• Emergency radiology · Jun 2020

    Case Reports

    Three unsuspected CT diagnoses of COVID-19.

    • David Vu, Maryanne Ruggiero, Woo Sung Choi, Daniel Masri, Mark Flyer, Inna Shyknevsky, and Evan G Stein.
    • Radiology Department of Maimonides Medical Center, 4802 10th Ave, Brooklyn, NY, 11219, USA.
    • Emerg Radiol. 2020 Jun 1; 27 (3): 229-232.

    PurposeCoronavirus disease 2019 (COVID-19) is caused by a novel strain of coronavirus named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that has quickly spread around the globe. Health care facilities in the USA currently do not have an adequate supply of COVID-19 tests to meet the growing demand. Imaging findings for COVID-19 are non-specific but include pulmonary parenchymal ground-glass opacities in a predominantly basal and peripheral distribution.MethodsThree patients were imaged for non-respiratory-related symptoms with a portion of the lungs in the imaged field.ResultsEach patient had suspicious imaging findings for COVID-19, prompting the interpreting radiologist to suggest testing for COVID-19. All 3 patients turned out to be infected with COVID-19, and one patient is the first reported case of the coincident presentation of COVID-19 and an intraparenchymal hemorrhage.ConclusionUsing imaging characteristics of COVID-19 on abdominal or neck CT when a portion of the lungs is included, patients not initially suspected of COVID-19 infection can be quarantined earlier to limit exposure to others.

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