CT Imaging of the 2019 Novel Coronavirus (2019-nCoV) Pneumonia (2020/01/31)

A 33-year-old woman presented to the hospital with a 5-day history of fever and cough of unknown cause. She indicated that she worked in Wuhan, China (the center of novel coronavirus outbreak) but had traveled to Lanzhou, China, 6 days before presentation to the hospital. At admission, her body temperature was elevated to 39.0°C (102.2°F) and coarse breath sounds of both lungs were heard at auscultation. Laboratory studies showed leucopenia (white blood cell count: 2.91 × 109 /L). The white blood cell differential count showed 70.0% neutrophils and 0.1% eosinophils. There were elevated blood levels for C-reactive protein (16.16 mg/L; normal range, 0–10 mg/L), erythrocyte sedimentation rate (29 mm/h; normal range,  0–10 mg/L), erythrocyte sedimentation rate (29
mm/h; normal range, <20 mm/h), and D-dimer (580 ng/mL;
normal range, 500 ng/mL). Unenhanced chest CT showed multiple peripheral ground-glass opacities in both lungs (Figure, A)
that did not spare the subpleural regions. Real-time fluorescence
polymerase chain reaction of the patient’s sputum was positive
for the 2019 novel coronavirus (2019-nCoV) nucleic acid.

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