1naresh
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CT Imaging Appearance Pulmonary CT Findings Suggested Reporting Language Typical Crazy paving “Commonly reported imaging features of (COVID-19) pneumonia are present. Other processes such as influenza pneumonia and organizing pneumonia, as can be seen with drug toxicity and connective tissue disease, can cause a similar imaging pattern.” Bilateral Peripheral GGO Bilateral Peripheral Multifocal Rounded Organizing pneumonia Indeterminate No typical features and “Imaging features can be seen with (COVID-19) pneumonia, though are nonspecific and can occur with a variety of infectious and noninfectious processes.” GGO Multifocal Diffuse Perihilar Unilateral Nonrounded Atypical No typical or indeterminate features and “Imaging features are atypical or uncommonly reported for (COVID-19) pneumonia. Alternative diagnosis should be considered.” Isolated lobar or segmental consolidation without GGO Centrilobular nodules Cavitation Smooth interlobular septal thickening with pleural effusion Negative No CT features of pneumonia “No CT findings present to indicate pneumonia. (Note: CT may be negative in the early stages of COVID-19.)”
↵a This table was adapted from Simpson et al.6 Crazy paving is rounded ground glass opacification associated with inter- and intralobular septal thickening. Organizing pneumonia is a focus of GGO with peripheral consolidation previously described as “atoll sign” or “reverse halo sign.”