com/science/article/pii/S1684118220300682CC BY-NC-NDLeft lower lung interstitial infiltrates were noted in patient B on admission and persisted to day 5 of admission (normal white blood cell (WBC) counts without lymphocytopenia and the neutrophil to lymphocyte ratio in the normal range)
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697F25COVID-19YPAX-rayJan 24, 2020Thanh H�a, Vietnamimagesgr1_lrg-a.jpg10.1016/S1473-3099(20)30111-0https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30111-0/fulltextX-ray done at admission (January 24). On admission to hospital, the patient was alert but exhausted, with mild chest pain, a temperature of 39�2�C, blood pressure of 120/70 mm Hg, a pulse of 100 beats per min, and a respiratory rate of 25 breaths per min. The patient had no crackles or bronchi rales on lung auscultation. All other clinical findings were normal. Initial laboratory tests showed a white blood cell count of 3�7 06/L, a red blood cell count of 4�28 09/L, a platelet count of 185 06/L, and a haemoglobin concentration of 127 g/L. Chest radiography showed no abnormalities
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6911F25COVID-19YPAX-rayJan 28, 2020Thanh H�a, Vietnamimagesgr1_lrg-b.jpg10.1016/S1473-3099(20)30111-0https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30111-0/fulltext X-ray done 4 days after admission (January 28). The patient had a high fever, dry cough, and chest pain for the first 2 days. On day 3, her fever subsided and her clinical condition began to improve.
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705M65COVID-1937.56.37AP SupineX-rayFeb 2, 2020Italyimages7D2CF6CE-F529-4470-8356-D33FFAF98600.jpeghttps://www.sirm.org/2020/03/13/covid-19-caso-44/entered the emergency room of Vigevano for fever (37.5 �) and cough for a few days. Blood chemistry tests: WBC 6.37 D-DIMERO <150 GLUCOSE 140 PCR 70.99 (limit 5) LDH 326 (limit 225). Mild hypotransprence of left hemithorax in hypo-expanded thorax. No other relevant findings. Credit to Federico Paltenghi, Giuseppe Bandi, Laura Nano, Vellini Silvia ASST Pavia, Vigevano hospital, director of radiology department Elena Belloni
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706M65COVID-1984PAX-ray2/29/2020ItalyimagesFE9F9A5D-2830-46F9-851B-1FF4534959BE.jpeghttps://www.sirm.org/2020/03/13/covid-19-caso-44/Hypo-expanded thorax with disventilation of the lung bases and nuanced thickening of the lung fields, greater than left. Right paratracheal calcific lymph nodes. No signs of heart failure.Credit to Federico Paltenghi, Giuseppe Bandi, Laura Nano, Vellini Silvia ASST Pavia, Vigevano hospital, director of radiology department Elena Belloni
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706M65COVID-1984LX-ray2/29/2020Italyimages4C4DEFD8-F55D-4588-AAD6-C59017F55966.jpeghttps://www.sirm.org/2020/03/13/covid-19-caso-44/Hypo-expanded thorax with disventilation of the lung bases and nuanced thickening of the lung fields, greater than left. Right paratracheal calcific lymph nodes. No signs of heart failure.Credit to Federico Paltenghi, Giuseppe Bandi, Laura Nano, Vellini Silvia ASST Pavia, Vigevano hospital, director of radiology department Elena Belloni
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710M61COVID-19YYYYYY8211.2AP SupineX-rayMar 3, 2020Italyimages171CB377-62FF-4B76-906C-F3787A01CB2E.jpeghttps://www.sirm.org/2020/03/14/covid-19-caso-47/On March 3, 2020 he accesses the DEAS of the AOU Careggi (Florence) for severe dyspnea, mental confusion and prolonged lodging for recent upper airway infection; non-smoker, diabetes mellitus in insulin therapy and high blood pressure. Blood chemistry tests: WBC 11.2;PCR 301 (VN <5);LDH 738 (VN 135-225);Fibrinogen 798 (VN 200-400);INR 1.4.Blood gas analysis: PaO2 82;PCO2 32. Credit to Silvia Lucarini, Chiara Moroni, Antonella Masserelli, Edoardo Cavigli, Lina Bartolini, Alessandra Bindi, Silvia Pradella AOU Careggi, Florence, Director Dr. Vittorio Miele.
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713M61COVID-19YYYYYYAP SupineX-rayMar 5, 2020Italyimages5931B64A-7B97-485D-BE60-3F1EA76BC4F0.jpeghttps://www.sirm.org/2020/03/14/covid-19-caso-47/Pulmonary picture improvement.Credit to Silvia Lucarini, Chiara Moroni, Antonella Masserelli, Edoardo Cavigli, Lina Bartolini, Alessandra Bindi, Silvia Pradella AOU Careggi, Florence, Director Dr. Vittorio Miele.
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7110M61COVID-19YYYYYYAP SupineX-rayMar 12, 2020ItalyimagesC6EA0BE5-B01E-4113-B194-18D956675E25.jpeghttps://www.sirm.org/2020/03/14/covid-19-caso-47/ increase in procalcitonin 1.96 (lower limit 0.5). Appearance of parenchymal area of sedimentation in basal site sn suspected for bacterial superinfection.Credit to Silvia Lucarini, Chiara Moroni, Antonella Masserelli, Edoardo Cavigli, Lina Bartolini, Alessandra Bindi, Silvia Pradella AOU Careggi, Florence, Director Dr. Vittorio Miele.
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724M60COVID-190.8AP SupineX-rayMar 14, 2020Italyimages7EF28E12-F628-4BEC-A8C5-E6277C2E4F60.pnghttps://www.sirm.org/2020/03/16/covid-19-caso-50/abdominal pain and hyperpyrexia for 4 days, denies coughing or dyspnoea. normal language, integral and symmetric force, not motor deficits, integral sensitivity.Flat and manageable abdomen.Negative Blumberg.Murphy negative.Jordanian negative.Peristalsis present.Vesicular murmur present, no pathological noises. Laboratory tests at the entrance: lymphocytes 0.8 x 10E9 / L;PCR 95 mg / L;positive buffer for COVID19. Credit to G. Carbognin, F. Lombardo, A. Nardi, G. Giannotti, G. Sala UOC Radiology, Director G. Carbognin - IRCSS Sacro Cuore Don Calabria Hospital - Veneto Region - Negrar di Valpolicella - VR
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735FCOVID-19YPAX-ray2020The Royal Melbourne Hospital, Melbourne, Australiaimages41591_2020_819_Fig1_HTML.webp-day5.png10.1038/s41591-020-0819-2https://www.nature.com/articles/s41591-020-0819-2Chest radiography demonstrated bi-basal infiltrates at day 5 that cleared on day 10. Blood C-reactive protein was elevated at 83.2, with normal counts of lymphocytes (4.3 ? 109 cells per liter (range, 4.0 ? 109 to 12.0 ? 109 cells per liter)) and neutrophils (6.3 ? 109 cells per liter (range, 2.0 ? 109 to 8.0 ? 109 ? 109 cells per liter)). No other respiratory pathogens were detected. Her management was intravenous fluid rehydration without supplemental oxygenation. No antibiotics, steroids or antiviral agents were administered.
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7310FCOVID-19YPAX-ray2020The Royal Melbourne Hospital, Melbourne, Australiaimages41591_2020_819_Fig1_HTML.webp-day10.png10.1038/s41591-020-0819-2https://www.nature.com/articles/s41591-020-0819-2Chest radiography demonstrated bi-basal infiltrates at day 5 that cleared on day 10. Blood C-reactive protein was elevated at 83.2, with normal counts of lymphocytes (4.3 ? 109 cells per liter (range, 4.0 ? 109 to 12.0 ? 109 cells per liter)) and neutrophils (6.3 ? 109 cells per liter (range, 2.0 ? 109 to 8.0 ? 109 ? 109 cells per liter)). No other respiratory pathogens were detected. Her management was intravenous fluid rehydration without supplemental oxygenation. No antibiotics, steroids or antiviral agents were administered.
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74M50COVID-19APX-ray2020images5e6dd879fde9502400e58b2f.jpeghttps://app.figure1.com/rd/images/5e6dd879fde9502400e58b2fImage originally shared on Figure 1.
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75F75COVID-19PAX-ray2020Laniado Hospital, Netanya, Israelimagescovid-19-pneumonia-19.jpghttps://radiopaedia.org/cases/covid-19-pneumonia-19CC BY-NC-SABronchial wall thickening. Small peripheral patchy infiltrates.Case courtesy of Dr Yair Glick, Radiopaedia.org, rID: 75137
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763F40COVID-19YPAX-ray2020Jiangxi Provincial People's Hospital, Nanchang, Chinaimageskjr-21-e25-g001-l-a.jpg10.3348/kjr.2020.0112https://www.kjronline.org/DOIx.php?id=10.3348/kjr.2020.0112CC BY-NC-SA40-year-old female patient with Coronavirus disease 2019 pneumonia. Initial posteroanterior chest radiograph and chest CT scan were performed on day of admission (3 days after onset of fever). Chest radiograph(A)shows no thoracic abnormalities. Axial CT scan(B)shows GGOs in subpleural area of right lower lobe. Left lung is normal. Patchy consolidations and GGOs in both lungs were almost absorbed leaving a few fibrous lesions that may represent residual organizing pneumonia. Repeat real-time reverse-transcriptase-polymerase chain reaction was negative and patient was discharged.
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775F65COVID-19PAX-ray2020Italyimages03BF7561-A9BA-4C3C-B8A0-D3E585F73F3C.jpeghttps://www.sirm.org/2020/03/19/covid-19-caso-55/Female patient, 65 years old, in a pathological history of bariatric surgery, bipolar syndrome. Non-smoker. Pathological history of the next change, in particular negative due to contact with positive Covid-19 patients. He arrives in PS for cough and chest tightness, without fever. At EGA pH 7.44, pCO2 37mmHg, pO2 69mmHg, HCO3 25mmol / l in ambient air. At EE Gb 12.420 / ul, Hb 9.8G / dl, creatinine and ionemia within limits, PCR 178 mg / l. Initially no buffer for COVID-19. accentuation of the bilateral interstitial-vascular weft and multiple patches of parenchymal thickening on the right. Free your breasts cost frantic.Credit to Dr. Stefano Colopi, Carlo Poma ASST Mantua Hospital.
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775F65COVID-19LX-ray2020Italyimages254B82FC-817D-4E2F-AB6E-1351341F0E38.jpeghttps://www.sirm.org/2020/03/19/covid-19-caso-55/Female patient, 65 years old, in a pathological history of bariatric surgery, bipolar syndrome. Non-smoker. Pathological history of the next change, in particular negative due to contact with positive Covid-19 patients. He arrives in PS for cough and chest tightness, without fever. At EGA pH 7.44, pCO2 37mmHg, pO2 69mmHg, HCO3 25mmol / l in ambient air. At EE Gb 12.420 / ul, Hb 9.8G / dl, creatinine and ionemia within limits, PCR 178 mg / l. Initially no buffer for COVID-19. accentuation of the bilateral interstitial-vascular weft and multiple patches of parenchymal thickening on the right. Free your breasts cost frantic.Credit to Dr. Stefano Colopi, Carlo Poma ASST Mantua Hospital.
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785MCOVID-19PAX-ray2020Italyimages353889E0-A1E8-4F9E-A0B8-F24F36BCFBFB.jpeghttps://www.sirm.org/2020/03/19/covid-19-caso-54/The patient has been receiving cough and dyspnoea for about 5 days and has therefore taken first therapy with amoxicillin / clavulanic acid per os and subsequently im ceftriaxione without benefit. He reports that he made a train journey from Florence to Rome (train from Venice) during which he had contacts with people from the red zone on 24 February. Patient with arterial hypertension in home therapy with Neolotan and Tiklid. On physical examination, it appears slightly tachypnoic at rest, asymptomatic for thoraco-abdominal pain, complains of dyspnea, MV diffusely reduced, basal crepitation on the left. Softened confluent densities with peripheral distribution with associated thickening of the interstitial weft. No pleural effusion.Credit to R. Campa, A. Leonardi, C. Valentini, R. Occhiato Radiology AOU Policlinico Umberto I - Sapienza University of Rome, Dir. Prof. C. Catalano.
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7910M33COVID-19APX-ray2020imagesfigure1-5e73d7ae897e27ff066a30cb-98.jpeghttps://app.figure1.com/images/5e73d7ae897e27ff066a30cbA 33 year old male presented to ED with 10 days of malaise and dry cough then 3 days of Haemoptysis, shortness of breath, pleuritic chest pain and dizziness. He has no past medical history but he is morbidly obese (BMI 58.1 kg/m2). No family or travel history. His O2 saturation was initially 58% on room air and 89% on 15 litres of Oxygen via non-rebreather mask, Heart rate of 146 and Blood pressure of 143/81. Chest X-Ray shows extensive bilateral inflammatory changes. Basic blood tests show raised inflammatory markers (CRP 135), raised D-dimers and normal lymphocytes. CT Pulmonary Angiography revealed Widespread patchy airspace change likely pulmonary haemorrhages. Patient was admitted to ITU and had full immunology , virology, microbiology and rheumatology screens done. He tested negative for all investigations done including HIV, HCV, HBV, TB and connective tissue diseases. Patient tested positive of COVID-19. He later deteriorated and required invasive support. Patient is currently still in ITU.Image originally shared on Figure 1.
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802M84COVID-19YYYYYPAX-ray2020imagesfigure1-5e75d0940b71e1b702629659-98-right.jpeghttps://app.figure1.com/images/5e75d0940b71e1b70262965984M with COPD, HFpEF, and BPH with recurrent UTIs. Was in his USOH and recovering from recent admission for UTI and subsequent stay in short-term rehab 2 weeks ago. Found unresponsive by wife at home with labored breathing. Afebrile, hypoxic and tachycardic in the field, arrived to ED on non-rebreather satting well but altered and in respiratory distress, intubated for airway protection. CBC/BMP completely unremarkable aside from anion gap of 19 and leukocytosis 16. CXR (image 1) showed some questionable linear opacities compared to recent prior, and there was concern for infection given #COVID-19 epidemic and respiratory distress. However further labs revealed POC trop 2.16, BNP 4K, VBG pH 7.37, lactate 4.3. EKG showed new RBBB and S1Q3T3 pattern (image 2, right). Echo (image 2, left) showed severely dilated RV, apical hypokinesis and McConnell's sign. PERT code was activated and pt was taken for stat CTA (image 3) revealing massive #Pulmonaryembolism (?saddle) but predominately occluding the entire R side. Systemic thrombolysis was considered, however, pt had known meningioma, which showed interval growth on stat CT head, raising concern for bleed. Within 4h of presentation, pt was taken to IR suite for embolectomy, which was successful at restoring flow to entire R lung field (image 4). Involvement of L pulmonary artery was non-occlusive and not intervened on. After the procedure, pt was taken for LE dopplers (image 5), which identified residual clot burden in the L profunda femoral vein. The following day, pt was extubated to room air and made a full recovery.Image originally shared on Figure 1.
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817M44COVID-19NNPAX-ray2020imagesfigure1-5e71be566aa8714a04de3386-98-left.jpeghttps://app.figure1.com/images/5e71be566aa8714a04de338644M untreated DM2 (A1C 11), no other medical issues or comorbidities, now confirmed #COVID-19 Presented with 1 week of GI-predominate symptoms (epigastric pain, poor PO, 1 episode of vomiting at onset). Progressed to myalgias and non-productive cough but really presented for GI symptoms. Hypoxic to low 90s on RA at presentation, febrile to 101. Rapidly devloped hypoxemic respiratory failure over course of several hours, RA -> max NC -> non-rebreather. So far not requiring intubation. Started on trial of liponavir/ritonavir. L CXR at presentation, R several months prior.Image originally shared on Figure 1.
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824F52COVID-19AP SupineX-ray2020Italyimages1F6343EE-AFEC-4B7D-97F5-62797EE18767.jpeghttps://www.sirm.org/2020/03/21/covid-19-caso-56/Cuneo 52 year old female patient, for about 4 days fever and malaise, worsening. He enters DEA for syncope after urination with head trauma and left hemicostat trauma. APR: asthma, in therapy with Montelukast in the evening, Beclometasone + Formoterol 1 puff x 4. Normal blood count, PCR 10.12 mg / L, PCT 0.13 ng / mL; LDH 279 U / L. Research SARS-CoV-2 (COVID-19) RNA on nasopharyngeal swab: DETECTED. No radiographic images of pleuro-pulmonary lesions in activity. Cardio-vasal shadow within the limits.Credit to Gallarato Gabriele, Demaria Paolo, Negri Alberto, Baralis Ilaria, Cerutti Andrea, Priotto Roberto, Violino Paolo.
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8310M40COVID-1940AP SupineX-ray2020Italyimages5A78BCA9-5B7A-440D-8A4E-AE7710EA6EAD.jpeghttps://www.sirm.org/2020/03/21/covid-19-caso-57/A 40-year-old male patient, he entered the DEA on 13/03/2020 for fever and from now dyspnea. Previous pneumonia, former smoker. Returned on 5/03 from Milan (where he currently lives), for about 10 days fever; already started treatment with Amoxicillina + A. Clavulanico and Levofloxacina for some days without benefit. On physical examination: T ? 40 ? C and dyspnea, without significant bronchial secretions, few humid noises. Hemodynamically stable, preserved diuresis. At EGA: hypoxemia (PaO2 63.4 mmHg), mild respiratory alkalosis (pH 7.5, pCO2 35 mmHg) and blood tests, increase in inflammation indexes with: PCR: 87.16 mg / L, Fibrinogen: 621 mg / dL, Procalcitonin: 0.16 ng / ml, LDH: 328 U / L. which shows uneven bilateral pulmonary thickening more evident in the right basal site (expression in the first hypothesis of SARS VOC 2 infectious foci) with cardiac shadow of limited size.Credit to Priotto Roberto, Negri Alberto, Demaria Paolo, Baralis Ilaria, Cerutti Andrea, Violino Paolo
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84M60COVID-19AP SupineX-rayMar 3, 2020Italyimages2B8649B2-00C4-4233-85D5-1CE240CF233B.jpeghttps://www.sirm.org/2020/03/21/covid-19-caso-58/60 year old man Dyspnea and hyperthermia appear APR: DMT2, dyslipidemia, high blood pressure, ex-heavy smoker. widespread parenchymal thickening in the middle and lower third of the left hemithorax; further, more nuanced parenchymal thickening in the right basal site.Credit to P. Nespoli, P. Moretto, D. Sardo, P. Hosseinollahi, A. De Pascale, G. Garofalo, A. Veltri
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855M30COVID-19PAX-ray03/16/20Italyimages2966893D-5DDF-4B68-9E2B-4979D5956C8E.jpeghttps://www.sirm.org/2020/03/21/covid-19-caso-59/30 year old man. General malaise and 5-day fever, 2-day cough and breathing difficulties. APR: silent. Bilateral parenchymal thickening, more evident on the right, of an inflammatory nature. Credit to P. Nespoli, P. Moretto, D. Sardo, P. Hosseinollahi, A. De Pascale, G. Garofalo, A. Veltri
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865M60COVID-19PAX-ray03/06/20ItalyimagesB2D20576-00B7-4519-A415-72DE29C90C34.jpeghttps://www.sirm.org/2020/03/21/covid-19-caso-60/60 year old man Dyspnea and fever onset APR: silent. Bilateral "ground glass" parenchymal thickenings with a phlogistic aspect on both upper lobes.Credit to P. Nespoli, P. Moretto, D. Sardo, P. Hosseinollahi, A. De Pascale, G. Garofalo, A. Veltri
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8615M60COVID-19PAX-ray03/16/20Italyimages6C94A287-C059-46A0-8600-AFB95F4727B7.jpeghttps://www.sirm.org/2020/03/21/covid-19-caso-60/the appearance, on both sides, also in correspondence of the middle-lower fields, of multiple parenchymal thickening tending to the confluence, possible expression of bronchopneumonic foci.Credit to P. Nespoli, P. Moretto, D. Sardo, P. Hosseinollahi, A. De Pascale, G. Garofalo, A. Veltri
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870F40StreptococcusYPAX-ray2011Edinburgh, United Kingdomimagespneumococcal-pneumonia-day0.jpghttps://radiopaedia.org/cases/pneumococcal-pneumoniaCC BY-NC-SAThe dense lobar consolidation at admission shows some initial aeration at 1 week, but little in the way of radiological resolution, despite symptomatic improvement.Case courtesy of Dr Jeremy Jones, Radiopaedia.org, rID: 13553
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877F40StreptococcusYPAX-ray2011Edinburgh, United Kingdomimagespneumococcal-pneumonia-day7.jpghttps://radiopaedia.org/cases/pneumococcal-pneumoniaCC BY-NC-SAThe dense lobar consolidation at admission shows some initial aeration at 1 week, but little in the way of radiological resolution, despite symptomatic improvement.Case courtesy of Dr Jeremy Jones, Radiopaedia.org, rID: 13553
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8735F40StreptococcusYPAX-ray2011Edinburgh, United Kingdomimagespneumococcal-pneumonia-day35.jpghttps://radiopaedia.org/cases/pneumococcal-pneumoniaCC BY-NC-SAThe dense lobar consolidation at admission shows some initial aeration at 1 week, but little in the way of radiological resolution, despite symptomatic improvement.Case courtesy of Dr Jeremy Jones, Radiopaedia.org, rID: 13553
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880M45StreptococcusPAX-ray2016Australiaimagesparapneumonic-effusion-1-PA.pnghttps://radiopaedia.org/cases/parapneumonic-effusion-1CC BY-NC-SALeft chest pain with increased work of breathing. Large left pleural effusion with associated left mid zone airspace opacity with air bronchograms. Right basal opacity and a small right pleural effusion. Left lower lobe consolidation and atelectasis. Moderate left pleural effusion extending to the oblique fissure. Very small right pleural effusion with minor atelectasis.Case courtesy of Dr Henry Knipe, Radiopaedia.org, rID: 44224
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880M45StreptococcusLX-ray2016Australiaimagesparapneumonic-effusion-1-L.pnghttps://radiopaedia.org/cases/parapneumonic-effusion-1CC BY-NC-SALeft chest pain with increased work of breathing. Large left pleural effusion with associated left mid zone airspace opacity with air bronchograms. Right basal opacity and a small right pleural effusion. Left lower lobe consolidation and atelectasis. Moderate left pleural effusion extending to the oblique fissure. Very small right pleural effusion with minor atelectasis.Case courtesy of Dr Henry Knipe, Radiopaedia.org, rID: 44224
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890M75StreptococcusPAX-ray2018Australiaimagesright-upper-lobe-pneumonia-9-PA.jpghttps://radiopaedia.org/cases/right-upper-lobe-pneumonia-9CC BY-NC-SAAdmitted with small bowel obstruction. Developed a fever with rigors. Reduced air entry with crepitations in the right mid zone. Peripheral right upper lobe consolidation with air bronchograms and peribronchial cuffing. Associated horizontal fissure displacement superiorly, with outlining of the fissure. Small right sided pleural effusion. Classic appearance of a right upper lobe pneumonia. The infection is confined to the upper lobe by the horizontal fissure. Lobar pneumonia is usually caused by typical organisms ? such as Streptococcus pneumoniae.Case courtesy of Dr Paul Heyworth, Radiopaedia.org, rID: 60944
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890M75StreptococcusLX-ray2018Australiaimagesright-upper-lobe-pneumonia-9-L.jpghttps://radiopaedia.org/cases/right-upper-lobe-pneumonia-9CC BY-NC-SAAdmitted with small bowel obstruction. Developed a fever with rigors. Reduced air entry with crepitations in the right mid zone. Peripheral right upper lobe consolidation with air bronchograms and peribronchial cuffing. Associated horizontal fissure displacement superiorly, with outlining of the fissure. Small right sided pleural effusion. Classic appearance of a right upper lobe pneumonia. The infection is confined to the upper lobe by the horizontal fissure. Lobar pneumonia is usually caused by typical organisms ? such as Streptococcus pneumoniae.Case courtesy of Dr Paul Heyworth, Radiopaedia.org, rID: 60944
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900M50ChlamydophilaYPAX-ray2011Melbourne, Australiaimageschlamydia-pneumonia-PA.pnghttps://radiopaedia.org/cases/chlamydia-pneumoniaCC BY-NC-SAProductive cough. Consolidation within the apical segment of left lower lobe. Case courtesy of Dr Andrew Dixon, Radiopaedia.org, rID: 14567
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900M50ChlamydophilaYLX-ray2011Melbourne, Australiaimageschlamydia-pneumonia-L.pnghttps://radiopaedia.org/cases/chlamydia-pneumoniaCC BY-NC-SAProductive cough. Consolidation within the apical segment of left lower lobe. Case courtesy of Dr Andrew Dixon, Radiopaedia.org, rID: 14567
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910F80E.ColiYAP SupineX-ray2018Hungaryimagesaspiration-pneumonia-5-day0.jpghttps://radiopaedia.org/cases/aspiration-pneumonia-5CC BY-NC-SAAspiration event a few hours before presentation. Bilateral inhomogeneous patchy airspace opacities mainly in the lower zones. Effacement of the costophrenic recesses consistent with aspiration. Case courtesy of Dr Balint Botz , Radiopaedia.org, rID: 64251
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913F80E.ColiYAP SupineX-ray2018Hungaryimagesaspiration-pneumonia-5-day3.jpghttps://radiopaedia.org/cases/aspiration-pneumonia-5CC BY-NC-SAthere is marked improvement seen in the right lung; however, there is no sign of regression in the left lower zone. There is also a nasogastric tube which appears to be appropriately positioned.Case courtesy of Dr Balint Botz , Radiopaedia.org, rID: 64251
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9110F80E.ColiYAP SupineX-ray2018Hungaryimagesaspiration-pneumonia-5-day10.jpghttps://radiopaedia.org/cases/aspiration-pneumonia-5CC BY-NC-SAA confluent consolidation with air bronchograms has developed in the left lower zone, completely effacing the diaphragm on that side. Findings are in line with left lower lobe aspiration pneumonia. The nasogastric tube remains in a satisfactory position.Case courtesy of Dr Balint Botz , Radiopaedia.org, rID: 64251
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9127F80E.ColiYAP SupineX-ray2018Hungaryimagesaspiration-pneumonia-5-day27.jpghttps://radiopaedia.org/cases/aspiration-pneumonia-5CC BY-NC-SAAfter successful treatment, an almost complete regression of the the left lower lobe consolidation can be seen. Case courtesy of Dr Balint Botz , Radiopaedia.org, rID: 64251
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920M60StreptococcusYPAX-ray2016Melbourne, Australiaimagescavitating-pneumonia-4-day0-PA.jpghttps://radiopaedia.org/cases/cavitating-pneumonia-4CC BY-NC-SACough and loss of weight over five weeks. Large cavitating right upper lobe mass with cavitation. Left lung is clear. Normal cardiomediastinal contour. Case courtesy of Dr Henry Knipe, Radiopaedia.org, rID: 45998
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920M60StreptococcusYLX-ray2016Melbourne, Australiaimagescavitating-pneumonia-4-day0-L.jpghttps://radiopaedia.org/cases/cavitating-pneumonia-4CC BY-NC-SACough and loss of weight over five weeks. Large cavitating right upper lobe mass with cavitation. Left lung is clear. Normal cardiomediastinal contour. Case courtesy of Dr Henry Knipe, Radiopaedia.org, rID: 45998
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9228M60StreptococcusYPAX-ray2016Melbourne, Australiaimagescavitating-pneumonia-4-day28-PA.pnghttps://radiopaedia.org/cases/cavitating-pneumonia-4CC BY-NC-SAThere is been a significant decrease in the size of the cavitating right upper lobe mass, this is consistent with a resolving area of infection.Case courtesy of Dr Henry Knipe, Radiopaedia.org, rID: 45998
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9228M60StreptococcusYLX-ray2016Melbourne, Australiaimagescavitating-pneumonia-4-day28-L.pnghttps://radiopaedia.org/cases/cavitating-pneumonia-4CC BY-NC-SAThere is been a significant decrease in the size of the cavitating right upper lobe mass, this is consistent with a resolving area of infection.Case courtesy of Dr Henry Knipe, Radiopaedia.org, rID: 45998
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935M55COVID-19PAX-ray2020Tehran, Iranimagescovid-19-pneumonia-30-PA.jpghttps://radiopaedia.org/cases/covid-19-pneumonia-30CC BY-NC-SAFever and non-productive cough start from 5 days ago. Patchy peripheral opacities are seen at the lung fields mid to lower zones. Bilateral multi-lobar peripheral ground-glass and consolidative opacities are seen in both lungs, mostly mid to lower zones.Case courtesy of Dr Bahman Rasuli, Radiopaedia.org, rID: 75330
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935M55COVID-19LX-ray2020Tehran, Iranimagescovid-19-pneumonia-30-L.jpghttps://radiopaedia.org/cases/covid-19-pneumonia-30CC BY-NC-SAFever and non-productive cough start from 5 days ago. Patchy peripheral opacities are seen at the lung fields mid to lower zones. Bilateral multi-lobar peripheral ground-glass and consolidative opacities are seen in both lungs, mostly mid to lower zones.Case courtesy of Dr Bahman Rasuli, Radiopaedia.org, rID: 75330
181
940F31COVID-19Y38.23.131.631.2PAX-ray01/13/20Wuhan, Chinaimages6b44464d-73a7-4cf3-bbb6-ffe7168300e3.annot.original.jpeg10.1148/cases.20201558https://cases.rsna.org/case/d363ee26-83a6-4517-a363-facea892c07531-year-old woman presented with fever (38.2?C [100.8?F]), dry cough, dizziness, and fatigue. Pulmonary auscultation was normal. Initial CT scan was normal. Leukopenia (white blood cell count,3.13?109/L, neutrophil count 1.63?109/L) with normal lymphocyte cell count, 1.2?109/L. White blood cell differential count: 52.1% neutrophils and 38.3% lymphocytes. C-reactive protein, erythrocyte sedimentation rate, aspartate aminotransferase, alanine aminotransferase, procalcitonin, inflammatory cytokines and coagulation profile were normal.
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950F70COVID-19YNNNNPAX-ray2020Valencia, Spainimages58cb9263f16e94305c730685358e4e_jumbo.jpeghttps://radiopaedia.org/cases/covid-19-pneumonia-21CC BY-NC-SAFever and two days of odynophagia positive test for SARS-CoV-2 RNA. Opacity in the right lower lobe.
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950F70COVID-19YNNNNLX-ray2020Valencia, Spainimagesa1a7d22e66f6570df523e0077c6a5a_jumbo.jpeghttps://radiopaedia.org/cases/covid-19-pneumonia-21CC BY-NC-SAFever and two days of odynophagia positive test for SARS-CoV-2 RNA. Opacity in the right lower lobe.
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953F70COVID-19YNNNNPAX-ray2020Valencia, Spainimages9fdd3c3032296fd04d2cad5d9070d4_jumbo.jpeghttps://radiopaedia.org/cases/covid-19-pneumonia-21CC BY-NC-SAFever and two days of odynophagia; positive test for SARS-CoV-2 RNA. Slight increasing of the opacity in the right lower lung field, without changes in the other fields.Case courtesy of Dr Edgar Lorente, Radiopaedia.org, rID: 75189
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960M60COVID-19, ARDSY89PAX-ray2020Spainimagescovid-19-pneumonia-rapidly-progressive-admission.jpghttps://radiopaedia.org/cases/covid-19-pneumonia-rapidly-progressiveCC BY-NC-SAFever and odynophagia. Trip to Italy 7 days ago. Low oxygen saturation (SpO2 89%) and lymphopenia were observed. The patient presented clinical worsening during his stay in the emergency department, and radiological control was performed at 12 hours. SARS-CoV-2 RNA was detected. Faint, ill-defined alveolar consolidations in both upper lobes.Case courtesy of Dr Edgar Lorente, Radiopaedia.org, rID: 75188
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961M60COVID-19, ARDSY89PAX-ray2020Spainimagescovid-19-pneumonia-rapidly-progressive-12-hours.jpghttps://radiopaedia.org/cases/covid-19-pneumonia-rapidly-progressiveCC BY-NC-SAFever and odynophagia. Trip to Italy 7 days ago. Low oxygen saturation (SpO2 89%) and lymphopenia were observed. The patient presented clinical worsening during his stay in the emergency department, and radiological control was performed at 12 hours. SARS-CoV-2 RNA was detected. Radiological worsening with patchy, bilateral alveolar consolidations with panlobar opacities, suggesting ARDS secondary to COVID19.Case courtesy of Dr Edgar Lorente, Radiopaedia.org, rID: 75188
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963M60COVID-19, ARDSY89PAX-ray2020Spainimagescovid-19-pneumonia-rapidly-progressive-3-days.jpghttps://radiopaedia.org/cases/covid-19-pneumonia-rapidly-progressiveCC BY-NC-SAFever and odynophagia. Trip to Italy 7 days ago. Low oxygen saturation (SpO2 89%) and lymphopenia were observed. The patient presented clinical worsening during his stay in the emergency department, and radiological control was performed at 12 hours. SARS-CoV-2 RNA was detected. Radiological stability, with slight improvement of the alveolar consolidation in right lower lobe. The patient still needs supportive care measures.Case courtesy of Dr Edgar Lorente, Radiopaedia.org, rID: 75188
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970F70COVID-19, ARDSYNY3885PAX-ray2020Spainimagescovid-19-rapidly-progressive-acute-respiratory-distress-syndrome-ards-admission.jpghttps://radiopaedia.org/cases/covid-19-rapidly-progressive-acute-respiratory-distress-syndrome-ardsCC BY-NC-SAAdmitted with acute respiratory failure, fever (38?C) and dyspnea. She was tachypneic (30 bpm), with lymphopenia and low oxygen saturation (SpO2 85%, PAFI<250). Ill-defined bilateral alveolar consolidation with peripheral distribution.Case courtesy of Dr Edgar Lorente, Radiopaedia.org, rID: 75182
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971F70COVID-19, ARDSYYYYPAX-ray2020Spainimagescovid-19-rapidly-progressive-acute-respiratory-distress-syndrome-ards-day-1.jpghttps://radiopaedia.org/cases/covid-19-rapidly-progressive-acute-respiratory-distress-syndrome-ardsCC BY-NC-SAAdmitted with acute respiratory failure, fever (38?C) and dyspnea. She was tachypneic (30 bpm), with lymphopenia and low oxygen saturation (SpO2 85%, PAFI<250). Radiological worsening, with changes within the lower lobes. Endotracheal tube and central venous line were required.Case courtesy of Dr Edgar Lorente, Radiopaedia.org, rID: 75182
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972F70COVID-19, ARDSYYYYPAX-ray2020Spainimagescovid-19-rapidly-progressive-acute-respiratory-distress-syndrome-ards-day-2.jpghttps://radiopaedia.org/cases/covid-19-rapidly-progressive-acute-respiratory-distress-syndrome-ardsCC BY-NC-SAAdmitted with acute respiratory failure, fever (38?C) and dyspnea. She was tachypneic (30 bpm), with lymphopenia and low oxygen saturation (SpO2 85%, PAFI<250). Radiological worsening. Bilateral alveolar consolidation with panlobar change.Case courtesy of Dr Edgar Lorente, Radiopaedia.org, rID: 75182
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973F70COVID-19, ARDSYYYYPAX-ray2020Spainimagescovid-19-rapidly-progressive-acute-respiratory-distress-syndrome-ards-day-3.jpghttps://radiopaedia.org/cases/covid-19-rapidly-progressive-acute-respiratory-distress-syndrome-ardsCC BY-NC-SAAdmitted with acute respiratory failure, fever (38?C) and dyspnea. She was tachypneic (30 bpm), with lymphopenia and low oxygen saturation (SpO2 85%, PAFI<250). Bilateral alveolar consolidation with panlobar change, with typical radiological findings of ARDS. Case courtesy of Dr Edgar Lorente, Radiopaedia.org, rID: 75182
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98M75COVID-19PAX-ray2020Spainimagescovid-19-infection-exclusive-gastrointestinal-symptoms-pa.pnghttps://radiopaedia.org/cases/covid-19-infection-exclusive-gastrointestinal-symptomsCC BY-NC-SAPresents to the primary care center for a week's worth of diarrhea, fever and malaise. No respiratory symptoms were reported. Blood test only shows high CRP. A chest x-ray is performed. Multiple faint alveolar opacities are identified, predominantly peripheral with greater involvement of the upper lobes. Case courtesy of Dr Edgar Lorente, Radiopaedia.org, rID: 75284
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98M75COVID-19LX-ray2020Spainimagescovid-19-infection-exclusive-gastrointestinal-symptoms-l.pnghttps://radiopaedia.org/cases/covid-19-infection-exclusive-gastrointestinal-symptomsCC BY-NC-SAPresents to the primary care center for a week's worth of diarrhea, fever and malaise. No respiratory symptoms were reported. Blood test only shows high CRP. A chest x-ray is performed. Multiple faint alveolar opacities are identified, predominantly peripheral with greater involvement of the upper lobes.Case courtesy of Dr Edgar Lorente, Radiopaedia.org, rID: 75284
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990M55COVID-19PAX-ray2020Spainimagescovid-19-pneumonia-28.pnghttps://radiopaedia.org/cases/covid-19-pneumonia-28CC BY-NC-SAAttended the emergency department for progressive dyspnea in the last few days along with fever and cough. On the blood test, lymphopenia is detected. Bilateral and peripheral alveolar consolidations, more prominent in the left lung.Case courtesy of Dr Edgar Lorente, Radiopaedia.org, rID: 75283
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100F62KlebsiellaPAX-ray2014Australiaimagesklebsiella-pneumonia-1.jpghttps://radiopaedia.org/cases/klebsiella-pneumonia-1CC BY-NC-SATachypneic and febrile. Extensive right upper lobe consolidation, with bulging of the horizontal fissure.Case courtesy of Dr Yune Kwong, Radiopaedia.org, rID: 29375
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101F40PneumocystisNPAX-ray2014Cairo, Egyptimagespneumocystis-jirovecii-pneumonia-3-1.jpghttps://radiopaedia.org/cases/pneumocystis-jirovecii-pneumonia-3CC BY-NC-SAAdult female with positive HIV infection and low CD4 count. Shortness of breath and cough. The visualized lung fields show hazy opacification with peribronchial and some interstitial prominence in the form of fine reticular interstitial pulmonary pattern. The case showed progressive deterioration as shown from the demonstrated XR sequences. The last one shows more diffuse infiltrates with ET tube insertion in ventilated victim. Diffuse bilateral reticular opacities or septal thickening are present. A crazy paving pattern may therefore be seen when both ground-glass opacies and septal thickening are superimposed on one another.Case courtesy of Dr Fakhry Mahmoud Ebouda, Radiopaedia.org, rID: 29434
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101F40PneumocystisNPAX-ray2014Cairo, Egyptimagespneumocystis-jirovecii-pneumonia-3-2.jpghttps://radiopaedia.org/cases/pneumocystis-jirovecii-pneumonia-3CC BY-NC-SAAdult female with positive HIV infection and low CD4 count. Shortness of breath and cough. The visualized lung fields show hazy opacification with peribronchial and some interstitial prominence in the form of fine reticular interstitial pulmonary pattern. The case showed progressive deterioration as shown from the demonstrated XR sequences. The last one shows more diffuse infiltrates with ET tube insertion in ventilated victim. Diffuse bilateral reticular opacities or septal thickening are present. A crazy paving pattern may therefore be seen when both ground-glass opacies and septal thickening are superimposed on one another.Case courtesy of Dr Fakhry Mahmoud Ebouda, Radiopaedia.org, rID: 29434
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101F40PneumocystisNPAX-ray2014Cairo, Egyptimagespneumocystis-jirovecii-pneumonia-3-3.jpghttps://radiopaedia.org/cases/pneumocystis-jirovecii-pneumonia-3CC BY-NC-SAAdult female with positive HIV infection and low CD4 count. Shortness of breath and cough. The visualized lung fields show hazy opacification with peribronchial and some interstitial prominence in the form of fine reticular interstitial pulmonary pattern. The case showed progressive deterioration as shown from the demonstrated XR sequences. The last one shows more diffuse infiltrates with ET tube insertion in ventilated victim. Diffuse bilateral reticular opacities or septal thickening are present. A crazy paving pattern may therefore be seen when both ground-glass opacies and septal thickening are superimposed on one another.Case courtesy of Dr Fakhry Mahmoud Ebouda, Radiopaedia.org, rID: 29434
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102PneumocystisPAX-ray2007Melbourne, Australiaimagespneumocystis-pneumonia-1.jpghttps://radiopaedia.org/cases/pneumocystis-pneumonia-1CC BYCXR of a patient with pneumocystis jiroveci pneumonia, showing reticular interstitial markings in all lung fields.Case courtesy of Assoc Prof Frank Gaillard, Radiopaedia.org, rID: 9171
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103PneumocystisPAX-ray2010imagesX-ray_of_cyst_in_pneumocystis_pneumonia_1.jpg10.4103/1817-1737.69106https://en.wikipedia.org/wiki/File:X-ray_of_cyst_in_pneumocystis_pneumonia_1.jpgCC BYIf left untreated, chest X-ray may progress to alveolar consolidation in 3 or 4 days. Infiltrates clear within 2 weeks, but in a proportion infection will be followed by coarse reticular opacification and fibrosis. Note the large cyst (arrow)Credit to Carolyn M. Allen, Hamdan H. AL-Jahdali, Klaus L. Irion, Sarah Al Ghanem, Alaa Gouda, and Ali Nawaz Khan
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104PneumocystisPAX-ray2015Houston, USAimagespneumocystis-pneumonia-8.jpghttps://radiopaedia.org/cases/pneumocystis-pneumonia-8CC BY-NC-SAMultifocal patchy opacities with diffuse reticular markings. These findings are nonspecific, but in the setting of a CD4 count less than 200 cells/mm3, should raise suspicion for PCP.Case courtesy of Dr Behrang Amini , Radiopaedia.org, rID: 35823
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105MPneumocystisPAX-ray2010imagespneumocystis-carinii-pneumonia-1-PA.jpghttps://radiopaedia.org/cases/pneumocystis-carinii-pneumonia-1CC BY-NC-SAThere are diffuse bilaterally symmetric interstitial patten noted in the perihilar region and extending towards the periphery. Multiple ill defined small hyperlucent patches are noted in the bilateral lung fields especially in the mid zones suggestive of pneumatocele. There is diffuse ground glass opacities involving upper and mid zones and perihilar region bilaterally.Case courtesy of Radswiki, Radiopaedia.org, rID: 11789