CT Scans Obtained for Nonpulmonary Indications: Associated                     Respiratory Findings of COVID-19

Hossain, Rydhwana; Lazarus, Matthew S.; Roudenko, Alexandra; Dako, Farouk; Mehta, Varun; Alis, Jonathan; Zalta, Benjamin; Lei, Brandon; Haramati, Linda B.; White, Charles S.

doi:10.1148/radiol.2020201743

Cited by 25 publications

(27 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In COVID-19 endemic areas, additional chest CT may be performed to help detect COVID-19 in patients who undergo extrathoracic CT. The results of several studies in COVID-19 endemic regions have shown that incidental chest CT findings suggestive of COVID-19 pneumonia can be detected in the visualized lung parenchyma in patients who underwent CT of other body regions, such as CT angi- ography of the head and neck (64)(65)(66), CT of the cervical or thoracic spine (64,65), and CT of the abdomen (67)(68)(69). These patients should undergo subsequent RT-PCR tests before the diagnosis of COVID-19 can be confirmed (59).…”

Section: Additional Chest Ct In Patients Who Undergo Ct Of Other Bodymentioning

confidence: 99%

Chest CT in COVID-19: What the Radiologist Needs to Know

2020

View full text Add to dashboard Cite

Chest CT has a potential role in the diagnosis, detection of complications, and prognostication of coronavirus disease 2019 (COVID-19). Implementation of appropriate precautionary safety measures, chest CT protocol optimization, and a standardized reporting system based on the pulmonary findings in this disease will enhance the clinical utility of chest CT. However, chest CT examinations may lead to both false-negative and false-positive results. Furthermore, the added value of chest CT in diagnostic decision making is dependent on several dynamic variables, most notably available resources (real-time reverse transcription-polymerase chain reaction [RT-PCR] tests, personal protective equipment, CT scanners, hospital and radiology personnel availability, and isolation room capacity) and the prevalence of both COVID-19 and other diseases with overlapping manifestations at chest CT. Chest CT is valuable to detect both alternative diagnoses and complications of COVID-19 (acute respiratory distress syndrome, pulmonary embolism, and heart failure), while its role for prognostication requires further investigation. The authors describe imaging and managing care of patients with COVID-19, with topics including (a) chest CT protocol, (b) chest CT findings of COVID-19 and its complications, (c) the diagnostic accuracy of chest CT and its role in diagnostic decision making and prognostication, and (d) reporting and communicating chest CT findings. The authors also review other specific topics, including the pathophysiology and clinical manifestations of COVID-19, the World Health Organization case definition, the value of performing RT-PCR tests, and the radiology department and personnel impact related to performing chest CT in COVID-19. ©

show abstract

Section: Additional Chest Ct In Patients Who Undergo Ct Of Other Bodymentioning

confidence: 99%

Chest CT in COVID-19: What the Radiologist Needs to Know

2020

View full text Add to dashboard Cite

show abstract

“…Additionally, many cases of COVID-19 have been found incidentally through abdominal imaging scans indicated by patients presenting mainly or only with GI symptoms [20,21,[26][27][28][29]. Hossain et al found that more than 50% of their 119 patients first demonstrated evidence of COVID-19 incidentally through either an abdominal or cervical spine/neck CT [30]. Some authors now recommend radiologists to carefully review abdominal CT scans for typical COVID-19 findings at the lung bases [31,32].…”

Section: Incidental Covid-19 Findings Based On Abdominal Computed Tommentioning

confidence: 99%

Abdominal imaging findings in patients with SARS-CoV-2 infection: a scoping review

2020

View full text Add to dashboard Cite

Purpose This scoping review evaluated the currently available data related to abdominal imaging in the SARS-CoV-2 infection. Method A systematic review of MEDLINE, EMBASE, SCOPUS, and Web of Science was performed from inception to July 15, 2020 using PRISMA-ScR guidelines. The review included case reports and series discussing radiologic manifestations of SARS-CoV-2 infection in abdominal imaging studies.

show abstract

“…Recent studies have demonstrated abdominal imaging findings that help to understand the varied imaging appearances that may be seen with disseminated or atypical infection [5,6]. Radiologists should thus be aware of potential abdominal imaging findings in patients with COVID-19.…”

Section: Introductionmentioning

confidence: 99%

Cross-Sectional Abdominal Imaging Findings in Patients With COVID-19

Shiralkar¹,

Chinapuvvula²,

Ocazionez³

2020

Cureus

View full text Add to dashboard Cite

We aimed to review and analyze cross-sectional abdominal imaging findings in a cohort of 10 patients who had tested positive for coronavirus disease 2019 (COVID-19). Methods This retrospective study conducted from April 1, 2020, to May 13, 2020, involved two institutions that comprised a central tertiary academic institution and multiple smaller community hospitals. We reviewed and examined cross-sectional imaging studies of patients who tested positive for COVID-19 either during the emergency room (ER) visit or hospital admission. Salient imaging findings and medical records were reviewed. Results A total of 10 COVID-19-positive patients (seven males and three females) of ages ranging from 21-75 years underwent cross-sectional abdominopelvic imaging. Nine of the 10 patients demonstrated typical lung base findings associated with COVID-19 on both CT and MRI. Twelve CT abdominopelvic examinations, one MRI abdomen, and one right upper quadrant ultrasound (RUQ US) were performed, with three patients undergoing two CT scans during the course of hospitalization. Gastric and bowel wall abnormalities were found on 25% (n=3/12) of abdominal CT scans. Acute interstitial pancreatitis and acute cholecystitis were both found on one CT exam. The remaining (n=7/12, 58%) CT studies demonstrated no acute intraabdominal pathology with incidental findings including fatty liver disease, cirrhosis, and splenomegaly. Conclusion A spectrum of abdominal imaging findings ranging from colitis to pancreatitis may be correlated with COVID-19 infection, even though the majority of our patients with gastrointestinal (GI) symptoms did not have identifiable GI pathology on imaging.

show abstract

CT Scans Obtained for Nonpulmonary Indications: Associated Respiratory Findings of COVID-19

Cited by 25 publications

References 16 publications

Chest CT in COVID-19: What the Radiologist Needs to Know

Chest CT in COVID-19: What the Radiologist Needs to Know

Abdominal imaging findings in patients with SARS-CoV-2 infection: a scoping review

Cross-Sectional Abdominal Imaging Findings in Patients With COVID-19

Contact Info

Product

Resources

About