Coronavirus disease 2019 (COVID-19) pneumonia incidentally detected on coronary CT angiogram: a do-not-miss diagnosis.
Shima BehzadErik VelezMohammad Hosein NajafiAli GholamrezanezhadPublished in: Emergency radiology (2020)
Coronary CT angiograms are commonly performed for the evaluation of coronary artery disease and coronary arterial anatomy. However, extracardiac findings are frequently detected on these examinations and often can explain patients' underlying symptoms, having a significant impact on patient management. Here in, we discuss three cases of incidentally detected novel COVID-19-infected pneumonia (NCIP). This case series highlights the image findings in NCIP and emphasizes the importance of evaluating all organs in the field of view on coronary CT angiograms. In addition, with the ongoing outbreak of COVID-19 and exponentially increasing incidence throughout the world, this report stresses the need for including NCIP in the differential diagnosis of patients with typical image findings in at-risk populations, as early diagnosis is crucial for appropriate patient management and post-exposure recommendations.
Keyphrases
- coronavirus disease
- coronary artery disease
- coronary artery
- sars cov
- image quality
- computed tomography
- dual energy
- contrast enhanced
- percutaneous coronary intervention
- respiratory syndrome coronavirus
- end stage renal disease
- cardiovascular events
- ejection fraction
- coronary artery bypass grafting
- aortic stenosis
- chronic kidney disease
- deep learning
- positron emission tomography
- case report
- magnetic resonance imaging
- newly diagnosed
- risk factors
- patient reported outcomes
- type diabetes
- heart failure
- machine learning
- clinical practice
- intensive care unit
- acute coronary syndrome
- physical activity
- patient reported
- pet ct