Abstract
Objective:Literature related to the imaging of COVID-19 pneumonia, its findings and contribution to diagnosis and its differences from adults are limited in pediatric patients. The aim of this study was to evaluate chest X-ray and chest CT findings in children with COVID-19 pneumonia.Methods:Chest X-ray findings of 59 pediatric patients and chest CT findings of 22 patients with a confirmed diagnosis of COVID-19 pneumonia were evaluated retrospectively.Results:COVID-19 pneumonia was most commonly observed unilaterally and in lower zones of lungs in chest X-ray examinations. Bilateral and multifocal involvement (55%) was the most observed involvement in the CT examinations, as well as, single lesion and single lobe (27%) involvement were also detected. Pure ground-glass appearance was observed in 41%, ground-glass appearance and consolidation together was in 36%. While peripheral and central co-distribution of the lesions (55%) were frequently observed, the involvement of the lower lobes (69%) was significant. In four cases,the coexistence of multiple rounded multifocal ground-glass appearance and rounded consolidation were observed.Conclusion:COVID-19 pneumonia imaging findings may differ in the pediatric population from adults. In diagnosis, chest X-ray should be preferred, CT should be requested if there is a pathologic finding on radiography that merits further evaluation and if clinically indicated.Advances in knowledge:Radiological findings of COVID-19 observed in children may differ from adults. Chest X-ray should often be sufficient in children avoiding additional irradiation, chest CT needs only be done in cases of clinical necessity.
Highlights
The novel coronavirus was first reported in the Wuhan region, on Dec 31, 2019 and transmitted person to person was named as SARS-C oV-2 by the International Committee on Taxonomy of Viruses on Feb 11, 2020.1 On the same day, the World Health Organization (WHO) declared the disease caused by this novel virus as COVID-19.2 Upon spreading all over the world, on Mar 11, 2020, COVID-19 disease was accepted as a pandemic disease by WHO
We evaluated the imaging findings observed in chest X-r ay and chest CT in children diagnosed with COVID-19 pneumonia
Data collection In this retrospective study, we evaluated chest X-r ay of 177 children and chest CT of 74 children with a pre-d iagnosis of COVID-19 pneumonia who were admitted to pediatric outpatient clinics of our COVID-19 pandemic hospital between Mar 11 and Apr 20, 2020
Summary
The novel coronavirus was first reported in the Wuhan region, on Dec 31, 2019 and transmitted person to person was named as SARS-C oV-2 by the International Committee on Taxonomy of Viruses on Feb 11, 2020.1 On the same day, the World Health Organization (WHO) declared the disease caused by this novel virus as COVID-19.2 Upon spreading all over the world, on Mar 11, 2020, COVID-19 disease was accepted as a pandemic disease by WHO.COVID-19 pneumonia is highly contagious and widespread in the adult population and often presents with significant clinical finding. The incidence appears to be low and it presents mostly in an asymptomatic condition or with mild clinical symptoms. The incidence in children has been reported as 1.7–2.4% in the literature.[3,4] Chest CT is an important diagnostic method in the diagnosis of COVID-19 pneumonia in adult patients. Chest X-ray is the first preferred imaging method in pediatric patients who are clinically considered to have COVID-19 pneumonia. The number of cases and literature reporting the imaging findings observed in COVID-19 pneumonia in children worldwide is limited due to the low number of pediatric cases and its good clinical course.[5] In these limited studies, it is stated that chest CT imaging findings are similar to adults. The findings on chest X-ray, typically preferred in pediatric patients, have not been widely reported.[6]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
