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Subject Area

Radiology

Article Type

Original Study

Abstract

Objective: The objective of this study was to evaluate the role of multidetector computed tomography (CT) in the detection of major incidental findings of COVID 19 patients and to detect their clinical importance. Background: The outbreak of COVID-19 has caused concerns globally. On 30 January WHO has declared it as a global health emergency. Chest CT has a potential role in the diagnosis of coronavirus disease 2019 (COVID-19). Parenchymal and extra parenchymal incidental findings were detected and defined as any finding in the report not related to the purpose of the scan. Incidental findings on chest CT may represent highly significant findings , requiring immediate treatment, However, incidental findings are of questionable clinical significance necessitating further evaluation via clinical correlation, follow-up and additional testing Patients and methods: This study was descriptive analytical study which was conducted during the period of November 2021 to November 2022.It included 500 patients with COVID-19 Results: The major incidental findings were coronary atherosclerosis in 92 cases (18.4%) followed by pleural effusion in 46 cases (9.2%), Cardiomegaly in 26 cases (5.2%), Aortic calcification in 13 cases (2.6%), Breast mass in 10 cases (2%), Lung mass in 10 cases (2%), Splenomegaly in 7 cases (1.4%), Hepatic focal lesion in 6 cases (1.2%). Conclusion: The current study was conducted to detect the major incidental findings on chest CT scans during screening patients with Covid-19 pneumonia and its clinical relevance (Coronary atherosclerosis ,pleural effusion ,Cardiomegaly ,Aortic calcification, Breast mass, Lung mass, Splenomegaly).

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