Evolution of computed tomography manifestations of eleven patients with severe coronavirus disease 2019 (COVID-19) pneumonia

Int J Clin Pract. 2021 Jan;75(1):e13654. doi: 10.1111/ijcp.13654. Epub 2020 Nov 21.

Abstract

Purpose: Severe coronavirus disease 2019 (COVID-19) pneumonia is associated with high mortality. However, the evolution of computed tomography (CT) manifestations of severe COVID-19 pneumonia remains unclear, more evidence regarding its evolution process is urgently needed.

Method: The clinical, laboratory and imaging data of eleven patients with severe COVID-19 pneumonia were collected to investigate the evolution process of severe COVID-19 cases.

Results: The main initial CT manifestations of severe COVID-19 pneumonia were multiple ground-glass opacities and/or consolidation. The evolution of CT manifestations showed that acute exudative lesions of severe COVID-19 pneumonia could be gradually resolved after the active intervention.

Conclusions: Most of patients with severe COVID-19 pneumonia showed marked improvement of acute exudative lesions on chest imagings and satisfactory prognosis of severe COVID-19 pneumonia could be achieved after active treatment.

MeSH terms

  • Adult
  • Aged
  • COVID-19 / diagnostic imaging*
  • COVID-19 / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Acuity
  • Prognosis
  • SARS-CoV-2
  • Tomography, X-Ray Computed*