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Radiographic Appearance and Clinical Outcome Correlates in 26 Patients with Severe Acute Respiratory Syndrome

Shu-Chiang Hsieh1, Wing P. Chan1,2, Jerry Chin-Wei Chien1, Wen-Sen Lee3, Min-Szu Yao1, Wai-Man Choi1, Chia-Yuen Chen1 and Chun Yu1,2

1 Department of Radiology, Taipei Medical University–Municipal Wan Fang Hospital, 111 Hsing-Long Rd., Section 3, Taipei 116, Taiwan, Republic of China.
2 Department of Radiology, School of Medicine, Taipei Medical University, 250 Wu-Hsing St., Taipei 110, Taiwan, Republic of China.
3 Department of Internal Medicine, Taipei Medical University–Municipal Wan Fang Hospital, Taipei 116, Taiwan, Republic of China.



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  		Fig. 1A. —29-year-old previously healthy woman who presented with fever and dry cough. Initial chest radiograph shows air-space consolidation in left lung. Upper (curved arrow), middle, and lower (straight solid arrow) lung zones and both medial (open arrow) and lateral compartments are involved.

 


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  		Fig. 1B. —29-year-old previously healthy woman who presented with fever and dry cough. Chest radiograph obtained 15 days after A shows progression of disease and bilateral consolidations predominant in right middle, left middle, and lower left lung zones, consistent with clinical diagnosis of acute respiratory distress syndrome.

 


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  		Fig. 2A. —59-year-old man who presented with fever, dyspnea, and chest pain. Initial chest radiograph shows ground-glass attenuation in upper, middle, and lower left lung zones.

 


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  		Fig. 2B. —59-year-old man who presented with fever, dyspnea, and chest pain. Chest radiograph obtained 4 days after A shows that middle and lower left lung zones have cleared but residual ground-glass attenuation remains in upper left lung zone.

 


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  		Fig. 3. —90-year-old man who presented with fever, dry cough, and leukopenia. Frontal chest radiograph shows areas of bilateral consolidation in lower lung zones and bilateral pleural effusions (arrows).

 


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  		Fig. 4A. —31-year-old man who presented with fever, chills, cough, and diarrhea. Initial chest radiograph shows that lower left lung zone is normal.

 


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  		Fig. 4B. —31-year-old man who presented with fever, chills, cough, and diarrhea. Chest radiograph obtained 3 days after initial symptoms shows air-space consolidation in lower left lung zone (arrows).

 

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