Online ISSN: 2515-8260

Keywords : HRCT


Study of High-Resolution Computed Tomography Findings in Covid -19

Prashanth Chikkahonnaiah, Varshini J., Abdullah K. K., Suhail Azham Khan,Sanjay P.

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 4778-4787

Background:Coronavirus Disease 2019 (COVID-19) is caused by a novel corona virus
called SARS-CoV. Reverse transcription–polymerase chain reaction (RT-PCR) test
remains the reference standard to make a definitive diagnosis. However few COVID-19
patients with pulmonary involvement on computed tomography have negative results of
RT-PCR, owing to limitation of nucleic acid detection technologies, sampling errors and
low virus load. Therefore, the aim of this study was to analyse the key features of HRCT
imaging in patients with COVID 19. Aims and objectives: To study various HRCT
findings in COVID 19 patients.
Materials and Methods: A descriptive study was done from January 2021 to June 2021
at department of Respiratory medicine at tertiary care hospital in Mysore. The study
included 100 patients who were laboratory confirmed cases of Covid 19 and who were
subjected to HRCT chest as per guidelines.
Results: In our study, we found that, 24 (24%) patients had 0 lobe involvement and the
rest 75 (75%) had at least one lobe being involved. 48 (48%) patients had all 5 lobes
involved. Of the 76 patients, who had abnormality in HRCT, showed sub pleural 48
(63.1%) involvement, Centro parenchymal involvement in 2 (2.6%), both were involved
in 26 (34.2%).The most common pattern being GGOs with or without consolidation
with a total distribution of (71%), other findings included to be interseptal thickening
[22%], pure consolidation with air bronchogram [8%], nodular thickening [3%],
cavities [3%].
Conclusion: Presence of GGO with or without consolidation should be considered as a
strong suspicion of COVID 19 and patients be treated accordingly.

“A STUDY ON HRCT OF TEMPORAL BONE IN THE EVALUATION OF CHRONIC OTITIS MEDIA AND RELATION WITH SURGICAL FINDINGS”

Dr. Priyanka Upadhyay, Dr. Shiv Kumar Rathaur, Dr. Jitendra Mishra

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 4920-4928

Background:Chronic otitis media remains a significant health problem in terms of prevalence,
economics, and sequelae. Chronic otitis media is chronic inflammation of middle ear and mastoid
cavity characterized by discharge from middle ear through a perforated tympanic membrane.
AIM: To study the radiological findings of the temporal bone in patients with chronic otitis media
with or without cholesteatoma and to study the correlation of High Resolution CT scan of
temporal bone with intraoperative findings.
Material & Methods: Study Design: Prospective cross-sectional study. Study area: The study
was done in the Department of and Radio diagnosis, RMC Jalaun (Orai), UP. Study Period: 1
year. Study population: patients attending/referred to the department of Radio diagnosis for High
resolution computed Tomography of temporal bone. Sample size: 40 cases have been included in
the present study. Sampling method: Simple Random sampling method. Statistical Analysis:The
data was collected, compiled and compared statistically by frequency distribution and percentage
proportion. Quantitative data variables were expressed by using Descriptive statistics (Mean ±
SD). Qualitative data variables were expressed by using frequency and Percentage (%).
Results: Out of 30 cases of atticoantral disease, HRCT showed findings of cholesteatoma in 27
cases. Surgically cholesteatoma was present in 26 cases. The findings were correlated with
surgical outcome by diagnostic statistics.
CONCLUSION:HRCT of temporal bone plays a promising role in pre-operative assessment of
cholesteatoma as it depicts the extent of the disease and integrity of most of the middle ear
structures.

STUDY OF CLINICAL PROFILE OF PATIENTS WITH POST-COVID SYNDROME AT A TERTIARY HOSPITAL

Abhijeet M. Yadav, Neelam Deshpande, Sudhir Deshmukh, Hansraj Kamble, Santoshkumar Dope

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 12180-12188

Background: Some patients may experience symptoms even after the recovery from Covid 19 termed as Post COVID Syndrome. Long-term follow-up studies on persistent symptoms, lung function, physical, and psychological problems of discharged patients are urgently required. We aimed to describe the long-term consequences of COVID-19 in patients after hospital discharge and identify the potential risk factors.
Material and Methods: Present study was single-center, descriptive observational study, conducted in patients > 14 years, with Covid 19 positive (RTPCR or Rapid antigen) status came to follow up after 14 days of treatment completion.
Results: Out of 500 patients, 254 patients were between 40 to 80 years, 345 males 372 patients (74.4%) required < 14 days hospital stay, 269 patients (53.8%) came to follow up within one month, 408 patients didn’t have any comorbidity. Most common symptom present even after the recovery from covid was Generalised weakness (33.8%) followed by cough (29%) shortness of breath (23.4%), rhinitis (23.4%), myalgia (15.8%), joint pain (15.2%), fever (14.8%) & hair loss (13.2%). HRCT of Covid patients and found that 119 patients had HRCT score > 9/25 and 80 patients had HRCT score <9/25. HRCT Findings suggestive of fibrosis was present in 121 patients, air space consolidation was there in 103 patients f/b tractional bronchiectasis in 27 patients. On follow up HRCT there was a very much improvement in the HRCT findings. Only 15 patients and HRCT score >9/25 and 13 patients had <9/25. Conclusion: Generalised weakness, cough, shortness of breath, rhinitis, myalgia, were common postcovid symptoms noted. On follow-up chest X ray & HRCT improvement was noted in majority of patients.