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Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 ä-/-ä 2020 ; 23 (ä): 200419 Nephropedia Template TP
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Postmortem CT lung findings in decedents with Covid-19: A review of 14 decedents and potential triage implications #MMPMIDC7643627
Helmrich E; Decker L; Adolphi N; Makino Y
ä-/-ä 2020[Dec]; 23 (ä): 200419 PMIDC7643627show ga
Objective: Computed tomography has significant utility as a diagnostic tool for coronavirus disease 2019 (COVID-19) in the clinical setting. COVID-19 deaths are sometimes examined by forensic pathologists, often in the setting of an unknown diagnosis. We assessed the utility of postmortem computed tomography (PMCT) for use as a triage tool for these autopsy examinations. Materials and methods: We reviewed PMCT findings in 14 and histopathology in 11 decedents who were positive for COVID-19. Results: The predominant imaging findings were bilateral mixed densities, in either a diffuse or peripheral distribution, with traction bronchiectasis, and/or crazy paving. In particular, traction bronchiectasis, ill-defined rounded consolidations, and reverse halo sign are useful when distinguishing from other postmortem changes. Conclusion: We conclude that triage with a PMCT may aid the forensic pathologist in diagnosing possible COVID-19 infection prior to autopsy examination.