Incidental whole-body MRI evidence of COVID-19 in an asymptomatic patient in a high prevalence region

The Egyptian Journal of Radiology and Nuclear Medicine

Luigi Grazioli¹  Alberta Villanacci¹  Angelo Belotti¹  Barbara Frittoli¹  Arturo Brunetti²  Valentina Angelini²  Francesca Castagnoli³  Antonio Corvino⁴ 

[1] ASST “Spedali Civili di Brescia”, Dipartimento di Radiologia1, Piazzale Spedali Civili 1;Dipartimento di Oncoematologia, Diagnostica per Immagini e Morfologica e di Medicina Legale, Università degli Studi di Napoli “Federico II”;Dipartimento di Radiologia, Università degli Studi di Brescia;Motor Science and Wellness Department, University of Naples “Parthenope”;

关键词: COVID-19;    Whole-body MRI;    Incidental findings;    Chest CT;   

DOI  :  10.1186/s43055-020-00288-x

来源: DOAJ

【 摘 要 】

Abstract Background The purpose of this case report is to emphasize the importance of curing any clinical radiological elements in this historical period, especially in the area of endemic to coronavirus disease 19 (COVID-19) such as Lombardy and to stress the importance of the management of the asymptomatic patient, their crucial role in the spread of contagion. Case presentation We reported the case of incidental diagnosis of interstitial pneumonia by first finding on whole-body MR (WB-MR) in the patient affected by multiple myeloma (MM), with a negative respiratory symptoms at the time and with previous (1 month before) negative chest X-ray. The patient was promptly subjected to chest CT, which confirmed the suspicion of interstitial COVID-19 pneumonia and, in hospitalization, performed nasopharyngeal swabs for real-time polymerase chain reaction (RNA-PCR), with a doubtful outcome. Once the bacterial nature of the alterations was serologically and radiologically excluded, the patient was definitively diagnosed with COVID-19 and appropriately treated in hospitalization. Conclusion The clinical choices must, therefore, to make use of all the diagnostic tools available and full knowledge of the limitation of each of them.

【 授权许可】

Unknown