ISSN: 1899-0967
Polish Journal of Radiology
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vol. 87
Pediatric radiology
Short report

The prevalence and predictors of pulmonary lesions in paediatric patients with coronavirus disease 2019 – a brief report

Maria Pokorska-Śpiewak
1, 2
Ewa Talarek
1, 2
Jolanta Popielska
1, 2
Agnieszka Ołdakowska
1, 2
Konrad Zawadka
1, 2
Beata Wojtycha-Kwaśnica
Magdalena Marczyńska
1, 2

Department of Children’s Infectious Diseases, Medical University of Warsaw, Poland
Regional Hospital of Infectious Diseases in Warsaw, Poland
Pol J Radiol 2022; 87: e271-e273
Online publish date: 2022/05/19
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There are currently only scarce data available describing imaging manifestations in children with COVID-19. The aim of this study was to analyse pulmonary lesions on chest radiography (CXR) in paediatric patients infected with SARS-CoV-2 and to compare the CXR results with clinical and laboratory data.

Material and methods
In this prospective single-centre study we included 118 consecutive paediatric patients with COVID-19. CXR was performed in 107 patients. Clinical and laboratory evaluations were performed on the same day as CXR, immediately (0 to 2 days) after the COVID-19 diagnosis had been established.

Pulmonary lesions were found in 24/107 (23%) children, including 14/24 (58%) with bilateral abnormalities. Compared to patients with normal CXR, children presenting with pulmonary lesions were significantly younger (7.0 ± 4.5 vs. 9.5 ± 4.5 years, p = 0.03) and more commonly presented with an elevated D-dimer level (6/24, 25% vs. 5/81, 7%; p = 0.008). Almost half (46%) of the children with pulmonary lesions were asymptomatic, and 11/60 (18%) of all asymptomatic patients presented with abnormal CXR.

Pulmonary lesions in the course of COVID-19 are more common in younger children and those presenting with an elevated D-dimer level. A significant proportion of asymptomatic COVID-19 patients develop CXR abnormalities.


chest radiography, children, coronavirus disease 2019 (COVID-19), pulmonary lesions

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