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MRI showed the classically reported finding of central globular high signal intensity with a low-signal-intensity rim in only two of the five cases. We noted peripheral contrast enhancement, which to our knowledge has not been reported previously, in three of our five cases. Other patterns such as amorphous, cloudlike stranding and a serpentine appearance were also encountered. In reviewing the literature, we found that the MRI appearance of fat necrosis is more varied than previously thought.

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Key Points• Radiology services encountering the coronavirus disease-19 pandemic will need to modify their daily operational practices.• Leadership, patient risk stratification, adequate manpower, operational workflow clarity, and workplace/social responsibility will help Radiology services safely and sustainably deal with the current disease outbreak.

The coronavirus disease 2019 (COVID-19) pandemic presents an unprecedented challenge to the healthcare systems of the world. In Singapore, the Radiology community's early experience on managing this pandemic was shaped by lessons learnt from the earlier SARS outbreak in 2003. This article surveys the operational responses of radiology departments from 6 public hospitals in Singapore.