Radiological Society of North America Expert Consensus Statement on Reporting Chest CT Findings Related to COVID-19. Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA - Secondary Publication

Journal of Thoracic Imaging - Tập 35 Số 4 - Trang 219-227 - 2020
Scott Simpson1, Fernando Uliana Kay2, Suhny Abbara2, Sanjeev Bhalla3, Jonathan H. Chung4, Michael Chung5, Travis S. Henry6, Jeffrey P. Kanne7, Seth Kligerman1, Jane P. Ko8, Harold Litt1
1Department of Radiology, Perelman School of Medicine of the University of Pennsylvania, PA
2University of Texas Southwestern Medical Center, Dallas, TX
3Mallinckrodt Institute of Radiology, Washington University School of Medicine, MO
4Department of Radiology, University of Chicago Medicine, Chicago, IL
5Department of Diagnostic, Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai
6Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco
7Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI
8Department of Radiology, New York University Langone, New York, NY

Tóm tắt

Routine screening CT for the identification of COVID-19 pneumonia is currently not recommended by most radiology societies. However, the number of CTs performed in persons under investigation (PUI) for COVID-19 has increased. We also anticipate that some patients will have incidentally detected findings that could be attributable to COVID-19 pneumonia, requiring radiologists to decide whether or not to mention COVID-19 specifically as a differential diagnostic possibility. We aim to provide guidance to radiologists in reporting CT findings potentially attributable to COVID-19 pneumonia, including standardized language to reduce reporting variability when addressing the possibility of COVID-19. When typical or indeterminate features of COVID-19 pneumonia are present in endemic areas as an incidental finding, we recommend contacting the referring providers to discuss the likelihood of viral infection. These incidental findings do not necessarily need to be reported as COVID-19 pneumonia. In this setting, using the term “viral pneumonia” can be a reasonable and inclusive alternative. However, if one opts to use the term “COVID-19” in the incidental setting, consider the provided standardized reporting language. In addition, practice patterns may vary, and this document is meant to serve as a guide. Consultation with clinical colleagues at each institution is suggested to establish a consensus reporting approach. The goal of this expert consensus is to help radiologists recognize findings of COVID-19 pneumonia and aid their communication with other healthcare providers, assisting management of patients during this pandemic.

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Journal of Thoracic Imaging

Tập 35 Số 4

219-227

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