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High-Resolution CT Findings of Severe Acute Respiratory Syndrome at Presentation and After Admission

Nestor L. Müller1, Gaik C. Ooi2, Pek Lan Khong2, Lin J. Zhou2, Kenneth W. T. Tsang3 and Savvas Nicolaou1

1 Department of Radiology, Vancouver General Hospital, University of British Columbia, 899 W 12th Ave., Vancouver, BC V5Z 1M9, Canada.
2 Department of Diagnostic Radiology, The University of Hong Kong, Queen Mary Hospital, Hong Kong SAR, China.
3 Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong SAR, China.



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Fig. 1A. 42-year-old man with severe acute respiratory syndrome. Findings of chest radiograph at presentation are normal.

 


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Fig. 1B. 42-year-old man with severe acute respiratory syndrome. High-resolution CT (HRCT) scan obtained 6 hr after A shows focal ground-glass opacities in right upper lobe.

 


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Fig. 1C. 42-year-old man with severe acute respiratory syndrome. Chest radiograph obtained 16 days after A shows poorly defined increased opacity in right upper lobe with associated superior displacement of minor fissure, denoting volume loss.

 


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Fig. 1D. 42-year-old man with severe acute respiratory syndrome. HRCT scan obtained on same day as C shows mixed pattern that includes ground-glass opacities, bandlike areas of consolidation, and reticulation in right upper lobe. Note cephalad displacement of minor fissure (straight arrows) and anterior displacement of major fissure (curved arrow), consistent with volume loss.

 


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Fig. 2A. 48-year-old woman with severe acute respiratory syndrome. Chest radiograph obtained 2 days after hospital admission shows bilateral areas of consolidation in mid and lower lung zones.

 


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Fig. 2B. 48-year-old woman with severe acute respiratory syndrome. High-resolution CT scan obtained on same day as A shows consolidation involving mainly subpleural lung regions.

 


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Fig. 3A. 25–year-old man with severe acute respiratory syndrome. Chest radiograph obtained 8 days after initial presentation shows asymmetric bilateral areas of consolidation in middle and lower lung zones. Note pneumomediastinum (arrows).

 


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Fig. 3B. 25–year-old man with severe acute respiratory syndrome. High-resolution CT scan obtained on same day as A shows ground-glass opacities, thickening of interlobular septa and intralobular lines in both lower lobes, and pneumomediastinum (arrows).

 


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Fig. 4A. 48-year-old man with severe acute respiratory syndrome. High-resolution CT (HRCT) scan obtained within 12 hr of hospital admission shows extensive bilateral ground-glass opacities in both upper lobes and mild thickening of interlobular septa (arrows).

 


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Fig. 4B. 48-year-old man with severe acute respiratory syndrome. HRCT scan obtained at same level as A 27 days after hospital admission shows ground-glass opacities with superimposed fine reticular pattern.

 


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Fig. 4C. 48-year-old man with severe acute respiratory syndrome. HRCT scan obtained at level of lower lobe bronchi shows patchy bilateral ground-glass opacities with associated reticular pattern and mild traction bronchiectasis (arrow).

 


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Fig. 5. 55-year-old man with severe acute respiratory syndrome. High-resolution CT scan obtained 18 days after hospital admission shows diffuse bilateral ground-glass opacities, areas of consolidation predominately in subpleural and dependent lung regions, mild thickening of interlobular septa, and traction bronchiectasis (straight arrow). Also note pneumomediastinum (curved arrows) and small bilateral pleural effusions.

 

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