• Meng Li, Guijuan Zhu, Yajun Guo, and Qing Ye.
• Department of Pulmonary & Critical Care Medicine, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, PR China.
• Medicine (Baltimore). 2024 May 17; 103 (20): e38185e38185.

AbstractThis study aims to evaluate chest computed tomography (CT) findings in hospital patients with primary varicella pneumonia (PVP). We retrospectively analyzed CT images of 77 PVP patients using 3D Slicer, an open-source software, to model lesions and lungs. This retrospective cohort study was approved by the Institutional Review Board (Ethical Committee, Renmin Hospital, Hubei University of Medicine, Shiyan, China) and waived the requirement for written informed consent. The left lung was more frequently and severely affected in PVP, with significant differences between the 2 groups in CT involvement percentage of each lung region, except for total lung inflation. Group A showed higher median percentages of lung collapse compared to Group B. The extent of left lung involvement is a critical predictor of emphysema in PVP patients, highlighting the importance of also monitoring the right lung for more severe cases. Lower emphysema levels correspond to more collapsed and infiltrated lung segments, suggesting a more severe clinical presentation.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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