Chest X-ray findings in COVID-19: A Pictorial Review
Introduction: Chest X-ray and Computed tomography(CT) of chest play an important role in the diagnosis and management of the Coronavirus disease (COVID-19). As chest CT may not be readily available in most clinical setups X-ray Chest plays a pivotal role in such clinical scenarios and an irreplaceab...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Rawalpindi Medical University
2020-08-01
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| Series: | Journal of Rawalpindi Medical College |
| Subjects: | |
| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/1428 |
| _version_ | 1818531060982480896 |
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| author | Nasir Khan Muhammad Umar Maria Khaliq Hina Hanif Misbah Durrani Riffat Raja |
| author_facet | Nasir Khan Muhammad Umar Maria Khaliq Hina Hanif Misbah Durrani Riffat Raja |
| author_sort | Nasir Khan |
| collection | DOAJ |
| description | Introduction: Chest X-ray and Computed tomography(CT) of chest play an important role in the diagnosis and management of the Coronavirus disease (COVID-19). As chest CT may not be readily available in most clinical setups X-ray Chest plays a pivotal role in such clinical scenarios and an irreplaceable initial radiological investigation of these patients.
Objective: The objective of this article is to identify and elaborate the commonest appearances and patterns of lung changes on Chest X rays in COVID-19 positive patients confirmed on RT-PCR COVID testing.
Materials and Methods: Cross-sectional descriptive-analytical study of Chest X-ray findings of 294 RT-PCR confirmed COVID-19 patients admitted across 3 hospitals (Rawalpindi institute of urology (RIU), Benazir Bhutto Hospital (BBH) and Holy Family Hospital (HFH)) from March 30th, 2020 till April 30th, 2020. CXR was analyzed for consolidation patches, ground-glass opacification (GGO), multi-lobe involvement, bilateral distribution, and pleural fluid. The chest X-ray with positive findings was graded into mild, moderate, and severe grades using BSTI (British Society of Thoracic imaging) guidelines.
Results: Mean age of study patients was 45.5 years. Among the study population 230 (78.2 %) were male and 64 (21.8%) female. On baseline chest X rays, consolidations were the commonest finding (n=84, 28.5%), followed by ground-glass opacity (n=17, 5.7 %). The more common locations were peripheral and lower zones, and the majority had bilateral lung involvement (Table 1). Pleural effusions were found in only 5 of the study patients. Among these patients, 187 (63.6%) had an initial normal chest X-ray. Moreover, 35, 34, and 38patients had mild, moderate, and severe diseases respectively.
Conclusion: Chest X-ray is an important initial radiological investigation for COVID 19 patients and plays an important role in the management during the course of the disease. |
| first_indexed | 2024-12-11T17:27:35Z |
| format | Article |
| id | doaj.art-d4a6704935f24a96b7d588de66a2728f |
| institution | Directory Open Access Journal |
| issn | 1683-3562 1683-3570 |
| language | English |
| last_indexed | 2024-12-11T17:27:35Z |
| publishDate | 2020-08-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj.art-d4a6704935f24a96b7d588de66a2728f2022-12-22T00:56:55ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702020-08-0124Supp-110.37939/jrmc.v24iSupp-1.1428Chest X-ray findings in COVID-19: A Pictorial ReviewNasir Khan0Muhammad Umar1Maria Khaliq2Hina Hanif3Misbah DurraniRiffat Raja4Rawalpindi Medical UniversityRawalpindi Medical UniversityRawalpindi Medical UniversityRawalpindi Medical UniversityRawalpindi Medical UniversityIntroduction: Chest X-ray and Computed tomography(CT) of chest play an important role in the diagnosis and management of the Coronavirus disease (COVID-19). As chest CT may not be readily available in most clinical setups X-ray Chest plays a pivotal role in such clinical scenarios and an irreplaceable initial radiological investigation of these patients. Objective: The objective of this article is to identify and elaborate the commonest appearances and patterns of lung changes on Chest X rays in COVID-19 positive patients confirmed on RT-PCR COVID testing. Materials and Methods: Cross-sectional descriptive-analytical study of Chest X-ray findings of 294 RT-PCR confirmed COVID-19 patients admitted across 3 hospitals (Rawalpindi institute of urology (RIU), Benazir Bhutto Hospital (BBH) and Holy Family Hospital (HFH)) from March 30th, 2020 till April 30th, 2020. CXR was analyzed for consolidation patches, ground-glass opacification (GGO), multi-lobe involvement, bilateral distribution, and pleural fluid. The chest X-ray with positive findings was graded into mild, moderate, and severe grades using BSTI (British Society of Thoracic imaging) guidelines. Results: Mean age of study patients was 45.5 years. Among the study population 230 (78.2 %) were male and 64 (21.8%) female. On baseline chest X rays, consolidations were the commonest finding (n=84, 28.5%), followed by ground-glass opacity (n=17, 5.7 %). The more common locations were peripheral and lower zones, and the majority had bilateral lung involvement (Table 1). Pleural effusions were found in only 5 of the study patients. Among these patients, 187 (63.6%) had an initial normal chest X-ray. Moreover, 35, 34, and 38patients had mild, moderate, and severe diseases respectively. Conclusion: Chest X-ray is an important initial radiological investigation for COVID 19 patients and plays an important role in the management during the course of the disease.https://www.journalrmc.com/index.php/JRMC/article/view/1428Chest X rayCOVID-19 |
| spellingShingle | Nasir Khan Muhammad Umar Maria Khaliq Hina Hanif Misbah Durrani Riffat Raja Chest X-ray findings in COVID-19: A Pictorial Review Journal of Rawalpindi Medical College Chest X ray COVID-19 |
| title | Chest X-ray findings in COVID-19: A Pictorial Review |
| title_full | Chest X-ray findings in COVID-19: A Pictorial Review |
| title_fullStr | Chest X-ray findings in COVID-19: A Pictorial Review |
| title_full_unstemmed | Chest X-ray findings in COVID-19: A Pictorial Review |
| title_short | Chest X-ray findings in COVID-19: A Pictorial Review |
| title_sort | chest x ray findings in covid 19 a pictorial review |
| topic | Chest X ray COVID-19 |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/1428 |
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