• Thiago Thomaz Mafort, Agnaldo José Lopes, da Costa Cláudia Henrique CH Department of Pulmonology, Pedro Ernesto University Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil. , Mariana Soares da Cal, Mariana Carneiro Lopes, Bruno Rangel Antunes da Silva, Luana Fortes Faria, Anamelia Costa Faria, Walter Costa, Raquel Esteves Brandão Salles, Marcos César Santos de Castro, and Rogério Rufino.
• Department of Pulmonology, Pedro Ernesto University Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
• J Clin Ultrasound. 2020 Nov 1; 48 (9): 515-521.

PurposeTo evaluate ultrasound signs of coronavirus disease-19 (COVID-19) pneumonia in symptomatic healthcare professionals and to correlate those changes with clinical findings.MethodsAll patients underwent real-time polymerase chain reaction (RT-PCR), lung ultrasound (LUS) and clinical evaluation on the same day. In each of the 12 areas evaluated in the LUS, the LUS signs were scored to generate the aeration score.ResultsA total of 409 participants had positive PCR, with a median age of 41 (35-51) years. All participants had clinical symptoms, with cough in 84.1%, fever in 69.7%, and dyspnea in 36.2% of cases. In the LUS, 72.6% of participants had B-lines >2, 36.2% had coalescent B-lines, and 8.06% had subpleural consolidations. The median aeration score was 3 (2-7). The aeration score differed significantly regarding the presence of cough (P = .002), fever (P = .001), and dyspnea (P < .0001). The finding of subpleural consolidations in the LUS showed significant differences between participants with or without dyspnea (P < .0001).ConclusionsIn healthcare professionals with COVID-19, LUS plays a key role in the characterization of lung involvement. Although B-lines are the most common ultrasound sign, subpleural consolidations are those that most impact the respiratory condition.© 2020 Wiley Periodicals LLC.

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