key: cord-0993695-fulad5ws
authors: Qian, Lijuan; Yu, Jie; Shi, Heshui
title: Severe Acute Respiratory Disease in a Huanan Seafood Market Worker: Images of an Early Casualty
date: 2020-02-14
journal: Radiol Cardiothorac Imaging
DOI: 10.1148/ryct.2020200033
sha: 7139a9033299b9fc3d8f36840862078366a6b397
doc_id: 993695
cord_uid: fulad5ws

nan

: Images in a 44-year-old man who presented with fever and suspected COVID-19 pneumonia. A-C, Thin-slice (1-mm) axial CT images showed multiple patchy ground-glass opacity along the peribronchial and subpleural lungs. Some reticular opacities were also found within areas of ground glass (crazy-paving pattern). Lymphadenopathy was absent. D-F, Multiplanar reconstruction showed diffuse distribution of lesions. Serial follow-up chest radiographs showed increased extension of the lung opacities and development of basilar predominant consolidation (Fig 2) . He was clinically diagnosed with severe pneumonia and acute respiratory distress syndrome. Usual respiratory pathogens were excluded, and he was eventually diagnosed as a suspected case of COVID-2019 (formerly known as 2019 novel coronavirus) infection. Unfortunately, he died 1 week later after failure of supportive measures.

This case occurring at the epicenter outbreak of COVID-19 pneumonia illustrates the potential severity of this disease, at the same time that it underscores the role of imaging for monitoring disease progression. Moreover, CT could also have an important diagnostic role, especially when confirmatory tests, such as the real-time RT-PCR are unavailable (1) (2) (3) (4) .

Trial 5th Edition). National Health Commission of the People's Republic of China Web site

Clinical features of patients infected with 2019 novel coronavirus in Wuhan

Novel Coronavirus (2019-nCoV)

Chest CT Findings in 2019 Novel Coronavirus (2019-nCoV) Infections from Wuhan, China: Key Points for the Radiologist