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Chest Radiographic Manifestations of Severe Acute Respiratory Syndrome in Health Care Workers: The Toronto Experience

¹ Department of Medical Imaging, St. Michael's Hospital, 60 Bond St., Toronto, ON M5B 1W8, Canada.
² Department of Medical Imaging, University of Toronto, Faculty of Medicine, Fitzgerald Building, 150 College St., Rm. 127, Toronto, ON M5S 3E2, Canada.
³ Department of Respiratory Medicine, West Park Health Centre, 82 Buttonwood Ave., Toronto, ON M6M 2J5, Canada.
⁴ Department of Microbiology, Mount Sinai Hospital, 600 University Ave., Toronto, ON M5G 1X5, Canada.

OBJECTIVE. The purpose of this article is to describe the chest radiographic manifestations of severe acute respiratory syndrome (SARS) in previously uninfected health care workers during the early stages of an outbreak in Toronto, Canada.

CONCLUSION. The study group was composed of 13 patients from a single institution. Three distinct chest radiographic patterns were observed: focal peripheral air-space disease at presentation with gradual resolution (most common pattern, 10/13 patients), normal findings on chest radiography at presentation followed by focal air-space disease (2/13 patients), and normal findings on chest radiography at presentation followed by a "round" pneumonia pattern (1/13 patients). There was no evidence of pleural reaction, lymphadenopathy, or interstitial changes.

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