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Prognostic Significance of the Radiographic Pattern of Disease in Patients with Severe Acute Respiratory Syndrome

Narinder S. Paul1,2, Taebong Chung1, Eli Konen1, Heidi C. Roberts1, T. N. Anuradha Rao1, Wayne L. Gold3, Sangeeta Mehta4, George A. Tomlinson5, Colm E. Boylan1, Harvey Grossman6, Harry H. L. Hong7 and Gordon L. Weisbrod1

1 Department of Medical Imaging, University Health Network and Mount Sinai Hospital, Toronto, ON, Canada.
2 Princess Margaret Hospital, 610 University Ave., Office 3-956, Toronto, ON M5G 2M9, Canada.
3 Department of Medicine, University Health Network, Toronto, ON, Canada.
4 Department of Medicine, Mount Sinai Hospital, Toronto, ON, Canada.
5 Department of Medicine, University of Toronto, Toronto, ON, Canada.
6 Department of Medical Imaging, The Scarborough Grace Hospital, Scarborough, ON, Canada.
7 Department of Pulmonary and Critical Care Medicine, York Central Hospital Richmond Hill, ON, Canada.



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  		Fig. 1. —22-year-old man with clinical diagnosis of probable severe acute respiratory syndrome. Presenting chest radiograph shows focal consolidation in left middle zone.

 


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  		Fig. 2A. —29-year-old man with clinical diagnosis of probable severe acute respiratory syndrome. Frontal chest radiograph shows focal consolidation in right upper zone.

 


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  		Fig. 2B. —29-year-old man with clinical diagnosis of probable severe acute respiratory syndrome. Frontal chest radiograph obtained 3 days after A shows progression of consolidation throughout right upper zone.

 


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  		Fig. 3A. —50-year-old woman with clinical diagnosis of probable severe acute respiratory syndrome. Frontal chest radiograph at presentation shows focal opacity in right middle zone.

 


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  		Fig. 3B. —50-year-old woman with clinical diagnosis of probable severe acute respiratory syndrome. Frontal chest radiograph obtained 11 days after A shows progressive improvement with residual linear opacity in right middle zone.

 


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  		Fig. 4A. —37-year-old man with clinical diagnosis of probable severe acute respiratory syndrome. Frontal chest radiograph at presentation shows ill-defined opacity in right middle zone and subtle right cardiophrenic angle opacity.

 


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  		Fig. 4B. —37-year-old man with clinical diagnosis of probable severe acute respiratory syndrome. Frontal chest radiograph obtained 3 days after A shows interval development of patchy, multifocal consolidation in right middle zone and in left middle and lower zones.

 


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  		Fig. 5. —44-year-old man with clinical diagnosis of probable severe acute respiratory syndrome with severe dyspnea requiring intubation. Chest radiograph obtained on day of admission shows diffuse air-space opacification is more prominent in right lung than in left lung. Patient died 18 days later.

 

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