CT Chest Findings in 100 Patients with COVID-19 Pneumonia in Egypt

Abstract Background: Coronavirus disease 2019 (COVID-19) cases are represented by variable spectrum of CT chest findings despite their clinical symptoms. Aim of Study: Is to detect the CT findings despite different clinical presentation and standardize the COVID-19 lung assessment by non-enhanced chest CT. Material and Methods: This was a descriptive study done at Radio-diagnosis Department at Tanta University. Patient underwent chest CT scan. The diagnoses of the cases was initially based on the criteria published by WHO on January 20202. Two radiologists reviewed the CT findings. 100 patients underwent chest CT scans March 29,2020 and September 30th, 2020, were descriptive enrolled. The cohort included 50 (50%) men and 50 (50%) women with a mean age of 46.29±13.21. The symptomatic patients were 62 (62%) & the asymptomatic were 38 (38%). The symptoms include fever, cough, ageusia & anosmia, the most predominant complaint were ageusia & anosmia as 45 patients (79) suffered from. The asymptomatic cases were in close contact with proved COVID patients or had suspicious laboratory findings Results: All cases underwent CT study five cases (%%) were normal, 35 (35%) show consolidation, 89 (89%) show ground glass opacification, 35 (35%) with combined consol-idation & ground glass opacification. 5 cases show other nonspecific findings. 72 cases show bilateral consolidation while only 17 cases with unilateral distribution. Conclusion: Pneumonia in COVID-19 cases usually manifests as bilateral, subpleural, ground-glass opacities with air bronchograms with ill-defined margins on chest CT. Even in asymptomatic cases, abnormal findings of chest CT may occur.