ENES GÜRÜN, İSMAİL AKDULUM, MELİH AKYÜZ
Anatolian Current Medical Journal - 2021;3(1):78-80
In December 2019, a disease called coronavirus disease 2019 (COVID-19) caused by the novel coronavirus called severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) emerged in Wuhan, China. The disease was declared as pandemic by the WHO on May 11, 2020. The gold standard diagnostic test is a real-time reverse transcriptase-polymerase chain reaction (RTPCR). Additionally, computed tomography (CT) could be a good alternative in certain clinical scenarios. A 62-year-old female patient was admitted to the emergency room with fever and joint pain for the last five days. She had a history of a contact with COVID-19 (+) patient. Thorax CT without contrast was performed in the prone position clearly revealed nodular infiltrations in the subpleural/peripheral lower lung zones in the right lung. A 73-year- old 73-year-old female patient was admitted to the emergency room with the complaints of tiredness and loss of taste for a few days. She had no history of a contact with COVID-19 (+) patients. Thorax CT without contrast was performed while the patient was in supine position. Diffuse nodular opacities in the lower regions of both lungs were barely identified. The combined throat and nose swab tests were positive in both patients. In conclusion, thorax CT in prone position is a very valuable methodin imaging of COVID-19 (+) patients; regarding differentiation of true COVID-19 pneumonia consolidations and dependent zone opacities. True COVID-19 pneumonia from dependent lung zones in the supine position.
