Chest X-Ray Abnormalities In Covid-19: Review Of 150 Cases From Tertiary Care Hospitals of Lahore, Pakistan


  • Aneela Chaudhary
  • Javeid Iqbal
  • Saima Chaudhary
  • Huma Batool
  • Munaza Javed
  • Muhammad Imran Aslam
  • Khalid Waheed
  • Shamsa Humayun



COVID-19, GGOS, Chest X-ray, Consolidation


Objective: To analyze the most frequent radiographic abnormalities in COVID-19 patients. Methods: In this multicenter retrospective study, chest X-ray films and reports of COVID-19 patients admitted between March 2020 and June 2020 in three tertiary care hospitals of Lahore were analyzed for abnormalities. Patients of age > 18 years with positive COVID -19 RT-PCR, who underwent X-ray chest at presentation were enrolled. The study included pregnant patients as well. Results: Total 150 patients fulfilling inclusion criteria were enrolled. There was male predominance with mean age 50 years. Chest X-ray were abnormal in 127 (98%) patients. Predominant pattern of lung involvement was bilateral lesions in 121(95%), left lower zone 89(70%), right lower zone 85(67%), right mid zone 57(45%), left mid zone 50(39%), and diffuse involvement in 36 (28%). GGOs was the most common lung lesion found in 53 (42%), followed by GGOs and consolidation combined. Peripheral distribution was noted in 36(28%), peripheral and peri hilar combined 58(45%), random 27(21%) and perihilar in 6(5%). Peri bronchial cuffing was seen in 23(18 %), reticulation 20(16%), nodular lesions 8(6%) pneumomediastinum (1.5%) and minimal pleural effusion 1(0.7%). Among 20 pregnant females, 15 (75%) had normal X- rays. All of abnormal CXR 5 (25%), had bilateral, mid and lower zone GGOs and consolidation. Distribution was random 3(60%), peripheral and perihilar combined 2(40%), patchy 1(20%) and confluent in 4(80%). Conclusion: The most predominant radiological features of COVID-19 in our population were bilateral, lower zone, patchy, pure GGOs or combined GGOs and consolidation with peripheral and perihilar distribution.



How to Cite

Chaudhary, A., Iqbal, J., Chaudhary, S. ., Batool, H. ., Javed, M. ., Aslam, M. I. ., Waheed, K. ., & Humayun, S. . (2021). Chest X-Ray Abnormalities In Covid-19: Review Of 150 Cases From Tertiary Care Hospitals of Lahore, Pakistan. Annals of King Edward Medical University, 27(2).




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