Three unsuspected CT diagnoses of COVID-19

Emerg Radiol. 2020 Jun;27(3):229-232. doi: 10.1007/s10140-020-01775-4. Epub 2020 Apr 13.

Abstract

Purpose: Coronavirus 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.

Methods: Three patients were imaged for non-respiratory-related symptoms with a portion of the lungs in the imaged field.

Results: Each 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.

Conclusion: Using 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.

Keywords: COVID-19; Ground-glass opacities; Intraparenchymal hemorrhage.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Betacoronavirus
  • COVID-19
  • Cerebral Hemorrhage / complications
  • Coronavirus Infections / diagnostic imaging*
  • Humans
  • Lung / diagnostic imaging
  • Male
  • Pandemics
  • Pneumonia, Viral / diagnostic imaging*
  • SARS-CoV-2
  • Tomography, X-Ray Computed*