Chest Radiograph (CXR) Manifestations of the Novel Coronavirus Disease 2019 (Covid-19) - A Mini-Review

Background Coronavirus disease 2019 (COVID-19) is highly contagious and has claimed more than one million lives, besides causing hardship and disruptions. The Fleischner Society has recommended chest X-ray (CXR) in detecting cases with high risk for disease progression, for triaging suspected patie...

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Main Authors: Chan, Wai Yee, Marlina Tanty, Ramli Hamid, Nadia Fareeda, Muhammad Gowdh, Kartini, Rahmat, Nur Adura, Yaakup, Chai, Chee Shee
Format: Article
Language:English
Published: Bentham science 2020
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Online Access:http://ir.unimas.my/id/eprint/33752/1/ChestRadiograph%28cxr%29ManifestationsofthenovelCoronavirusDisease2019%28covid-19%29%E2%80%94aMini-review.pdf
http://ir.unimas.my/id/eprint/33752/
https://europepmc.org/article/med/33390122
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Institution: Universiti Malaysia Sarawak
Language: English
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spelling my.unimas.ir.337522022-02-25T07:49:43Z http://ir.unimas.my/id/eprint/33752/ Chest Radiograph (CXR) Manifestations of the Novel Coronavirus Disease 2019 (Covid-19) - A Mini-Review Chan, Wai Yee Marlina Tanty, Ramli Hamid Nadia Fareeda, Muhammad Gowdh Kartini, Rahmat Nur Adura, Yaakup Chai, Chee Shee R Medicine (General) RC Internal medicine RZ Other systems of medicine Background Coronavirus disease 2019 (COVID-19) is highly contagious and has claimed more than one million lives, besides causing hardship and disruptions. The Fleischner Society has recommended chest X-ray (CXR) in detecting cases with high risk for disease progression, for triaging suspected patients with moderate-to-severe illness, and to eliminate false negatives in areas with high pre-test probability or limited resources. Although CXR is less sensitive than real-time reverse transcription polymerase chain reaction (RT-PCR) in detecting mild COVID-19, it is nevertheless useful because of equipment portability, low cost and practicality in serial assessments of disease progression among hospitalized patients. Objective This study aims to review the typical and relatively atypical CXR manifestations of COVID-19 pneumonia in a tertiary care hospital. Methods The CXRs of 136 COVID-19 patients confirmed through real-time RT-PCR from March to May 2020 were reviewed. Literature search was performed using PubMed. Results A total of 54 patients had abnormal CXR whilst the others were normal. Typical CXR findings included pulmonary consolidation or ground-glass opacities in a multifocal, bilateral peripheral or lower zone distribution, whereas atypical CXR features comprised cavitation and pleural effusion. Conclusion Typical findings of COVID-19 infection in chest computed tomography studies can also be seen in CXR. The presence of atypical features is associated with worse disease outcome. Recognition of these features on CXR will improve accuracy and speed of diagnosing COVID-19 patients. Bentham science 2020-12-30 Article PeerReviewed text en http://ir.unimas.my/id/eprint/33752/1/ChestRadiograph%28cxr%29ManifestationsofthenovelCoronavirusDisease2019%28covid-19%29%E2%80%94aMini-review.pdf Chan, Wai Yee and Marlina Tanty, Ramli Hamid and Nadia Fareeda, Muhammad Gowdh and Kartini, Rahmat and Nur Adura, Yaakup and Chai, Chee Shee (2020) Chest Radiograph (CXR) Manifestations of the Novel Coronavirus Disease 2019 (Covid-19) - A Mini-Review. Current Medical Imaging. ISSN 1875-6603 https://europepmc.org/article/med/33390122 10.2174/1573405616666201231103312
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic R Medicine (General)
RC Internal medicine
RZ Other systems of medicine
spellingShingle R Medicine (General)
RC Internal medicine
RZ Other systems of medicine
Chan, Wai Yee
Marlina Tanty, Ramli Hamid
Nadia Fareeda, Muhammad Gowdh
Kartini, Rahmat
Nur Adura, Yaakup
Chai, Chee Shee
Chest Radiograph (CXR) Manifestations of the Novel Coronavirus Disease 2019 (Covid-19) - A Mini-Review
description Background Coronavirus disease 2019 (COVID-19) is highly contagious and has claimed more than one million lives, besides causing hardship and disruptions. The Fleischner Society has recommended chest X-ray (CXR) in detecting cases with high risk for disease progression, for triaging suspected patients with moderate-to-severe illness, and to eliminate false negatives in areas with high pre-test probability or limited resources. Although CXR is less sensitive than real-time reverse transcription polymerase chain reaction (RT-PCR) in detecting mild COVID-19, it is nevertheless useful because of equipment portability, low cost and practicality in serial assessments of disease progression among hospitalized patients. Objective This study aims to review the typical and relatively atypical CXR manifestations of COVID-19 pneumonia in a tertiary care hospital. Methods The CXRs of 136 COVID-19 patients confirmed through real-time RT-PCR from March to May 2020 were reviewed. Literature search was performed using PubMed. Results A total of 54 patients had abnormal CXR whilst the others were normal. Typical CXR findings included pulmonary consolidation or ground-glass opacities in a multifocal, bilateral peripheral or lower zone distribution, whereas atypical CXR features comprised cavitation and pleural effusion. Conclusion Typical findings of COVID-19 infection in chest computed tomography studies can also be seen in CXR. The presence of atypical features is associated with worse disease outcome. Recognition of these features on CXR will improve accuracy and speed of diagnosing COVID-19 patients.
format Article
author Chan, Wai Yee
Marlina Tanty, Ramli Hamid
Nadia Fareeda, Muhammad Gowdh
Kartini, Rahmat
Nur Adura, Yaakup
Chai, Chee Shee
author_facet Chan, Wai Yee
Marlina Tanty, Ramli Hamid
Nadia Fareeda, Muhammad Gowdh
Kartini, Rahmat
Nur Adura, Yaakup
Chai, Chee Shee
author_sort Chan, Wai Yee
title Chest Radiograph (CXR) Manifestations of the Novel Coronavirus Disease 2019 (Covid-19) - A Mini-Review
title_short Chest Radiograph (CXR) Manifestations of the Novel Coronavirus Disease 2019 (Covid-19) - A Mini-Review
title_full Chest Radiograph (CXR) Manifestations of the Novel Coronavirus Disease 2019 (Covid-19) - A Mini-Review
title_fullStr Chest Radiograph (CXR) Manifestations of the Novel Coronavirus Disease 2019 (Covid-19) - A Mini-Review
title_full_unstemmed Chest Radiograph (CXR) Manifestations of the Novel Coronavirus Disease 2019 (Covid-19) - A Mini-Review
title_sort chest radiograph (cxr) manifestations of the novel coronavirus disease 2019 (covid-19) - a mini-review
publisher Bentham science
publishDate 2020
url http://ir.unimas.my/id/eprint/33752/1/ChestRadiograph%28cxr%29ManifestationsofthenovelCoronavirusDisease2019%28covid-19%29%E2%80%94aMini-review.pdf
http://ir.unimas.my/id/eprint/33752/
https://europepmc.org/article/med/33390122
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