Idiopathic Interstitial Pneumonias and COVID-19 Pneumonia: Review of the Main Radiological Features and Differential Diagnosis

COVID-19 pneumonia represents a challenging health emergency, due to the disproportion between the high transmissibility, morbidity, and mortality of the virus and healthcare systems possibilities. Literature has mainly focused on COVID-19 pneumonia clinical-radiological diagnosis and therapy, and o...

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Main Authors: Alessia Guarnera, Elena Santini, Pierfrancesco Podda
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Tomography
Subjects:
Online Access:https://www.mdpi.com/2379-139X/7/3/35
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author Alessia Guarnera
Elena Santini
Pierfrancesco Podda
author_facet Alessia Guarnera
Elena Santini
Pierfrancesco Podda
author_sort Alessia Guarnera
collection DOAJ
description COVID-19 pneumonia represents a challenging health emergency, due to the disproportion between the high transmissibility, morbidity, and mortality of the virus and healthcare systems possibilities. Literature has mainly focused on COVID-19 pneumonia clinical-radiological diagnosis and therapy, and on the most common differential diagnoses, while few papers investigated rare COVID-19 pneumonia differential diagnoses or the overlapping of COVID-19 pneumonia on pre-existing lung pathologies. This article presents the main radiological characteristics of COVID-19 pneumonia and Idiopathic Interstitial Pneumonias (IIPs) to identify key radiological features for a differential diagnosis among IIPs, and between IIPs and COVID-19 pneumonia. COVID-19 pneumonia differential diagnosis with IIPs is challenging, since these entities may share common radiological findings as ground glass opacities, crazy paving patterns, and consolidations. Multidisciplinary discussion is crucial to reach a final and correct diagnosis. Radiologists have a pivotal role in identifying COVID-19 pneumonia patterns, reporting possible overlapping with long-lasting lung diseases, and suggesting potential differential diagnoses. An optimal evaluation of HRTC may help in containing the disease, in promoting better treatment for patients, and in providing an efficient allocation of human and economic resources.
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spelling doaj.art-d50a96d22a2f41199dc19707e42933c22023-12-03T13:21:57ZengMDPI AGTomography2379-13812379-139X2021-08-017339741110.3390/tomography7030035Idiopathic Interstitial Pneumonias and COVID-19 Pneumonia: Review of the Main Radiological Features and Differential DiagnosisAlessia Guarnera0Elena Santini1Pierfrancesco Podda2Radiology Department, San Giovanni Addolorata Hospital, 00184 Rome, ItalyRadiology Department, San Giovanni Addolorata Hospital, 00184 Rome, ItalyRadiology Department, San Giovanni Addolorata Hospital, 00184 Rome, ItalyCOVID-19 pneumonia represents a challenging health emergency, due to the disproportion between the high transmissibility, morbidity, and mortality of the virus and healthcare systems possibilities. Literature has mainly focused on COVID-19 pneumonia clinical-radiological diagnosis and therapy, and on the most common differential diagnoses, while few papers investigated rare COVID-19 pneumonia differential diagnoses or the overlapping of COVID-19 pneumonia on pre-existing lung pathologies. This article presents the main radiological characteristics of COVID-19 pneumonia and Idiopathic Interstitial Pneumonias (IIPs) to identify key radiological features for a differential diagnosis among IIPs, and between IIPs and COVID-19 pneumonia. COVID-19 pneumonia differential diagnosis with IIPs is challenging, since these entities may share common radiological findings as ground glass opacities, crazy paving patterns, and consolidations. Multidisciplinary discussion is crucial to reach a final and correct diagnosis. Radiologists have a pivotal role in identifying COVID-19 pneumonia patterns, reporting possible overlapping with long-lasting lung diseases, and suggesting potential differential diagnoses. An optimal evaluation of HRTC may help in containing the disease, in promoting better treatment for patients, and in providing an efficient allocation of human and economic resources.https://www.mdpi.com/2379-139X/7/3/35COVID-19idiopathic interstitial pneumoniaHRCTdifferential diagnosisusual interstitial pneumonianon-specific interstitial pneumonia
spellingShingle Alessia Guarnera
Elena Santini
Pierfrancesco Podda
Idiopathic Interstitial Pneumonias and COVID-19 Pneumonia: Review of the Main Radiological Features and Differential Diagnosis
Tomography
COVID-19
idiopathic interstitial pneumonia
HRCT
differential diagnosis
usual interstitial pneumonia
non-specific interstitial pneumonia
title Idiopathic Interstitial Pneumonias and COVID-19 Pneumonia: Review of the Main Radiological Features and Differential Diagnosis
title_full Idiopathic Interstitial Pneumonias and COVID-19 Pneumonia: Review of the Main Radiological Features and Differential Diagnosis
title_fullStr Idiopathic Interstitial Pneumonias and COVID-19 Pneumonia: Review of the Main Radiological Features and Differential Diagnosis
title_full_unstemmed Idiopathic Interstitial Pneumonias and COVID-19 Pneumonia: Review of the Main Radiological Features and Differential Diagnosis
title_short Idiopathic Interstitial Pneumonias and COVID-19 Pneumonia: Review of the Main Radiological Features and Differential Diagnosis
title_sort idiopathic interstitial pneumonias and covid 19 pneumonia review of the main radiological features and differential diagnosis
topic COVID-19
idiopathic interstitial pneumonia
HRCT
differential diagnosis
usual interstitial pneumonia
non-specific interstitial pneumonia
url https://www.mdpi.com/2379-139X/7/3/35
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AT pierfrancescopodda idiopathicinterstitialpneumoniasandcovid19pneumoniareviewofthemainradiologicalfeaturesanddifferentialdiagnosis