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Insights Imaging . Differential diagnoses of COVID-19 pneumonia: the current challenge for the radiologist-a pictorial essay

tetano

Editor, Senior Moderator
Insights Imaging


. 2021 Mar 11;12(1):34.
doi: 10.1186/s13244-021-00967-x.
Differential diagnoses of COVID-19 pneumonia: the current challenge for the radiologist-a pictorial essay


Alessia Guarnera[SUP] #[/SUP][SUP] 1 [/SUP], Pierfrancesco Podda[SUP] #[/SUP][SUP] 2 [/SUP], Elena Santini[SUP] 2 [/SUP], Pasquale Paolantonio[SUP] 2 [/SUP], Andrea Laghi[SUP] 3 [/SUP]



Affiliations

Abstract

Background: COVID-19 pneumonia represents the most severe pandemic of the twenty-first century and has crucial clinical, social and economical implications. The scientific community has focused attention and resources on clinical and radiological features of COVID-19 pneumonia. Few papers analysing the vast spectrum of differential diagnoses have been published.
Main body: Complexity of differential diagnosis lays in the evidence of similar radiological findings as ground-glass opacities, crazy paving pattern and consolidations in COVID-19 pneumonia and a multitude of other lung diseases. Differential diagnosis is and will be extremely important during and after the pandemic peak, when there are fewer COVID-19 pneumonia cases. The aim of our pictorial essay is to schematically present COVID-19 pneumonia most frequent differential diagnoses to help the radiologist face the current COVID-19 pneumonia challenge.
Conclusions: Clinical data, laboratory tests and imaging are pillars of a trident, which allows to reach a correct diagnosis in order to grant an excellent allocation of human and economical resources. The radiologist has a pivotal role in the early diagnosis of COVID-19 pneumonia because he may raise suspicion of the pathology and help to avoid COVID-19 virus spread.

Keywords: COVID-19; Computed tomography; Coronavirus; Differential diagnosis; Pneumonia.
 
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