TY - JOUR AU - Nasir Khan ,Muhammad Umar ,Maria Khaliq ,Hina Hanif ,Misbah Durrani ,Riffat Raja, PY - 2020/08/11 Y2 - 2024/03/28 TI - Chest X-ray findings in COVID-19: A Pictorial Review JF - Journal of Rawalpindi Medical College JA - JRMC VL - 24 IS - Supp-1 SE - Articles DO - 10.37939/jrmc.v24iSupp-1.1428 UR - https://journalrmc.com/index.php/JRMC/article/view/1428 SP - AB - <p><strong>Introduction</strong><strong>: </strong>Chest X-ray and Computed tomography(CT) of chest play an important role in the diagnosis and management of the Coronavirus disease (COVID-19). As chest CT may not be readily available in most clinical setups X-ray Chest plays a pivotal role in such clinical scenarios and an irreplaceable initial radiological investigation of these patients.</p><p><strong>Objective: </strong>The objective of this article is to identify and elaborate the commonest appearances and patterns of lung changes on Chest X rays in COVID-19 positive patients confirmed on RT-PCR COVID testing.</p><p><strong>Materials and Methods: </strong>Cross-sectional descriptive-analytical study of Chest X-ray findings of 294&nbsp; RT-PCR confirmed COVID-19 patients admitted across 3 hospitals (Rawalpindi institute of urology (RIU), Benazir Bhutto Hospital (BBH) and Holy Family Hospital (HFH)) from March 30<sup>th,</sup> 2020 till April 30<sup>th,</sup> 2020. CXR was analyzed for consolidation patches, ground-glass opacification (GGO), multi-lobe involvement, bilateral distribution, and pleural fluid. The chest X-ray with positive findings was graded into mild, moderate, and severe grades using BSTI (British Society of Thoracic imaging) guidelines.</p><p><strong>Results: </strong>Mean age of study patients was 45.5 years. Among the study population 230 (78.2 %) were male and 64 (21.8%) female. On baseline chest X rays, consolidations were the commonest finding (n=84, 28.5%), followed by ground-glass opacity (n=17, 5.7 %). The more common locations were peripheral and lower zones, and the majority had bilateral lung involvement (Table 1). Pleural effusions were found in only 5 of the study patients.&nbsp; Among these patients, 187 (63.6%) had an initial normal chest X-ray. Moreover, 35, 34, and 38patients had mild, moderate, and severe diseases respectively.</p><p><strong>Conclusion: </strong>Chest X-ray is an important initial radiological investigation for COVID 19 patients and plays an important role in the management during the course of the disease.</p> ER -