U.O.C. Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina
27-year-old male patient transferred from another hospital for suspected pneumonia. No prior medical history, no exposure to Covid-19 patients. pO2: 92%.
Slight interstitial markings with subpleural consolidation in the right upper/medium lobe.
The RT-PCR test on nasopharyngeal swab turned positive.
Multiple ground-glass opacities and alveolar consolidations with predominant subpleural distribution in the upper and lower lobes.
COVID-19: case 46
Alessandro Rosa – Giuliano Gagliardi
DIAGNOSTICA PER IMMAGINI AORN MOSCATI AVELLINO
61-years-old male, transferred from another hospital. Onset of symptoms (arthralgia, asthenia) on February 27, 2020. Dyspnea and fever (38.5°) since March 2. Venturi mask with reservoir of 15l e pO2 85%, reaching 98% after positioning Venturi at 60% and 15 l.
consolidations in the lower lobes, especially in the apical segments and in the
posterior segment of the RUL and the apicoposterior segment of the LUL. Ground-glass opacities predominantly in the
subpleural regions are seen in the spared segments of the upper lobes. No
RT-PCR positive for SARS-CoV-2.
Bedside chest radiography
Diffuse interstitial marking and band atelectasis.
COVID-19: case 20
G. Valeri, G. Neri, L. Cola°, A Rebonato °°
UOC Radiodiagnostica; ° UOC Anestesia e Rianimazione, Ospedale di Fermo, AV4 ASUR Marche; °° UOC Diagnostica per Immagini, AO Riuniti Marche Nord
patient with asthenia, sick cough and fever for 3 days. No prior medical
Blood test: C-RP
15, Procalcitonin: 8.9
RT-PCR on a nasopharyngeal swab positive for SARS-CoV-2.
Multiple and predominantly subpleural “ground-glass” opacities with reticulation and consolidations, involving all lobes, especially the upper lobes.
A CTA was performed for suspected pulmonary embolism:
Multiple aree di ground-glass estese diffusamente in entrambi i polmoni con inizali aspetti consolidativi nelle regioni basali ove si evidenzia risparmio subpleurico; coesiste moderata riduzione volumetrica di entrambi i polmoni.
diffuse ground-glass opacities involving both lungs, associated with
consolidations at the bases, those sparing the cortex. Lungs volume is also
The patient was promptly intubated and a treatment with Lopinavir-Ritonavir and Cloroquine was also started.
Chest film after intubation (March 3):
Chest film on March 6:
comparing to the previous CRX, an improvement of the pulmonary involvement is seen.
On March 12, a chest radiography was required due an increase of the procalcitonin levels (1.96, normal values <0.5):
consolidation in the left base is noted, finding suspected for bacterial superimposed
Antibiotics are then introduced along with redemsivir.
COVID-19: case 45
Cristina Veirana, Alessandro Gastaldo
UOC Radiologia, Ospedale San Paolo, Savona, Direttore dott. Alessandro Gastaldo
79-years-old patient, with cough and fever since February 29; the patient was hospitalized for pneumonia on March 1.
Medical history: DM, cardiopathy. Potential risk for SARS-CoV-2 exposure (travel by bus from Venice – high-risk area – on February 16).
slight interstitial marking at the left base.
On March 3, a CT was performed for clinical worsening:
The patient was intubated and transferred to the infectious disease department.
The patient died on March 4.
COVID-19: case 59
P.Nespoli, P. Moretto, D. Sardo, P. Hosseinollahi, A. De Pascale, G. Garofalo, A. Veltri
AOU San Luigi Gonzaga, Orbassano, Radiodiagnostica, Direttore: Prof. A. Veltri
patient with general malaise and fever for 5 days. Cough and dyspnea for two
days. No prior medical history.
March 16, 2020:
Bilateral pulmonary consolidations, predominantly in the right lung.
COVID-19: case 53
UO di radiologia diagnostica ed interventistica, Ospedale “Madonna delle Grazie”, Matera
78-year-old patient with fever and cough for 1 week. pO2: 84 %.
Diffuse ground-glass opacities associated with reticulations involving all lobes, predominantly in the upper lobes and in the left lower lobe.
COVID-19: case 54
R. Campa, A. Leonardi, C. Valentini, R. Occhiato
Radiologia AOU Policlinico Umberto I – Sapienza Università di Roma, Dir. Prof. C. Catalano.
for cough and dyspnea for 5 days, not responding to antibiotics. Potential risk
for SARS-CoV-2: he traveled from Florence to Rome by train coming from a “high-risk
area” on February 24.
Medical history: HTA. At physical examination: crackles of the left base.
Ill-defined consolidations with peripheral distribution, associated with increased interstitial marking. No pleural effusion.
Ground-glass opacities with reticulations in a peripheral distribution. No pleural effusion neither mediastinal or hilar adenopathies. Findings consistent with Covid-19 pneumonia.