Simultaneous presence of the “bullseye” and “reversed halo” sign at CT of COVID-19 pneumonia: A case report

The “bullseye” sign has been exclusively reported in patients suffering from coronavirus disease 2019 (COVID-19) pneumonia. It is theorized that this newly recognized computed tomography (CT) feature represents a sign of organizing pneumonia. Well established signs of organizing pneumonia also repor...

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Main Authors: Athanasios Giannakis, Dorottya Móré, Dr., David Lukas Mangold, Oyunbileg von Stackelberg, Dr., Roman Rubtsov, Claus Peter Heussel, Prof., Hans-Ulrich Kauczor, Prof., Mark Oliver Wielpütz, Prof., Katharina Hellbach, PD
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043321003691
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author Athanasios Giannakis
Dorottya Móré, Dr.
David Lukas Mangold
Oyunbileg von Stackelberg, Dr.
Roman Rubtsov
Claus Peter Heussel, Prof.
Hans-Ulrich Kauczor, Prof.
Mark Oliver Wielpütz, Prof.
Katharina Hellbach, PD
author_facet Athanasios Giannakis
Dorottya Móré, Dr.
David Lukas Mangold
Oyunbileg von Stackelberg, Dr.
Roman Rubtsov
Claus Peter Heussel, Prof.
Hans-Ulrich Kauczor, Prof.
Mark Oliver Wielpütz, Prof.
Katharina Hellbach, PD
author_sort Athanasios Giannakis
collection DOAJ
description The “bullseye” sign has been exclusively reported in patients suffering from coronavirus disease 2019 (COVID-19) pneumonia. It is theorized that this newly recognized computed tomography (CT) feature represents a sign of organizing pneumonia. Well established signs of organizing pneumonia also reported in COVID-19 patients include linear opacities, the “reversed halo” sign (or “atoll” sign), and a perilobular distribution of abnormalities. These findings are usually present on imaging in the intermediate and late stage of the disease. This is a case of simultaneous presence of the “bullseye” and the “reversed halo” sign on chest CT images of a COVID-19 patient examined 22 days after symptom onset.
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spelling doaj.art-13c4465585814f729464417316593d612022-12-21T20:12:35ZengElsevierRadiology Case Reports1930-04332021-09-0116924422446Simultaneous presence of the “bullseye” and “reversed halo” sign at CT of COVID-19 pneumonia: A case reportAthanasios Giannakis0Dorottya Móré, Dr.1David Lukas Mangold2Oyunbileg von Stackelberg, Dr.3Roman Rubtsov4Claus Peter Heussel, Prof.5Hans-Ulrich Kauczor, Prof.6Mark Oliver Wielpütz, Prof.7Katharina Hellbach, PD8Department of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; Diagnostic and Interventional Radiology with Nuclear Medicine, Thoraxklinik at University Hospital Heidelberg, Heidelberg, Germany; Translational Lung Research Center (TLRC), German Center for Lung Research (DZL), University of Heidelberg, Heidelberg, Germany; Corresponding author.Department of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; Translational Lung Research Center (TLRC), German Center for Lung Research (DZL), University of Heidelberg, Heidelberg, GermanyDepartment of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; Translational Lung Research Center (TLRC), German Center for Lung Research (DZL), University of Heidelberg, Heidelberg, GermanyDepartment of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; Translational Lung Research Center (TLRC), German Center for Lung Research (DZL), University of Heidelberg, Heidelberg, GermanyDepartment of Diagnostic and Interventional Radiology, Klinikum Konstanz, Konstanz, GermanyDepartment of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; Diagnostic and Interventional Radiology with Nuclear Medicine, Thoraxklinik at University Hospital Heidelberg, Heidelberg, Germany; Translational Lung Research Center (TLRC), German Center for Lung Research (DZL), University of Heidelberg, Heidelberg, GermanyDepartment of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; Translational Lung Research Center (TLRC), German Center for Lung Research (DZL), University of Heidelberg, Heidelberg, GermanyDepartment of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; Translational Lung Research Center (TLRC), German Center for Lung Research (DZL), University of Heidelberg, Heidelberg, GermanyDepartment of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; Diagnostic and Interventional Radiology with Nuclear Medicine, Thoraxklinik at University Hospital Heidelberg, Heidelberg, Germany; Translational Lung Research Center (TLRC), German Center for Lung Research (DZL), University of Heidelberg, Heidelberg, GermanyThe “bullseye” sign has been exclusively reported in patients suffering from coronavirus disease 2019 (COVID-19) pneumonia. It is theorized that this newly recognized computed tomography (CT) feature represents a sign of organizing pneumonia. Well established signs of organizing pneumonia also reported in COVID-19 patients include linear opacities, the “reversed halo” sign (or “atoll” sign), and a perilobular distribution of abnormalities. These findings are usually present on imaging in the intermediate and late stage of the disease. This is a case of simultaneous presence of the “bullseye” and the “reversed halo” sign on chest CT images of a COVID-19 patient examined 22 days after symptom onset.http://www.sciencedirect.com/science/article/pii/S1930043321003691COVID-19PneumoniaBullseyeReversed haloCTOrganizing pneumonia
spellingShingle Athanasios Giannakis
Dorottya Móré, Dr.
David Lukas Mangold
Oyunbileg von Stackelberg, Dr.
Roman Rubtsov
Claus Peter Heussel, Prof.
Hans-Ulrich Kauczor, Prof.
Mark Oliver Wielpütz, Prof.
Katharina Hellbach, PD
Simultaneous presence of the “bullseye” and “reversed halo” sign at CT of COVID-19 pneumonia: A case report
Radiology Case Reports
COVID-19
Pneumonia
Bullseye
Reversed halo
CT
Organizing pneumonia
title Simultaneous presence of the “bullseye” and “reversed halo” sign at CT of COVID-19 pneumonia: A case report
title_full Simultaneous presence of the “bullseye” and “reversed halo” sign at CT of COVID-19 pneumonia: A case report
title_fullStr Simultaneous presence of the “bullseye” and “reversed halo” sign at CT of COVID-19 pneumonia: A case report
title_full_unstemmed Simultaneous presence of the “bullseye” and “reversed halo” sign at CT of COVID-19 pneumonia: A case report
title_short Simultaneous presence of the “bullseye” and “reversed halo” sign at CT of COVID-19 pneumonia: A case report
title_sort simultaneous presence of the bullseye and reversed halo sign at ct of covid 19 pneumonia a case report
topic COVID-19
Pneumonia
Bullseye
Reversed halo
CT
Organizing pneumonia
url http://www.sciencedirect.com/science/article/pii/S1930043321003691
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