Chest radiograph (CXR) manifestations of the Novel Coronavirus Dis-ease 2019 (COVID-19): A mini-review

Chan, Wai Yee and Hamid, Marlina Tanty Ramli and Gowdh, Nadia Fareeda Muhammad and Rahmat, Kartini and Yaakup, Nur Adura and Chai, Chee Shee (2021) Chest radiograph (CXR) manifestations of the Novel Coronavirus Dis-ease 2019 (COVID-19): A mini-review. Current Medical Imaging Formerly Current Medical Imaging Reviews, 17 (6). pp. 677-685. ISSN 15734056, DOI (In Press)

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Background: Coronavirus disease 2019 (COVID-19) is highly contagious and has claimed more than one million lives, besides causing hardship and disruptions. The Fleischner Society has recommended chest X-ray (CXR) in detecting cases at high risk of disease progression, for triaging suspected patients with moderate-to-severe illness, and for eliminating false negatives in areas with high pre-test probability or limited resources. Although CXR is less sensitive than real-time reverse transcription-polymerase chain reaction (RT-PCR) in detecting mild COVID-19, it is nevertheless useful because of equipment portability, low cost and practicality in serial assessments of disease progression among hospitalized patients. Objective: This study aims to review the typical and relatively atypical CXR manifestations of COVID-19 pneumonia in a tertiary care hospital. Methods: The CXRs of 136 COVID-19 patients confirmed through real-time RT-PCR from March to May 2020 were reviewed. A literature search was performed using PubMed. Results: A total of 54 patients had abnormal CXR whilst the others were normal. Typical CXR findings included pulmonary consolidation or ground-glass opacities in a multifocal, bilateral peripheral, or lower zone distribution, whereas atypical CXR features comprised cavitation and pleural effusion. Conclusion: Typical findings of COVID-19 infection in chest computed tomography studies can also be seen in CXR. The presence of atypical features associated with worse disease outcome. Recognition of these features on CXR will improve the accuracy and speed of diagnosing COVID-19 patients.

Item Type: Article
Funders: University of Malaya Research Grants : Bk006-2018; Gpf009c-2019, University Malaya COVID-19 Related Special Research Grant : CSRG002-2020ST, National Fundamental Research Grant: FRGS/1/2019/SKK03/UM/01/1; FRGS/1/2018/ICT02/MUSM/03/1
Uncontrolled Keywords: COVID-19; CXR; Pneumonia; Ground-glass opacity; Consolidation; Peripheral; ARDS
Subjects: R Medicine
T Technology > T Technology (General)
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 18 Feb 2022 08:54
Last Modified: 18 Feb 2022 08:54

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