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Eight Cases of Severe Acute Respiratory Syndrome Presenting as Round Pneumonia

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.

View larger version (142K): [in a new window]   Fig. 1A. —18-year-old woman with severe acute respiratory syndrome. Initial chest radiograph obtained 1 day after onset of fever reveals round opacity in right lower lung that is 5 cm in diameter. Lesion persisted for 9 days without change in diameter.

View larger version (122K): [in a new window]   Fig. 1B. —18-year-old woman with severe acute respiratory syndrome. Follow-up radiograph obtained on day 10 after onset of fever reveals that previous round opacity in right lower lung has become ill-defined air-space opacity.

View larger version (113K): [in a new window]   Fig. 2A. —24-year-old woman with severe acute respiratory syndrome. Anteroposterior chest radiograph obtained 4 days after onset of fever shows subtle, patchy, ill-defined air-space opacity (arrowheads) in right lower lung.

View larger version (147K): [in a new window]   Fig. 2B. —24-year-old woman with severe acute respiratory syndrome. Follow-up radiograph obtained on day 5 after onset of fever shows well-defined round opacity in right lower lung that is 3 cm in diameter. Round opacity was seen for 3 days.

View larger version (124K): [in a new window]   Fig. 2C. —24-year-old woman with severe acute respiratory syndrome. Follow-up radiograph from day 8 after onset of fever shows previously well-defined round opacity has become ill-defined air-space opacity.

View larger version (130K): [in a new window]   Fig. 3A. —23-year-old woman with severe acute respiratory syndrome. Anteroposterior chest radiograph obtained 7 days after onset of fever shows subtle interstitial infiltrates (arrowheads) in right lower lung.

View larger version (143K): [in a new window]   Fig. 3B. —23-year-old woman with severe acute respiratory syndrome. Chest radiograph obtained 10 days after onset of fever shows well-defined round opacity in right lower lung that is 3.7 cm in diameter. Round opacity was seen for 1 day.

View larger version (140K): [in a new window]   Fig. 3C. —23-year-old woman with severe acute respiratory syndrome. Chest radiograph obtained 11 days after onset of fever shows previously well-defined round opacity, shown on B, has become ill-defined air-space opacity (arrowheads). Note that previous reticular infiltrates (arrowheads, A) had regressed by the time this image was obtained.

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