PMID- 32520846 OWN - NLM STAT- MEDLINE DCOM- 20210517 LR - 20210517 IS - 1536-0237 (Electronic) IS - 0883-5993 (Linking) VI - 35 IP - 6 DP - 2020 Nov 1 TI - Review of Chest Radiograph Findings of COVID-19 Pneumonia and Suggested Reporting Language. PG - 354-360 LID - 10.1097/RTI.0000000000000541 [doi] AB - The diagnosis of coronavirus disease 2019 (COVID-19) is confirmed by reverse transcription polymerase chain reaction. The utility of chest radiography (CXR) remains an evolving topic of discussion. Current reports of CXR findings related to COVID-19 contain varied terminology as well as various assessments of its sensitivity and specificity. This can lead to a misunderstanding of CXR reports and makes comparison between examinations and research studies challenging. With this need for consistency, we propose language for standardized CXR reporting and severity assessment of persons under investigation for having COVID-19, patients with a confirmed diagnosis of COVID-19, and patients who may have radiographic findings typical or suggestive of COVID-19 when the diagnosis is not suspected clinically. We recommend contacting the referring providers to discuss the likelihood of viral infection when typical or indeterminate features of COVID-19 pneumonia on CXR are present as an incidental finding. In addition, we summarize the currently available literature related to the use of CXR for COVID-19 and discuss the evolving techniques of obtaining CXR in COVID-19-positive patients. The recently published expert consensus statement on reporting chest computed tomography findings related to COVID-19, endorsed by the Radiological Society of North American (RSNA), the Society of Thoracic Radiology (STR), and American College of Radiology (ACR), serves as the framework for our proposal. CI - Copyright (c) 2020 Wolters Kluwer Health, Inc. All rights reserved. FAU - Litmanovich, Diana E AU - Litmanovich DE AD - Department of Cardiothoracic Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA. FAU - Chung, Michael AU - Chung M AD - Department of Diagnostic, Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY. FAU - Kirkbride, Rachael R AU - Kirkbride RR AD - Department of Cardiothoracic Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA. FAU - Kicska, Gregory AU - Kicska G AD - Department of Radiology, University of Washington Medical Center, Seattle, WA. FAU - Kanne, Jeffrey P AU - Kanne JP AD - Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI. LA - eng PT - Journal Article PT - Review PL - United States TA - J Thorac Imaging JT - Journal of thoracic imaging JID - 8606160 SB - IM MH - COVID-19/*diagnostic imaging MH - Humans MH - Lung/*diagnostic imaging MH - Radiography, Thoracic/*methods MH - SARS-CoV-2 MH - Sensitivity and Specificity MH - Tomography, X-Ray Computed/*methods COIS- The authors declare no conflicts of interest. EDAT- 2020/06/11 06:00 MHDA- 2021/05/18 06:00 CRDT- 2020/06/11 06:00 PHST- 2020/06/11 06:00 [pubmed] PHST- 2021/05/18 06:00 [medline] PHST- 2020/06/11 06:00 [entrez] AID - 00005382-202011000-00004 [pii] AID - 10.1097/RTI.0000000000000541 [doi] PST - ppublish SO - J Thorac Imaging. 2020 Nov 1;35(6):354-360. doi: 10.1097/RTI.0000000000000541.