Produção Nacional
Revisado por pares
Pulmonary Findings of COVID-19 Identified at Cardiac MRI
2020; Radiological Society of North America; Volume: 2; Issue: 2 Linguagem: Inglês
10.1148/ryct.2020200193
ISSN2638-6135
AutoresEduardo Kaiser Ururahy Nunes Fonseca, Rodrigo Caruso Chate, Roberto Sasdelli Neto, Walther Yoshiharu Ishikawa, Murilo Marques Almeida Silva, Patrícia Yokoo, Gilberto Szarf,
Tópico(s)Infective Endocarditis Diagnosis and Management
ResumoHomeRadiology: Cardiothoracic ImagingVol. 2, No. 2 PreviousNext Images in Cardiothoracic ImagingFree AccessPulmonary ImagingPulmonary Findings of COVID-19 Identified at Cardiac MRIEduardo Kaiser Ururahy Nunes Fonseca, Rodrigo Caruso Chate, Roberto Sasdelli Neto, Walther Yoshiharu Ishikawa, Murilo Marques de Almeida Silva, Patricia Yokoo, Gilberto Szarf Eduardo Kaiser Ururahy Nunes Fonseca, Rodrigo Caruso Chate, Roberto Sasdelli Neto, Walther Yoshiharu Ishikawa, Murilo Marques de Almeida Silva, Patricia Yokoo, Gilberto Szarf Author AffiliationsFrom the Cardiothoracic Radiology Group, Hospital Israelita Albert Einstein, Av Albert Einstein 627, Jardim Leonor, São Paulo, SP 05652-900, Brazil.Address correspondence to G.S. (e-mail: [email protected]).Eduardo Kaiser Ururahy Nunes FonsecaRodrigo Caruso ChateRoberto Sasdelli NetoWalther Yoshiharu IshikawaMurilo Marques de Almeida SilvaPatricia YokooGilberto Szarf Published Online:Apr 21 2020https://doi.org/10.1148/ryct.2020200193MoreSectionsPDF ToolsAdd to favoritesCiteTrack Citations ShareShare onFacebookXLinked In Figure 1: Images in a 33-year-old man who presented to the hospital with malaise and fever. Coronavirus disease 2019 was diagnosed by reverse-transcription polymerase chain reaction. Chest CT scans acquired 5 days later due to clinical deterioration show patchy peripheral multilobar consolidation and ground-glass opacities (arrows in A, B). He also developed tachycardia and clinical concern for myocarditis, which prompted a cardiac MRI 2 days later. Although the study was negative for myocarditis, findings on black-blood single-shot fast spin-echo images (C, D) closely match those from CT and even show new opacities and more confluent consolidation (arrows), in addition to new perilobular opacities (arrowheads in C) suggestive of organizing pneumonia.Figure 1:Download as PowerPointA large proportion of individuals with coronavirus disease 2019 (COVID-19) may be asymptomatic or have mild symptoms (1). Although MRI is not the method of choice for assessing pulmonary opacities, it is important to raise awareness about potential similarities between typical CT and MRI findings of COVID-19 pneumonia during this pandemic, especially in cases referred for myocarditis workup (2,3).Disclosures of Conflicts of Interest: E.K.U.N.F. disclosed no relevant relationships. R.C.C. disclosed no relevant relationships. R.S.N. disclosed no relevant relationships. W.Y.I. disclosed no relevant relationships. M.M.d.A.S. disclosed no relevant relationships. P.Y. disclosed no relevant relationships. G.S. Activities related to the present article: disclosed no relevant relationships. Activities not related to the present article: disclosed money paid to author from Roche for lecture on lung cancer; disclosed money paid to author's institution from Ministry of Health of Brazil for a project to develop a vendor-neutral archive and three initiatives in artificial intelligence (Zika, tuberculosis, and melanoma). Other relationships: disclosed no relevant relationships.Keywords: CT, Infection, MR-Imaging Authors declared no funding for this work. References1. Inui S, Fujikawa A, Jitsu M, et al. Chest CT Findings in Cases from the Cruise Ship "Diamond Princess" with Coronavirus Disease 2019 (COVID-19). Radiol Cardiothorac Imaging 2020;2(2):e200110. Google Scholar2. Syrjala H, Broas M, Ohtonen P, Jartti A, Pääkkö E. Chest magnetic resonance imaging for pneumonia diagnosis in outpatients with lower respiratory tract infection. Eur Respir J 2017;49(1):1601303. MedlineGoogle Scholar3. Ekinci A, Yücel Uçarkuş T, Okur A, Öztürk M, Doğan S. MRI of pneumonia in immunocompromised patients: comparison with CT. Diagn Interv Radiol 2017;23(1):22–28. MedlineGoogle ScholarArticle HistoryReceived: Apr 6 2020Revision requested: Apr 16 2020Revision received: Apr 16 2020Accepted: Apr 16 2020Published online: Apr 21 2020 FiguresReferencesRelatedDetailsCited ByDynamic MRI in a COVID-19 patient: a case seriesYuriy A.Vasilev, Evgeniia A.Grik, Olga Yu.Panina, Anna N.Khoruzhaya, Dmitriy S.Semenov, Alexander V.Bazhin, Yulia N.Vasileva19 April 2023 | Digital Diagnostics, Vol. 4, No. 1Incidental radiological findings suggestive of COVID-19 in asymptomatic patientsMarwaRomeih, Mary RMahrous, MohamedEl Kassas2022 | World Journal of Radiology, Vol. 14, No. 1Review of radiographic findings in COVID-19Audrey EKaufman, SonumNaidu, SarayuRamachandran, Dalia SKaufman, Zahi AFayad, VenkateshMani2020 | World Journal of Radiology, Vol. 12, No. 8Recommended Articles A Characteristic Chest Radiographic Pattern in the Setting of the COVID-19 PandemicRadiology: Cardiothoracic Imaging2020Volume: 2Issue: 5RadioGraphics Update: Radiographic and CT Features of Viral PneumoniaRadioGraphics2020Volume: 40Issue: 4pp. E8-E15Coronavirus Disease 2019 (COVID-19): A Perspective from ChinaRadiology2020Volume: 296Issue: 2pp. E15-E25Atypical Pneumonia: Definition, Causes, and Imaging FeaturesRadioGraphics2021Volume: 41Issue: 3pp. 720-741Temporal Changes of CT Findings in 90 Patients with COVID-19 Pneumonia: A Longitudinal StudyRadiology2020Volume: 296Issue: 2pp. E55-E64See More RSNA Education Exhibits Breathe Sparingly: Diffuse Lung Diseases that Spare the Subpleural RegionsDigital Posters2020A Comprehensive Imaging Review of COVID-19 Pneumonia with Focus on RSNA Expert Consensus, Fleischner Society Statement and ACR Recommendations: Challenges, Opportunities and Future Direction Digital Posters2020Spectrum of Imaging Findings in Pediatric Covid-19Digital Posters2020 RSNA Case Collection COVID 19 pneumonia RSNA Case Collection2020Organizing pneumonia associated with ulcerative colitisRSNA Case Collection2020Organizing pneumonia associated with ulcerative colitisRSNA Case Collection2020 Vol. 2, No. 2 Metrics Altmetric Score Open AccessThis article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. 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