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Research ArticleOriginal Article
Open Access

Imaging trend and disease course in admitted COVID-19 patients

Khawaja B. Waheed, Jawad Naseer, Muhammad Z.Ul Hassan, Saulat Sarfraz, Zubair Ahmed, Muhammad S. Amin, Imran Ali, Tamer M. O. Shams, Jebasingh Muthaian and Zechariah J. Arulanantham
Saudi Medical Journal January 2021, 42 (1) 30-37; DOI: https://doi.org/10.15537/smj.2021.1.25642
Khawaja B. Waheed
From the Radiology Department (Waheed, Ul Hassan, Amin, Muthaian), from the Internal Medicine Department (Naseer, Ahmed), from the Intensive Care Unit (Ali), King Fahad Military Medical Complex; from the Department of Vice Deanship of Post-graduate Studies and Research (Arulanantham), Prince Sultan Military College of Health Science, Dhahran, from Radiology Department (Sarfraz), Sheikh Zaid Hospital, Lahore, Pakistan; and from the Radilology Department (Shams), International Medical Center, Jeddah, Kingdom of Saudi Arabia
MBBS, FCPS
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  • For correspondence: [email protected]
Jawad Naseer
From the Radiology Department (Waheed, Ul Hassan, Amin, Muthaian), from the Internal Medicine Department (Naseer, Ahmed), from the Intensive Care Unit (Ali), King Fahad Military Medical Complex; from the Department of Vice Deanship of Post-graduate Studies and Research (Arulanantham), Prince Sultan Military College of Health Science, Dhahran, from Radiology Department (Sarfraz), Sheikh Zaid Hospital, Lahore, Pakistan; and from the Radilology Department (Shams), International Medical Center, Jeddah, Kingdom of Saudi Arabia
MBBS, MRCP
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Muhammad Z.Ul Hassan
From the Radiology Department (Waheed, Ul Hassan, Amin, Muthaian), from the Internal Medicine Department (Naseer, Ahmed), from the Intensive Care Unit (Ali), King Fahad Military Medical Complex; from the Department of Vice Deanship of Post-graduate Studies and Research (Arulanantham), Prince Sultan Military College of Health Science, Dhahran, from Radiology Department (Sarfraz), Sheikh Zaid Hospital, Lahore, Pakistan; and from the Radilology Department (Shams), International Medical Center, Jeddah, Kingdom of Saudi Arabia
MBBS, FCPS
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Saulat Sarfraz
From the Radiology Department (Waheed, Ul Hassan, Amin, Muthaian), from the Internal Medicine Department (Naseer, Ahmed), from the Intensive Care Unit (Ali), King Fahad Military Medical Complex; from the Department of Vice Deanship of Post-graduate Studies and Research (Arulanantham), Prince Sultan Military College of Health Science, Dhahran, from Radiology Department (Sarfraz), Sheikh Zaid Hospital, Lahore, Pakistan; and from the Radilology Department (Shams), International Medical Center, Jeddah, Kingdom of Saudi Arabia
MBBS, FCPS
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Zubair Ahmed
From the Radiology Department (Waheed, Ul Hassan, Amin, Muthaian), from the Internal Medicine Department (Naseer, Ahmed), from the Intensive Care Unit (Ali), King Fahad Military Medical Complex; from the Department of Vice Deanship of Post-graduate Studies and Research (Arulanantham), Prince Sultan Military College of Health Science, Dhahran, from Radiology Department (Sarfraz), Sheikh Zaid Hospital, Lahore, Pakistan; and from the Radilology Department (Shams), International Medical Center, Jeddah, Kingdom of Saudi Arabia
MRCP, FRCP
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Muhammad S. Amin
From the Radiology Department (Waheed, Ul Hassan, Amin, Muthaian), from the Internal Medicine Department (Naseer, Ahmed), from the Intensive Care Unit (Ali), King Fahad Military Medical Complex; from the Department of Vice Deanship of Post-graduate Studies and Research (Arulanantham), Prince Sultan Military College of Health Science, Dhahran, from Radiology Department (Sarfraz), Sheikh Zaid Hospital, Lahore, Pakistan; and from the Radilology Department (Shams), International Medical Center, Jeddah, Kingdom of Saudi Arabia
MBBS, MCPS
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Imran Ali
From the Radiology Department (Waheed, Ul Hassan, Amin, Muthaian), from the Internal Medicine Department (Naseer, Ahmed), from the Intensive Care Unit (Ali), King Fahad Military Medical Complex; from the Department of Vice Deanship of Post-graduate Studies and Research (Arulanantham), Prince Sultan Military College of Health Science, Dhahran, from Radiology Department (Sarfraz), Sheikh Zaid Hospital, Lahore, Pakistan; and from the Radilology Department (Shams), International Medical Center, Jeddah, Kingdom of Saudi Arabia
MBBS, MCPS
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Tamer M. O. Shams
From the Radiology Department (Waheed, Ul Hassan, Amin, Muthaian), from the Internal Medicine Department (Naseer, Ahmed), from the Intensive Care Unit (Ali), King Fahad Military Medical Complex; from the Department of Vice Deanship of Post-graduate Studies and Research (Arulanantham), Prince Sultan Military College of Health Science, Dhahran, from Radiology Department (Sarfraz), Sheikh Zaid Hospital, Lahore, Pakistan; and from the Radilology Department (Shams), International Medical Center, Jeddah, Kingdom of Saudi Arabia
MBBS, MSc
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Jebasingh Muthaian
From the Radiology Department (Waheed, Ul Hassan, Amin, Muthaian), from the Internal Medicine Department (Naseer, Ahmed), from the Intensive Care Unit (Ali), King Fahad Military Medical Complex; from the Department of Vice Deanship of Post-graduate Studies and Research (Arulanantham), Prince Sultan Military College of Health Science, Dhahran, from Radiology Department (Sarfraz), Sheikh Zaid Hospital, Lahore, Pakistan; and from the Radilology Department (Shams), International Medical Center, Jeddah, Kingdom of Saudi Arabia
HSC, BSc
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Zechariah J. Arulanantham
From the Radiology Department (Waheed, Ul Hassan, Amin, Muthaian), from the Internal Medicine Department (Naseer, Ahmed), from the Intensive Care Unit (Ali), King Fahad Military Medical Complex; from the Department of Vice Deanship of Post-graduate Studies and Research (Arulanantham), Prince Sultan Military College of Health Science, Dhahran, from Radiology Department (Sarfraz), Sheikh Zaid Hospital, Lahore, Pakistan; and from the Radilology Department (Shams), International Medical Center, Jeddah, Kingdom of Saudi Arabia
MSc, PhD
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    Figure 1

    Radiographic disease course as seen on serial chest radiographs of a COVID-19 admitted patient in the ward. A) Initial and B & C) subsequent chest radiographs of COVID-19 patient showing subtle peripheral opacities and increased reticulation that became more prominent during ward stay. Duration between chest x-ray A and B is 9 days and between B and C is 4 days.

  • Figure 2
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    Figure 2

    Chest radiographic findings in a COVID-19 patient with ward and subsequent ICU stays and recovery. A) Initial and B-D) serial chest radiographs showed mixed changes of peripheral opacities and consolidations affecting both the C) lungs at mid and lower zones that regressed and D) improved during ICU stay.

  • Figure 3
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    Figure 3

    Worsening disease course and imaging findings in a complicated case of COVID-19. Chest radiographs (upper row) showed dense opacities at mid and lower zones in both lungs. Selected coronal CT chest images (bottom row) showed extensive bilateral GGOs with interlobular septal thickening. Patient developed pulmonary embolism and remained in ICU with unfavorable outcome.

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Saudi Medical Journal: 42 (1)
Saudi Medical Journal
Vol. 42, Issue 1
1 Jan 2021
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Imaging trend and disease course in admitted COVID-19 patients
Khawaja B. Waheed, Jawad Naseer, Muhammad Z.Ul Hassan, Saulat Sarfraz, Zubair Ahmed, Muhammad S. Amin, Imran Ali, Tamer M. O. Shams, Jebasingh Muthaian, Zechariah J. Arulanantham
Saudi Medical Journal Jan 2021, 42 (1) 30-37; DOI: 10.15537/smj.2021.1.25642

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Imaging trend and disease course in admitted COVID-19 patients
Khawaja B. Waheed, Jawad Naseer, Muhammad Z.Ul Hassan, Saulat Sarfraz, Zubair Ahmed, Muhammad S. Amin, Imran Ali, Tamer M. O. Shams, Jebasingh Muthaian, Zechariah J. Arulanantham
Saudi Medical Journal Jan 2021, 42 (1) 30-37; DOI: 10.15537/smj.2021.1.25642
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Keywords

  • COVID-19
  • pneumonia
  • chest radiography
  • computed tomography
  • Viral infection

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