• J Ultrasound Med · Dec 2020

    Case Reports

    Contrast-Enhanced Ultrasound in Patients With COVID-19: Pneumonia, Acute Respiratory Distress Syndrome, or Something Else?

    • Gino Soldati, Gianfranco Giannasi, Andrea Smargiassi, Riccardo Inchingolo, and Libertario Demi.
    • Diagnostic and Interventional Ultrasound Unit, Valle del Serchio General Hospital, Lucca, Italy.
    • J Ultrasound Med. 2020 Dec 1; 39 (12): 2483-2489.

    AbstractCoronavirus disease 2019 (COVID-19) represents a very heterogeneous disease. Some aspects of COVID-19 pneumonia question the real nature of ground glass opacities and its consolidative lesions. It has been hypothesized that COVID-19 lung involvement could represent not only a viral effect but also an immune response induced by the infection, causing epithelial/endothelial lesions and coagulation disorders. We report 3 cases of COVID-19 pneumonia in which contrast-enhanced ultrasound was suggestive of consolidations with perfusion defects, at least in part caused by ischemic or necrotic changes and not only by inflammatory or atelectasis events.© 2020 by the American Institute of Ultrasound in Medicine.

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