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Chest Radiographic Manifestations of Severe Acute Respiratory Syndrome in Health Care Workers: The Toronto Experience

Richard Bitar1,2, William J. Weiser1,2, Monica Avendaño3, Peter Derkach3, Donald E. Low4 and Derek Muradali1,2

1 Department of Medical Imaging, St. Michael's Hospital, 60 Bond St., Toronto, ON M5B 1W8, Canada.
2 Department of Medical Imaging, University of Toronto, Faculty of Medicine, Fitzgerald Building, 150 College St., Rm. 127, Toronto, ON M5S 3E2, Canada.
3 Department of Respiratory Medicine, West Park Health Centre, 82 Buttonwood Ave., Toronto, ON M6M 2J5, Canada.
4 Department of Microbiology, Mount Sinai Hospital, 600 University Ave., Toronto, ON M5G 1X5, Canada.



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  		Fig. 1A. —63-year-old woman with severe acute respiratory syndrome. Chest radiograph at presentation shows right suprahilar and peripheral right middle lobe air-space disease.

 


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  		Fig. 1B. —63-year-old woman with severe acute respiratory syndrome. Chest radiograph on day 4 shows right suprahilar findings have worsened, and no change is seen in right middle lobe. New peripheral left mid lung air-space disease is now seen.

 


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  		Fig. 1C. —63-year-old woman with severe acute respiratory syndrome. Chest radiograph on day 8 shows that the findings have improved.

 


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  		Fig. 2A. —38-year-old woman with severe acute respiratory syndrome. Initial chest radiograph was normal.

 


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  		Fig. 2B. —38-year-old woman with severe acute respiratory syndrome. Chest radiograph on day 7 after admission shows developed right lower lobe air-space disease. Note subtle peripheral left mid and lower lung air-space disease.

 


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  		Fig. 3. —Chest radiograph of 42-year-old woman with severe acute respiratory syndrome obtained on day 7 after admission shows "round" infiltrates in right upper lobe and right lower lobe.

 

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