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AJR 2004; 182:49-56
© American Roentgen Ray Society

Original Report

High-Resolution CT Findings in Patients with Severe Acute Respiratory Syndrome: A Pattern-Based Approach

Monica S. M. Chan1, Ivan Y. F. Chan1, K. H. Fung1, Edwin Poon2, Loretta Y. C. Yam2 and K. Y. Lau1

1 Department of Radiology, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Rd., Chai Wan, Hong Kong, SAR China.
2 Department of Medicine, Pamela Youde Nethersole Eastern Hospital, Hong Kong, SAR China.

OBJECTIVE. We retrospectively reviewed high-resolution CT (HRCT) examinations of the lungs performed in 27 confirmed cases of severe acute respiratory syndrome (SARS). The HRCT findings at different phases of the illness were analyzed.

CONCLUSION. A defined pattern of HRCT findings is observed in different phases of SARS, which is characterized by focal ground-glass and crazy paving patterns in a scattered distribution at presentation, followed by development of interstitial thickening, consolidation, pleural reaction, and scarring. Spontaneous pneumomediastinum is a distinct complication during the course of the illness.


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