Chest X-ray (First Tool of Imaging) in COVID-19 Patients Radiological and Clinical Correlation - A Tertiary Care Experience at Jinnah Postgraduate Medical Centre, Karachi
Background: COVID-19 infection is the name given to respiratory illness caused by novel coronavirus (nCov) which is a new strain emerged in China in December 2019 that has not been previously identified in humans. Coronaviruses are a large family of viruses that cause illness ranging from common cold to severe respiratory symptoms of pneumonia. As there is no fixed definition of COVID-19 pneumonia, in this article we use tis term for patients who clinically showed up with respiratory symptoms along with radiological evidence of disease.
Objective: The objective was to correlate the chest x-ray findings of all symptomatic COVID-19 PCR (polymerase chain reaction) positive patients admitted in COVID-19 isolation ward, Jinnah Postgraduate Medical Centre (JPMC), Karachi and assess the extent of baseline illness with progression or regression of disease radio graphically through serial chest X-rays and clinically with repeated viral nucleic acid testing.
Study type, settings & duration: A prospective observational study was conducted at JPMC from 1st May to 31st May 2020.
Methodology: All RT-PCR COVID-19 positive patients included who were admitted at isolation ward. Baseline and serial chest x-rays of suspected and already diagnosed patients were performed using portable x-ray machine dedicated in COVID-19 isolation ward.
Results: Sixty four patients were studied over a period of one month, 42 males (66%) and 22 females (35%) in the age range of 16-75 years were included. The 23% patients with mild symptoms had normal chest radiograph initially progressed gradually with classical radiographic features had severity score (2) to moderate ...........
(1) Department of Radiology, Jinnah Postgraduate Medical Centre, Karachi
(2) Department of Radiology, Jinnah Postgraduate Medical Centre, Karachi.
(3) Department of Radiology, Jinnah Postgraduate Medical Centre, Karachi.
(4) Dow University of Health Sciences, Karachi.
(5) Department of Radiology, Jinnah Postgraduate Medical Centre, Karachi.
(*) Corresponding Author