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suck abstract from ncbi


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pmid33742618      Med+J+Malaysia 2021 ; 76 (2): 131-137
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  • Chest radiographs in Coronavirus Disease 2019 (COVID-19) #MMPMID33742618
  • Letchumanan M; Anour AA; Ganapathy SS; Harry S; Nik Lah NSH; Arsad N; Fisol NFA
  • Med J Malaysia 2021[Mar]; 76 (2): 131-137 PMID33742618show ga
  • OBJECTIVES: To recognize the radiographic patterns of coronavirus disease 2019 (COVID-19) in Malaysia. MATERIALS AND METHODS: Chest radiographs of patients confirmed with COVID-19 in Hospital Tawau, Sabah, Malaysia were retrospectively analyzed by two radiologists. The radiographic pattern, distribution among subgroups and evolution of the disease over time were determined. RESULTS: Among the 82 patients studied, 65 (79.3%) were males. Mean age of our cohorts was 37 +/- 15 years. Baseline chest radiographs were abnormal in 37 patients (45.1%). Over half (52.9%) of the symptomatic patients had abnormal baseline radiograph. Among the children, patients with comorbidities, and patients 60 years of age and above, the abnormal radiographs were 14.3%, 71.4% and 69.3% respectively. Ground glass opacities were the commonest abnormal radiographic feature (35.4%), were peripherally located (35.4%) with predilection for the lower zones (29.3%). Most radiographic abnormalities were multifocal (20.7%) and frequently located in the left lung (19.5%). Radiographic recovery was observed in 15 of 18 patients (83%). Computed tomography (CT) scan demonstrated greater extent of the disease than observed in radiographs of the same patient. CONCLUSIONS: COVID-19 pneumonia presented with a specific radiographic pattern in our cohort of patients, comprising of ground glass opacities in peripheral and basilar distribution, affecting a single lung field and was observed in both symptomatic and asymptomatic patients. Chest radiograph is a useful adjunct screening tool, and in combination with clinical and epidemiological assessment may facilitate in early diagnosis of COVID-19 pneumonia.
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19 Testing[MESH]
  • |COVID-19/*complications/*diagnostic imaging[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Lung/*diagnostic imaging[MESH]
  • |Malaysia[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Radiography, Thoracic[MESH]
  • |Retrospective Studies[MESH]
  • |Tomography, X-Ray Computed[MESH]


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