What is the role of CT scanning in the workup of pediatric coronavirus disease 2019 (COVID-19)?

Updated: Oct 10, 2021
  • Author: Ayesha Mirza, MD; Chief Editor: David J Cennimo, MD, FAAP, FACP, FIDSA, AAHIVS  more...
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Answer

Answer

A common abnormality seen on computed tomography (CT) of the chest in children with COVID-19 is ground-glass opacity and nodules, which are usually bilateral. [4]  Other CT findings include the following:

  • Local patchy shadowing
  • Bilateral patchy shadowing
  • Interstitial abnormalities

Chest CT findings in children with COVID-19 are similar to those seen in adults. Xia et al reported that consolidation with a surrounding halo sign was observed in up to 50% of cases, and they suggested that this finding could be considered a typical sign in pediatric patients. [61]  Pleural effusion is rare. Radiographic changes may be seen in children without severe disease.


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