HRCT Chest Evaluation of COVID-19 Patients: Experience in Combined Military Hospital Dhaka, Bangladesh

Authors

  • Syed Zoherul Alam Advisor and Head of the Department, Department of Radiology & imaging, CMH, Dhaka
  • SMA Al Muid Advisor specialist in Radiology & Imaging, Department of Radiology & Imaging, CMH, Dhaka
  • Afroza Akhter Classified specialist in Radiology & Imaging, Department of Radiology & Imaging, CMH, Dhaka
  • AKM Sharifur Rahman Classified specialist in Radiology & Imaging, Department of Radiology & Imaging, CMH, Dhaka
  • Md Al Emran Graded Specialist in Radiology & Imaging, Armed Forces Medical Institute, Dhaka
  • Md Tarif Al Mostakim Graded Specialist in Radiology & Imaging, Armed Forces Medical Institute, Dhaka

DOI:

https://doi.org/10.3329/jbcps.v38i0.47441

Keywords:

RT-PCR = Reverse transcription polymerase chain reaction, HRCT= High resolution computed tomography, COVID-19=corona virus disease 2019, GGO=ground glass opacity, WHO=World Health Organization, CMH=Combined Military Hospital.

Abstract

Background: HRCT Chest is an important tool in both diagnosis and management of COVID-19 patient, as well as it is an important complement to the reverse-transcription polymerase chain reaction (RT-PCR) tests.

Purpose: The purpose of this study is to assess different patterns of manifestation in HRCT chest in COVID-19 infection & to grade the severity by observing a sample of 128 after the symptoms began.

Method: From 11 April 2020 to 27 May 2020, 128 patients who were admitted in Combined Military Hospital Dhaka and underwent both HRCT chest and RT-PCR for COVID- 19 were included. Distribution and patterns of pulmonary lesions like ground glass opacity (GGO), consolidation, reverse halo sign, crazy paving, thickened vascular marking, lymphadenopathy and pleural effusion were evaluated.

Result: Total 128 patients diagnosed (RT-PCR Positive) with COVID-19 were included. Among them, 112(87.5%) patients had fever, and 58(45.31%) patients had fatigability. The most frequent CT abnormality was ground glass opacity in 123(96.09%) cases. Amongst them 81(63.28%) cases had GGO plus consolidation and ground glass opacity alone were 42(32.81%) cases. Crazy-paving pattern was in 65(50.78%) cases. Most patients had multiple lesions and involved all the 5 lobes in 96(75.00%) cases. The lesions were mostly peripheral (123,96.09%) and posterior (103,80.47%) and in 65(50.78%) cases the distribution were diffuse but predominantly peripheral. Most commonly involved lobe is right lower lobe (120,93.75%) and left lower lobe(117,91.41%).

Conclusion: HRCT chest can play an important role in the early diagnosis and prompt management of this global health emergency.

J Bangladesh Coll Phys Surg 2020; 38(0): 21-28

Downloads

Download data is not yet available.
Abstract
87
PDF
62

Downloads

Published

2020-06-09

How to Cite

Alam, S. Z., Muid, S. A., Akhter, A., Rahman, A. S., Emran, M. A., & Mostakim, M. T. A. (2020). HRCT Chest Evaluation of COVID-19 Patients: Experience in Combined Military Hospital Dhaka, Bangladesh. Journal of Bangladesh College of Physicians and Surgeons, 38, 21–28. https://doi.org/10.3329/jbcps.v38i0.47441

Issue

COVID Supplement

Section

Original Articles

License

Submission of a manuscript for publication implies the transfer of the copyright from the author to the publisher upon acceptance. Accepted manuscripts become the permanent property of the Journal of Bangladesh College of Physicians and Surgeons and may not be reproduced by any means in whole or in part without the written consent of the publisher.

No part of the materials published in this journal may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise without the prior written permission of the publisher. Reprints of any article in the Journal will be available from the publisher.