Abstract
Objective:To analyze Chest X-ray findings in COVID 19 positive patients, presented at corona filtration center, Benazir Bhutto Hospital Rawalpindi, based on CXR classification of British Society of Thoracic Imaging (BSTI).Methods:In this study, all RT-PCR COVID-19 positive patients screened at corona filtration center, Benazir Bhutto hospital Rawalpindi from 20th March 2020 to 10th April 2020 were included. Mean age of the cohort with age range was calculated. Presenting complaints & Co-morbid were analyzed and tabulated in frequencies and percentages. Portable CXR findings were classified according to BSTI classification and documented in frequencies and percentages.Results:Mean age of the patients was 44 years. Presenting complaints were cough 20 (67%), fever 18 (60%), shortness of breath 11 (37%), sore throat six (20%), loss of sense of taste and smell four(13%). Main co-morbid was hypertension six (20%). Two (7%) patients had normal and seven (23%) had classical COVID CXRs. 21 (70%) patients were in indeterminate group with only one (3%) having unilateral lung disease. Three (10%) patients had diffuse lung involvement and 18(60%) had peripheral lung involvement. Majority of patients 19 (63%), had bilateral middle and lower zonal involvement.Conclusions:In this study, COVID-19 CXRs generally manifested a spectrum of pure ground glass, mixed ground glass opacities to consolidation in bilateral peripheral middle and lower lung zones. BSTI CXR reporting classification of COVID-19 is valid in our patients with addition of middle zonal involvement in classical COVID-19 criteria as opposed to just lower zone involvement.
Highlights
Devastations of COVID 19 are revealing day by day
All RT-PCR COVID positive patients presented in corona filtration center Benazir Bhutto hospital from March 2020 to 10 April 2020 were included
Chest radiographs of all COVID-19 confirmed patients from 20th March 2020 to 10th April 2020 were included in this study, irrespective of age or gender and were classified according to British Society of Thoracic Imaging (BSTI) classification
Summary
Devastations of COVID 19 are revealing day by day This pandemic has spread all across the globe. The purpose of this study was to analyze chest X-rays findings in our patients based on British Society of Thoracic Imaging classification and to evaluate disease pattern in terms of any deviation or similarity. Another rationale is that X-ray facilities are available in basic health units and this study will enhance our clinicians understanding of CXR findings in suspected COVID 19 patients
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