Small Solitary Ground-Glass Nodule on CT as an Initial Manifestation of Coronavirus Disease 2019 (COVID-19) Pneumonia.
Tian-Yi XiaJiawei LiJiao GaoXunhua XuPublished in: Korean journal of radiology (2020)
The 2019 novel coronavirus (2019-nCoV) outbreak in Wuhan, Hubei Province, China in 2019 led to large numbers of people being infected and developing atypical pneumonia (coronavirus disease 2019, COVID-19). Typical imaging manifestations of patients infected with 2019-nCoV has been reported, but we encountered an atypical radiological manifestation on baseline computed tomography (CT) images in three patients from Wuhan, China infected with the 2019-nCoV. Surprisingly, the only similar CT finding was a solitary sub-centimeter ground-glass nodule adjacent to bronchovascular bundles, which could be easily overlooked. In addition, the follow-up images in these patients showed how COVID-19 pneumonia evolved from these small nodules. The radiologic manifestation of the three cases will expand contemporary understanding of COVID-19.
Keyphrases
- coronavirus disease
- computed tomography
- end stage renal disease
- sars cov
- ejection fraction
- chronic kidney disease
- respiratory syndrome coronavirus
- prognostic factors
- magnetic resonance imaging
- positron emission tomography
- contrast enhanced
- high resolution
- magnetic resonance
- photodynamic therapy
- patient reported outcomes
- patient reported
- fluorescence imaging
- community acquired pneumonia