COVID-19: case 64

Izzo Andrea, D’Aversa Lucia, Cerimoniale Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Casale Lorenzo, Di Pastena Francesca 

U.O.C.  Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina

57-year-old male
patient admitted to the ED with fever, cough and dyspnea for 3 days. No prior
medical history.  No epidemiologic risk
for SARS-CoV-2 exposure. 

Medical
examination: dyspnea, tachypnea, fever (39°C). pO2 90%.

Chest radiography:

Interstitial markings with opacities at the left base.

CT

Multiple
ground-glass opacities associated with scattered areas of GGOs and reticulations
in a “crazy-paving pattern” and consolidations.

Features were consistent
with Covid-19 pneumonia.

 RT-PCR on nasopharyngeal swab was positive.




COVID-19: case 63

Izzo Andrea, D’Aversa Lucia, Cerimoniale Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Casale Lorenzo, Di Pastena Francesca

U.O.C.  Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina

49-year-old male
patient admitted to the ED with fever (39°C) and dyspnea for 4 days, in
treatment with antibiotics for 2 days. No prior medical history

Portable chest film (performed in a tent set up outside the ED):

slight interstitial markings w/o alveolar consolidations.

CT

Multiple
ground-glass opacities with predominant subpleural distribution in the RUL, in
the ML and in the lower lobes. The findings were consistent with Covid-19 pneumonia.

The RT-PCR test on nasopharyngeal swab turned positive.




COVID-19: case 62

Izzo Andrea, D’Aversa Lucia, Cerimoniale Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Casale Lorenzo, Di Pastena Francesca

U.O.C.  Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina

56-year-old male patient presented to the ED with fever, anosmia, ageusia, pharyngalgia for 1 week. In self-isolation for Covid-19 positive contact. No prior medical history. Physical examination: no fever, pO2 97%.

CT

Ground-glass opacities with subpleural distribution in the apical and in the medial basal segments of the LLL, features consistent with interstitial pneumonia.




COVID-19: case 61

Izzo Andrea, D’Aversa Lucia, Cerimoniale Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Casale Lorenzo, Di Pastena Francesca

U.O.C.  Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina 

70 year-old male patient presented to the ED with fever for 10 days, occurred after exposure to a Covid-19 patient. No dyspnea neither cough. pO2: 95%.  Medical history: chronic thyroiditis, HTA.

Portable chest film (performed in a tent set up outside the ED):

diffuse interstitial markings w/o alveolar consolidations.

CT

Multiple and
bilateral ground-glass opacities with predominant subpleural distribution in
the upper lobes, in the ML and in the lower lobes. The findings were consistent
with COvid-19 pneumonia.

The RT-PCR test on nasopharyngeal swab turned positive.




COVID-19: case 60

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

60-year-old male
patient with dyspnea and fever. No prior medical history.

Chest Radiography, March 6, 2020:

Bilateral
pulmonary “ground-glass” opacities in the upper pulmonary lobes, findings
consistent with pneumonia.

Chest Radiography, March 13, 2020:

Compared to the previous examination a radiological worsening is seen, with the onset of multiple and diffuse consolidations involving also the lower lobes. Findings consistent with multifocal pneumonia.




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

30-year-old male
patient with general malaise and fever for 5 days. Cough and dyspnea for two
days. No prior medical history.

Chest Radiography,
March 16, 2020:

Bilateral pulmonary consolidations, predominantly in the right lung.




COVID-19: case 58

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

60-year-old male
patient with dyspnea and fever. Prior medical history: DM type 2, HTA, ex
heavy-smoker

Chest Radiography,
March 3, 2020:

Diffuse pulmonary
consolidations of the left lung. Blurred consolidations at the right base. 

HRCT, March 4,
2020:

Multiple and diffuse “ground-glass” opacities, predominantly in the posterior regions of the lungs, especially in the lower lobes.




COVID-19: case 57

Priotto Roberto, Negri Alberto, Demaria Paolo, Baralis Ilaria,  Cerutti Andrea, Violino Paolo

S.C.  Radiodiagnostica – A.O. “S. Croce e Carle” – Cuneo

40-year-old male
patient with dyspnea and fever for 10 days not responding to antibiotics to the
ED on March 13, 2020. Prior medical history: previous pneumonia, smoker. Epidemiologic
risk for SARS-CoV-2 (the patient returned home from Milan (high-risk area) on
March 5).

Fever (T
40 °C), dyspnea, no
bronchial secretion, wheezing.

PaO2 63,4 mmHg, pH 7,5, pCO2 35 mmHg. C-RP 87,16 mg/L, Fibrinogen: 621 mg/dL,
Procalcitonin: 0,16 ng/ml, LDH: 328 U/L

Chest Radiography:

bilateral blurred pulmonary consolidations, mainly at the right base (suspected for SARS COV 2). Other ill-defined consolidations at the right base. 

HRCT, March 4,
2020:

Multiple scattered
“ground-glass” opacities with predominant subpleural distribution involving all
lobes, findings consistent with Covid 19 pneumonia. No pleural effusion. In the
anterior segment of the RUL a 10 cm lung thin-wall cyst is noted.

RT-PCR on a
nasopharyngeal swab was positive for SARS-CoV-2. The patient was hospitalized
in the infectious disease department and started the Covid-19 treatment
protocol.




COVID-19: case 56

Gallarato Gabriele, Demaria Paolo, Negri Alberto, Baralis Ilaria, Cerutti Andrea, Priotto Roberto, Violino Paolo.

S.C.  Radiodiagnostica – A.O. “S. Croce e Carle” – Cuneo

53-year-old female
patient with fever and malaise for 4 days, in clinical worsening. The patient
was admitted to ED for head and costal trauma after micturition syncope. Prior
medical history: asthma in treatment with montelukast, beclomethasone and
formoterol.

Blood test: C-RP 10.12
mg/L, Procalcitonin: 0,13 ng/ml, LDH: 279 U/L.

RT-PCR on a
nasopharyngeal swab for SARS-CoV-2 was positive

Chest radiography

No pulmonary abnormalities.

CT

Subpleural ground-glass opacity in the left posterior basal segment, suspicious for early stage of Covid pneumonia. Fibrotic bands are also seen in the RLL.




COVID-19: case 55

UOC di Radiologia Diagnostica e Interventistica

Direttore Dott. Stefano Colopi, Ospedale Carlo Poma ASST Mantova.

65-years-old
female patient presented to the ED for cough and chest oppression, no fever.
The patient denied COVID-19 positive contacts. Medical history: previous
bariatric surgery, bipolar disorder. Non-smoker.

Arterial Blood Gas
(ABG):  PaO2 69 mmHg, pH 7.4, pCO2 37
mmHg.

Blood test: WBC:
12.420/ul, Hb 9,8G/dl,C-RP 178 mg/L.

Nasal swab was not
performed.

Chest radiography:

Bilateral interstitial thickening and scattered alveolar consolidations in the right lung. No pleural effusion.

CTA for suspected pulmonary embolism was performed due to the clinical worsening:

Diffuse scattered
ground-glass opacities in all segments. No pleural effusion. No pulmonary embolism.

RT-PCR on a
nasopharyngeal swab was the obtained, and SARS-CoV-2 was confirmed

HRCT performed 10 days after:

Significative regression of the bilateral GGOs. No pleural effusion.