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?:abstract
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The recent coronavirus epidemic poses a serious challenge to practicing intensive care physicians due to the high incidence of hypoxic respiratory failure. Because pneumonia plays a prominent role in the critical pathomechanism of COVID-19, imaging studies are at the forefront of both the diagnosis and follow-up of the disease and the detection of potential complications. Reviewing the literature data so far, we present the characteristic differences between chest CT, chest X-ray and chest wall ultrasound, and make recommendations for the use of different examination modalities. The initial, atypical appearance of the viral infection is the CT-detected right lower lobe, peripheral, multifocal milk glass haze, which soon degenerates into a bilateral lesion affecting the middle and lower lung fields. As the disease progresses, the proportion of consolidated areas increases, followed by a fibrotic pattern enhancement. Due to special infection control rules for SARS-CoV-2 virus, bedside ultrasound plays an important role in keeping infected patients in contact with as few healthcare professionals as possible. Orv Hetil. 2020; 161 (17): 672-677.
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