Imaging features of the initial chest high resolution CT scan in juvenile patient with coronavirus disease 2019

VernacularTitle:新型冠状病毒肺炎未成年患者首次胸部高分辨率CT表现
Author: Yunjiang LI ¹ ; Yunfeng YE ; Weiling XUAN ; Yangjun CHEN ; Baoliang WU ; Zuhua CHEN
Author Information

1. 浙江中医药大学附属杭州西溪医院放射科　310023
From: Chinese Journal of General Practitioners 2020;19(4):284-287
CountryChina
Language:Chinese
Abstract: The coronavirus disease 2019 (COVID-19) was confirmed by nucleic acid test in 15 juvenile patients aged 4-17 years in Hangzhou Xixi Hospital from January 24 to February 10, 2020. The clinical data and the initial chest high resolution CT (HRCT) findings were retrospectively analyzed.Among 15 cases, 8 patients with a mean age of (6.5±2.3) years (4-11 year) had normal HRCT manifestations (mild disease), while 7 patients with a mean age of (11.9±3.0) years (7-17 years) showed abnormal manifestations (moderate disease). In the 7 moderate cases the CT findings included local thickening of bronchial wall in 2 cases, single lesion in 1 case, bilateral pulmonary lesions in 4 cases. There were total 11 lesions, 6 of which were ground glass and slightly high-density nodules, 5 of which were speckled ground glass and 2 with a little consolidation. There were 10 subpleural lesions, including 7 in the lower lobe of the two lungs, and 1 non-subpleural lesion; the thickened local bronchioles were observed in 3 cases. None of them had hilum and mediastinal lymph node enlargement or pleural effusion.