Online ISSN: 2515-8260

Keywords : Chest x-ray


Study of X-Ray findings of COVID 19 from Assam medical college and hospital, Dibrugarh, Assam

Dr. Parama Nanda Taye, Dr. Siddhartha Sarma Biswas, Dr. Mary Hazarika Bhuyan

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 2155-2161

Background: The COVID-19 pandemic has led to an unprecedented surge in hospitalised patients with viral pneumonia. Chest X-Ray (CXR) is one of the important, non-invasive methods and used as a preliminary investigation to detect different pulmonary abnormalities. Present study was aimed to study X-ray findings of COVID 19 from Assam medical college and hospital, Dibrugarh. Assam.
Material and Methods: Present study was single-center, prospective, observational study, conducted in patients 18-65 years age, who were confirmed cases of COVID 19 by RT PCR or RAT testing.
Results: In present study, 220 patients satisfying study criteria were evaluated. Chest X ray abnormalities were noted in 48.18% cases initially, while in 2.73% cases, initial normal CXRs later became abnormal. 5.91% CXRs had unilateral abnormalities while 42.27% CXRs had bilateral abnormalities. Symmetrical abnormal findings was noted in 21.82% as compared to asymmetrical abnormal findings in 20.45% cases. CXRs lesion distribution was peripheral location (35.91%), central location (5.91%) & combined peripheral and central location (6.36%). Localization of abnormalities in CXRs was in Lower, Middle & upper zone in 32.73%, 10.45% & 5% respectively. Common specific radiographic abnormalities were Ground glass opacities (GGOs) (42.73%), Consolidation (23.64%), Nodularity (0.91%), Reticular opacity (5.91%) & Pleural effusion (9.55%), Severity score in present study was mild, moderate & severe in 33.18%, 11.82% & 3.18% cases respectively.
Conclusion: Chest X-ray is a valuable tool in better management of patients during the COVID-19 pandemic. Despite its lower sensitivity compared with CT scans, its inherent advantages such as reasonable cost, broad range of use, and rapid speed make it indispensable.

Chest Ultrasound for Simple and Complicated Bronchiolitis Differentiation

Ahmad M. Romih; Sanaa M. Abdelsalam; Sameh Saber; Atef Mohamed M. Khalil

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 2756-2762

Background: Bronchiolitis usually occurs during the first year of life, with a peak
incidence between 3 and 6 months of age. Chest Ultrasound has been proposed as a
diagnostic tool in many diseases in the pediatric and neonatological settings. The
aim of the present study was to differentiate simple versus complicated cases of
bronchiolitis in infant by chest ultrasound. Patients and methods: A prospective
observational study was conducted in Pediatric Department, Zagazig University
Hospitals.Inclusion criteria included infants aged 1 month to 2 years fulfilling
clinical criteria of acute bronchiolitis. Steps of performance included consent from
relatives to participate in the study, complete history taking, full clinical
examination, laboratory investigations, chest X-ray, chest Ultrasound and chest CT.
Results: Our results showed that wheeze was the commonest presentation (100.0%)
of the studied group followed by crepitation (12.3%) of them then Refusal of
feeding (9.2%) and lastly fever (5.0%) of the studied group. There was (55.4%) of
cases were complicated bronchiolitis by U/S and (44.6%) were simple. The
commonest cases (96.9%) were discharged with only (3.1%) death rate. The X-ray
was able to detect only (50.0%) of complicated cases and 29 cases (100.0%) were
excluded by both. Conclusion: Chest ultrasound is considered more sensitive and
specific than CXR in the diagnosis of complicated cases of acute bronchiolitis.
These data suggest that a positive chest ultrasound may avoid the need to perform
CXR in these patients.