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AJR 2004; 182:1567-1570
© American Roentgen Ray Society


Original Report

Eight Cases of Severe Acute Respiratory Syndrome Presenting as Round Pneumonia

Yung-Liang Wan1, Han-Ping Kuo2, Ying-Huang Tsai2, Yao-Kuang Wu2, Chun-Hua Wang2, Chien-Ying Liu2, Kuo-Chin Kao2 and Sheung-Fat Ko3

1 Department of Diagnostic Radiology, Chang Gung Memorial Hospital at Linkou, School of Medicine, Chang Gung University, 5 Fu-Hsing Rd., Kweishan, Taoyuan Hsien 333, Taiwan.
2 Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou, School of Medicine, Chang Gung University, Kweishan, Taoyuan Hsien 333, Taiwan.
3 Department of Diagnostic Radiology, Chang Gung Memorial Hospital at Kaohsiung, School of Medicine, Chang Gung University, 123 Ta-Pei Rd., Kaohsiung Hsieng 833, Taiwan.

Abstract

OBJECTIVE. The purpose of this study was to describe the radiographic findings and evolution of round pneumonia found in eight patients with confirmed severe acute respiratory syndrome (SARS).

CONCLUSION. SARS may present as round pneumonia on chest radiographs initially or during the treatment course. It may remain unchanged for up to 9 days before evolution to ill-defined air-space opacities. Radiologists and physicians should consider the possibility of "SARS pneumonia" when spherical air-space opacities are noted on chest radiographs of febrile patients.


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