Spectrum of Ground Glass Opacities in Chest CT of COVID-19 Patients in Karbala, Iraq

  • Dhia Mahdey Alghazali Department of Diagnostic Radiology, Al-Imam Al-Hussein medical city, Karbala, Iraq
  • Maytham A Maamera Department of Pulmonology, Respiratory care unit, Al-Imam Al-Hussein medical city, Karbala, Iraq
  • Haider Fadel Alkazraji Department of Diagnostic Radiology, Al-Imam Al-Hussein medical city, Karbala, Iraq
  • Ali A Abutiheen Department of Family & Community Medicine, College of Medicine, University of Kerbala, Karbala, Iraq.

Abstract

Objective: To describe the ground-glass opacities (GGO) seen in chest CT scans of COVID-19 patients and to estimate the association between these opacities and the time of clinical presentation.
Patients and methods: A cross-sectional study involving 81 COVID-19 confirmed patients in Imam Al-Hussein Medical city in Karbala-Iraq during the period from March 1st to April 20, 2020. Chest CT scan findings were evaluated by 2 radiologists and categorized accordingly. Chi-square test was used for statistical analysis and a P value of less than 0.05 was considered statistically significant.
Results: The mean age ± standard deviation of patients was 53.5 ± 17.1 years, with male predominance as 63 (77.8%) of cases were males. Nearly half of the patients were presented within the second week of starting the sign and symptoms. GGO was present in 79 scans (97.5%), followed by consolidation opacity in 29 patients (35.8%). Four types of GGO were described. Bilateral multiple subpleural GGO was the most prevalent type. There was a significant association between late time of patient presentation and more extensive GGO type.
Conclusion: Chest CT scan is valuable in the diagnosis and management of COVID-19 cases. The presence of GGO in CT scan of a patient that previously had no chest illness is highly suggestive of COVID-19 disease, different types of GGO were seen. Bilateral confluent type of GGO is associated with more serious and delayed status and warns the need for intensive care unit admission.
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Published
2020-06-26
How to Cite
ALGHAZALI, Dhia Mahdey et al. Spectrum of Ground Glass Opacities in Chest CT of COVID-19 Patients in Karbala, Iraq. Journal of Contemporary Medical Sciences, [S.l.], v. 6, n. 3, june 2020. ISSN 2413-0516. Available at: <http://www.jocms.org/index.php/jcms/article/view/769>. Date accessed: 15 aug. 2020. doi: https://doi.org/10.22317/jcms.v6i3.769.
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