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Current Medical Imaging


ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Research Article

The Relationship Between Splenomegaly And Lung Involvement Patterns And Severity Score In COVID-19 Pneumonia

Author(s): Yusuf Aksu*, Ali Ugur Uslu, Gulten Tarhan, Mustafa Karagülle and Şaban Tiryaki

Introduction: The disease caused by the novel coronavirus [COVID -19] is a vital public health problem that has now affected approximately 68,037,473 people and caused 1,552,802 deaths around the world We aimed to correlate the frequency of the lung involvement patterns, the segmental distribution of lung infiltration, and TLSS in COVID-19 pneumonia patients with and without splenomegaly.

Material and Methods: This retrospective study included patients that were admitted to our hospital between March 11, 2020 and June 10 2020, and diagnosed with COVID-19 by PCR test with a throat and nasal swab. The thoracic and upper abdomen CTs and the clinical and demographic features of the patients were analyzed at the time of initial diagnosis.

Results: Consolidation [group 1 18 [47%], group 2 69 [28.2%] P = 0017], crazy pavement pattern [15 [39.5%], 42 [17.1%] p = 0.001] pleural band formations [24 [63.2%], 87 [35.5%] p = 0.001] interlobular septal thickening [23 [60.5%], 79 [32.2%] ] p = 0.001] sequelae of secondary tuberculosis [4 [10.5%], 8 [3.3%] p = 0.039] were more frequent in the patient with splemomegaly. The total lung severity score was high in the group with splenomegaly. [7.32 ± 6.15, 3.69 ± 5.16 p = 0.001]

Conclusion: Consolidation, interlobular septal thickening, tuberculosis sequela, pleural band, and crazy pavement patterns were frequent in the COVID-19 pneumonia patients with splenomegaly. The most frequently affected segment was the superior segment of the right lower lobe. TLSS was higher in the COVID-19 pneumonia patients with splenomegaly.

Keywords: Total Lung Severity Score, COVID-19 pneumonia, Splenomegaly, Lung infiltration patterns, consolidation, GGO

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