대한흉부영상의학회 Korean Society of Thoracic Radiology

Discussion

Diagnosis

A woman in 50s with Coronavirus disease (COVID-19)

Radiologic Findings

Fig 1. Initial chest PA obtained at the onset of symptom shows focal nodular opacity in the right middle lung field and subtly increased opacity in the left lung field.
Fig 2. Follow-up chest PA obtained after two days shows multifocal patchy ground-glass opacities in both lung zone.
Fig 3-5. Chest CT images on the same day of figure 2 demonstrate peripheral and upper lobe predominant multifocal patchy ground-glass opacities with crazy paving appearance in the both lung.
Fig 6. Ten days after admission, follow-up chest PA shows aggravation of bilateral ground-glass opacities.

Brief Review

No past history
Treatment: Lopinavir/Ritnavir, Hydroxyl Chloroquine (anti-malarial drug)
Prognosis: Her condition worsened and receiving mechanical ventilator support.