diff --git a/metadata.csv b/metadata.csv
index 4a32f29e..881064d0 100644
--- a/metadata.csv
+++ b/metadata.csv
@@ -21,13 +21,13 @@ patientid,offset,sex,age,finding,RT_PCR_positive,survival,intubated,intubation_p
 10,35,F,73,Pneumonia/Viral/SARS,,N,,,,,,,,,,,,AP,X-ray,2004,"Mount Sinai Hospital, Toronto, Ontario, Canada",images,SARS-10.1148rg.242035193-g04mr34g09c-Fig9c-day27.jpeg,10.1148/rg.242035193,https://pubs.rsna.org/doi/10.1148/rg.242035193,,SARS in a 73-year-old woman who presented 17 days after exposure. The chest radiograph obtained on admission (not shown) was normal. (a) Anteroposterior radiograph obtained 2 days after admission shows focal consolidation in the right lung. (b) Anteroposterior radiograph obtained 8 days later shows bilateral multifocal consolidation. (c) Anteroposterior radiograph obtained 8 days later shows diffuse airspace disease. The patient died 36 days after exposure to SARS.,,
 11,0,M,56,Pneumonia/Viral/COVID-19,Y,Y,,,,,,,38.6,97,7.4,,,PA,X-ray,2020,"Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada",images,1-s2.0-S0140673620303706-fx1_lrg.jpg,10.1016/S0140-6736(20)30370-6,https://www.sciencedirect.com/science/article/pii/S0140673620303706,,"A 56-year-old man presented to our Emergency Department in Toronto, ON, Canada, with fever and non-productive cough, 1 day after returning from a 3-month visit to Wuhan, China. Given this travel history, the transferring ambulance and receiving hospital personnel used appropriate personal protective equipment. He had a medical history of well controlled hypertension. On examination, his maximum temperature was 38·6°C, oxygen saturation was 97% on room air, and respiratory rate was 22 breaths per min—without any signs of respiratory distress. Laboratory investigations showed mild thrombocytopenia (113 × 109 per L, normal 150–400), haemoglobin concentration 146 g/L (normal 130–180), white blood cell count 7·4 × 109 per L (normal 4–11), creatinine concentration 81 μmol/L, alanine aminotransferase 29 IU/L (normal <40), and lactate concentration 1·1 mmol/L (normal 0·5–2·0). A chest x-ray showed patchy bilateral, peribronchovascular, ill-defined opacities in all lung zones.",,
 12,7,M,42,Pneumonia/Viral/COVID-19,Y,Y,,,,,,,39.6,,2.88,,0.9,PA,X-ray,"January 1, 2020","Tongji Medical College, Wuhan, Hubei Province, China",images,nCoV-radiol.2020200269.fig1-day7.jpeg,10.1148/radiol.2020200269,https://pubs.rsna.org/doi/10.1148/radiol.2020200269,,"On January 1, 2020, a 42-year-old man was admitted to the emergency department of Union Hospital (Tongji Medical College, Wuhan, Hubei Province) due to a high-grade fever (39.6°C [103.28°C]), cough, and fatigue for 1 week. Bilateral coarse breath sounds with wet rales distributed at the bases of both lungs were heard on auscultation. A, Chest radiograph obtained on day 7 after the onset of symptoms shows opacities in the left lower and right upper lobes.",,
-13,4,M,35,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,Y,,37.2,96,,,,PA,X-ray,"January 19, 2020","Snohomish County, Washington, USA",images,nejmoa2001191_f1-PA.jpeg,10.1056/NEJMoa2001191,https://www.nejm.org/doi/full/10.1056/NEJMoa2001191,,"On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. No thoracic abnormalities were noted.",,
-13,4,M,35,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,Y,,,,,,,L,X-ray,"January 19, 2020","Snohomish County, Washington, USA",images,nejmoa2001191_f1-L.jpeg,10.1056/NEJMoa2001191,https://www.nejm.org/doi/full/10.1056/NEJMoa2001191,,"On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. No thoracic abnormalities were noted.",,
-13,7,M,35,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,Y,,,,,,,PA,X-ray,"January 22, 2020","Snohomish County, Washington, USA",images,nejmoa2001191_f3-PA.jpeg,10.1056/NEJMoa2001191,https://www.nejm.org/doi/full/10.1056/NEJMoa2001191,,"On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. No acute intrathoracic plain-film abnormality was noted.",,
-13,7,M,35,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,Y,,,,,,,L,X-ray,"January 22, 2020","Snohomish County, Washington, USA",images,nejmoa2001191_f3-L.jpeg,10.1056/NEJMoa2001191,https://www.nejm.org/doi/full/10.1056/NEJMoa2001191,,"On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. No acute intrathoracic plain-film abnormality was noted.",,
-13,9,M,35,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,Y,,,,,,,PA,X-ray,"January 24, 2020","Snohomish County, Washington, USA",images,nejmoa2001191_f4.jpeg,10.1056/NEJMoa2001191,https://www.nejm.org/doi/full/10.1056/NEJMoa2001191,,"On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever.Increasing left basilar opacity was visible, arousing concern about pneumonia.",,
-13,10,M,35,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,Y,,,,,,,PA,X-ray,"January 26, 2020","Snohomish County, Washington, USA",images,nejmoa2001191_f5-PA.jpeg,10.1056/NEJMoa2001191,https://www.nejm.org/doi/full/10.1056/NEJMoa2001191,,"On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. Stable streaky opacities in the lung bases were visible, indicating likely atypical pneumonia; the opacities have steadily increased in density over time.",,
-13,10,M,35,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,Y,,,,,,,L,X-ray,"January 26, 2020","Snohomish County, Washington, USA",images,nejmoa2001191_f5-L.jpeg,10.1056/NEJMoa2001191,https://www.nejm.org/doi/full/10.1056/NEJMoa2001191,,"On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. Stable streaky opacities in the lung bases were visible, indicating likely atypical pneumonia; the opacities have steadily increased in density over time.",,
+13,4,M,35,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,Y,,37.2,96,,,,PA,X-ray,"January 19, 2020","Snohomish County, Washington, United States",images,nejmoa2001191_f1-PA.jpeg,10.1056/NEJMoa2001191,https://www.nejm.org/doi/full/10.1056/NEJMoa2001191,,"On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. No thoracic abnormalities were noted.",,
+13,4,M,35,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,Y,,,,,,,L,X-ray,"January 19, 2020","Snohomish County, Washington, United States",images,nejmoa2001191_f1-L.jpeg,10.1056/NEJMoa2001191,https://www.nejm.org/doi/full/10.1056/NEJMoa2001191,,"On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. No thoracic abnormalities were noted.",,
+13,7,M,35,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,Y,,,,,,,PA,X-ray,"January 22, 2020","Snohomish County, Washington, United States",images,nejmoa2001191_f3-PA.jpeg,10.1056/NEJMoa2001191,https://www.nejm.org/doi/full/10.1056/NEJMoa2001191,,"On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. No acute intrathoracic plain-film abnormality was noted.",,
+13,7,M,35,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,Y,,,,,,,L,X-ray,"January 22, 2020","Snohomish County, Washington, United States",images,nejmoa2001191_f3-L.jpeg,10.1056/NEJMoa2001191,https://www.nejm.org/doi/full/10.1056/NEJMoa2001191,,"On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. No acute intrathoracic plain-film abnormality was noted.",,
+13,9,M,35,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,Y,,,,,,,PA,X-ray,"January 24, 2020","Snohomish County, Washington, United States",images,nejmoa2001191_f4.jpeg,10.1056/NEJMoa2001191,https://www.nejm.org/doi/full/10.1056/NEJMoa2001191,,"On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever.Increasing left basilar opacity was visible, arousing concern about pneumonia.",,
+13,10,M,35,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,Y,,,,,,,PA,X-ray,"January 26, 2020","Snohomish County, Washington, United States",images,nejmoa2001191_f5-PA.jpeg,10.1056/NEJMoa2001191,https://www.nejm.org/doi/full/10.1056/NEJMoa2001191,,"On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. Stable streaky opacities in the lung bases were visible, indicating likely atypical pneumonia; the opacities have steadily increased in density over time.",,
+13,10,M,35,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,Y,,,,,,,L,X-ray,"January 26, 2020","Snohomish County, Washington, United States",images,nejmoa2001191_f5-L.jpeg,10.1056/NEJMoa2001191,https://www.nejm.org/doi/full/10.1056/NEJMoa2001191,,"On January 19, 2020, a 35-year-old man presented to an urgent care clinic in Snohomish County, Washington, with a 4-day history of cough and subjective fever. Stable streaky opacities in the lung bases were visible, indicating likely atypical pneumonia; the opacities have steadily increased in density over time.",,
 14,0,F,,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,PA,X-ray,2020,Hong Kong,images,ryct.2020200034.fig2.jpeg,10.1148/ryct.2020200034,https://pubs.rsna.org/doi/full/10.1148/ryct.2020200034,,,,
 15,0,M,,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,PA,X-ray,2020,Hong Kong,images,ryct.2020200034.fig5-day0.jpeg,10.1148/ryct.2020200034,https://pubs.rsna.org/doi/full/10.1148/ryct.2020200034,,"Chest radiographs of an elderly male patient from Wuhan, China, who travelled to Hong Kong, China. These are 3 chest radiographs selected out of the daily chest radiographs acquired in this patient. The consolidation in the right lower zone on day 0 persist into day 4 with new consolidative changes in the right midzone periphery and perihilar region. This midzone change improves on the day 7 film.",,
 15,4,M,,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,PA,X-ray,2020,Hong Kong,images,ryct.2020200034.fig5-day4.jpeg,10.1148/ryct.2020200034,https://pubs.rsna.org/doi/full/10.1148/ryct.2020200034,,"Chest radiographs of an elderly male patient from Wuhan, China, who travelled to Hong Kong, China. These are 3 chest radiographs selected out of the daily chest radiographs acquired in this patient. The consolidation in the right lower zone on day 0 persist into day 4 with new consolidative changes in the right midzone periphery and perihilar region. This midzone change improves on the day 7 film.",,
@@ -197,7 +197,7 @@ patientid,offset,sex,age,finding,RT_PCR_positive,survival,intubated,intubation_p
 101,,F,40,Pneumonia/Fungal/Pneumocystis,,N,,,,,,,,,,,,PA,X-ray,2014,"Cairo, Egypt",images,pneumocystis-jirovecii-pneumonia-3-3.jpg,,https://radiopaedia.org/cases/pneumocystis-jirovecii-pneumonia-3,CC BY-NC-SA,Adult female with positive HIV infection and low CD4 count. Shortness of breath and cough. The visualized lung fields show hazy opacification with peribronchial and some interstitial prominence in the form of fine reticular interstitial pulmonary pattern. The case showed progressive deterioration as shown from the demonstrated XR sequences. The last one shows more diffuse infiltrates with ET tube insertion in ventilated victim. Diffuse bilateral reticular opacities or septal thickening are present. A crazy paving pattern may therefore be seen when both ground-glass opacies and septal thickening are superimposed on one another.,"Case courtesy of Dr Fakhry Mahmoud Ebouda, Radiopaedia.org, rID: 29434",
 102,,,,Pneumonia/Fungal/Pneumocystis,,,,,,,,,,,,,,PA,X-ray,2007,"Melbourne, Australia",images,pneumocystis-pneumonia-1.jpg,,https://radiopaedia.org/cases/pneumocystis-pneumonia-1,CC BY,"CXR of a patient with pneumocystis jiroveci pneumonia, showing reticular interstitial markings in all lung fields.","Case courtesy of Assoc Prof Frank Gaillard, Radiopaedia.org, rID: 9171",
 103,,,,Pneumonia/Fungal/Pneumocystis,,,,,,,,,,,,,,PA,X-ray,2010,,images,X-ray_of_cyst_in_pneumocystis_pneumonia_1.jpg,10.4103/1817-1737.69106,https://en.wikipedia.org/wiki/File:X-ray_of_cyst_in_pneumocystis_pneumonia_1.jpg,CC BY,"If left untreated, chest X-ray may progress to alveolar consolidation in 3 or 4 days. Infiltrates clear within 2 weeks, but in a proportion infection will be followed by coarse reticular opacification and fibrosis. Note the large cyst (arrow)","Credit to Carolyn M. Allen, Hamdan H. AL-Jahdali, Klaus L. Irion, Sarah Al Ghanem, Alaa Gouda, and Ali Nawaz Khan",
-104,,,,Pneumonia/Fungal/Pneumocystis,,,,,,,,,,,,,,PA,X-ray,2015,"Houston, USA",images,pneumocystis-pneumonia-8.jpg,,https://radiopaedia.org/cases/pneumocystis-pneumonia-8,CC BY-NC-SA,"Multifocal patchy opacities with diffuse reticular markings. These findings are nonspecific, but in the setting of a CD4 count less than 200 cells/mm3, should raise suspicion for PCP.","Case courtesy of Dr Behrang Amini  , Radiopaedia.org, rID: 35823",
+104,,,,Pneumonia/Fungal/Pneumocystis,,,,,,,,,,,,,,PA,X-ray,2015,"Houston, United States",images,pneumocystis-pneumonia-8.jpg,,https://radiopaedia.org/cases/pneumocystis-pneumonia-8,CC BY-NC-SA,"Multifocal patchy opacities with diffuse reticular markings. These findings are nonspecific, but in the setting of a CD4 count less than 200 cells/mm3, should raise suspicion for PCP.","Case courtesy of Dr Behrang Amini  , Radiopaedia.org, rID: 35823",
 105,,M,,Pneumonia/Fungal/Pneumocystis,,,,,,,,,,,,,,PA,X-ray,2010,,images,pneumocystis-carinii-pneumonia-1-PA.jpg,,https://radiopaedia.org/cases/pneumocystis-carinii-pneumonia-1,CC BY-NC-SA,There are diffuse bilaterally symmetric interstitial patten noted in the perihilar region and extending towards the periphery. Multiple ill defined small hyperlucent patches are noted in the bilateral lung fields especially in the mid zones suggestive of pneumatocele. There is diffuse ground glass opacities involving upper and mid zones and perihilar region bilaterally.,"Case courtesy of Radswiki, Radiopaedia.org, rID: 11789",
 105,,M,,Pneumonia/Fungal/Pneumocystis,,,,,,,,,,,,,,L,X-ray,2010,,images,pneumocystis-carinii-pneumonia-1-L.jpg,,https://radiopaedia.org/cases/pneumocystis-carinii-pneumonia-1,CC BY-NC-SA,There are diffuse bilaterally symmetric interstitial patten noted in the perihilar region and extending towards the periphery. Multiple ill defined small hyperlucent patches are noted in the bilateral lung fields especially in the mid zones suggestive of pneumatocele. There is diffuse ground glass opacities involving upper and mid zones and perihilar region bilaterally.,"Case courtesy of Radswiki, Radiopaedia.org, rID: 11789",
 106,,M,50,Pneumonia/Fungal/Pneumocystis,,,,,,,,,,,,,,PA,X-ray,2016,"Melbourne, Australia",images,pneumocystis-pneumonia-12.png,,https://radiopaedia.org/cases/pneumocystis-pneumonia-12,CC BY-NC-SA,"Sepsis, confusion. Found on ground.  Hazy opacity in a perihilar pattern. Possible pulmonary nodules. No pleural effusion. No focal consolidation. Perihilar ground glass opacity with multiple pulmonary cysts. Few peripheral hazy nodules. No pleural effusion. No lymphadenopathy. This patient had a history HIV/AIDS and was immunosuppressed with a CD4 count of 22 cells/mm3. The patient underwent bronchoscopy and Pneumocystis jiroveci DNA by PCR was positive.","Case courtesy of Dr Henry Knipe, Radiopaedia.org, rID: 49397",
@@ -263,7 +263,7 @@ patientid,offset,sex,age,finding,RT_PCR_positive,survival,intubated,intubation_p
 144,2,F,30,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP Supine,X-ray,2020,"Nottingham, United Kingdom ",images,covid-19-pneumonia-43-day2.jpeg,,https://radiopaedia.org/cases/covid-19-pneumonia-43,CC BY-NC-SA,Radiological progression with widespread bilateral opacification across all zones. No pleural effusions. ,"Case courtesy of Dr Roma Patel, Radiopaedia.org, rID: 75421",
 145,4,F,35,Pneumonia/Viral/COVID-19,Y,,N,N,,,,,,,,,,AP Supine,X-ray,2020,Belgium,images,covid-19-pneumonia-40.jpg,,https://radiopaedia.org/cases/covid-19-pneumonia-40,CC BY-NC-SA,Diffuse bilateral lung opacities.  No intubation.,"Case courtesy of Henri Vandermeulen, Radiopaedia.org, rID: 75417",
 146,,M,85,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP,X-ray,2020,"Nottingham, United Kingdom ",images,covid-19-pneumonia-42.jpeg,,https://radiopaedia.org/cases/covid-19-pneumonia-42,CC BY-NC-SA,"Worsening dyspnea. Past history of COPD. T2DM. Previous pancreatectomy. ETOH excess. Lymphopenia on admission. Chest radiograph on admission demonstrates bilateral, almost symmetrical areas of peripheral consolidation with perihilar infiltrates and an indistinct left heart border. In an endemic area, appearances are highly suggestive of COVID-19. ","Case courtesy of Dr Roma Patel, Radiopaedia.org, rID: 75420",
-147,0,F,50,Pneumonia/Viral/COVID-19,,,,,,,,,38.2,,5.5,,,AP,X-ray,2020,"Orange, California, USA",images,da9e9aac-de8c-44c7-ba57-e7cc8e4caaba.annot.original.jpeg,10.1148/cases.20201815,https://cases.rsna.org/case/20089b73-72d4-4298-a0d1-b045e414c02b,,"50 year-old woman with history of type 2 diabetes and essential hypertension presents to the emergency room with 7 days of worsening shortness of breath, fatigue, and bouts of diarrhea. The patient recently traveled to Uganda. COVID-19, consolidation, atoll, reverse halo, viral pneumonia, ground glass. Chest radiograph is generally nonspecific manifesting with peripheral and basal predominant consolidation. The most common imaging appearance on chest CT scans include peripheral and basal predominant ground-glass opacities and less commonly consolidation that often has a rounded appearance. Some of the opacities may manifest an atoll or reverse halo sign with central ground-glass opacities and peripheral consolidation. A perilobular distribution may also be present, likely representing an organizing pneumonia pattern of lung injury. AP chest radiograph at presentation shows peripheral and basal predominant consolidation.",,
+147,0,F,50,Pneumonia/Viral/COVID-19,,,,,,,,,38.2,,5.5,,,AP,X-ray,2020,"Orange, California, United States",images,da9e9aac-de8c-44c7-ba57-e7cc8e4caaba.annot.original.jpeg,10.1148/cases.20201815,https://cases.rsna.org/case/20089b73-72d4-4298-a0d1-b045e414c02b,,"50 year-old woman with history of type 2 diabetes and essential hypertension presents to the emergency room with 7 days of worsening shortness of breath, fatigue, and bouts of diarrhea. The patient recently traveled to Uganda. COVID-19, consolidation, atoll, reverse halo, viral pneumonia, ground glass. Chest radiograph is generally nonspecific manifesting with peripheral and basal predominant consolidation. The most common imaging appearance on chest CT scans include peripheral and basal predominant ground-glass opacities and less commonly consolidation that often has a rounded appearance. Some of the opacities may manifest an atoll or reverse halo sign with central ground-glass opacities and peripheral consolidation. A perilobular distribution may also be present, likely representing an organizing pneumonia pattern of lung injury. AP chest radiograph at presentation shows peripheral and basal predominant consolidation.",,
 148,11,M,41,Pneumonia/Viral/COVID-19,,,,,,,,,,,3.15,,1.3,AP,X-ray,2020,"The First Hospital of Lanzhou University, Lanzhou, China",images,4ad30bc6-2da0-4f84-bc9b-62acabfd518a.annot.original.png,10.1148/cases.20201559,https://cases.rsna.org/case/b5e87059-45c0-4bc9-8ad2-6a7301485ac5,," Chest radiograph and CT images of a 41-year-old man with COVID-2019 infection performed at the same time. (A) Chest radiograph shows basal atelectasis without confluent consolidation. (B, C) Axial thin-section unenhanced CT scan shows patchy ground-glass opacities (circle) in the medial right lower lobe. Ground-glass nodules (arrows) are also in the right upper lobe and left lower lobe. The patient presented with an 11-day history of cough after recent travel to Wuhan, China. The patient had no history of diabetes, hypertension, cardiovascular disorders or other diseases. Bronchiectasis, Consolidation, linear opacities, Ground-glass opacities, linear opacities",,
 149,10,M,40,Pneumonia/Viral/COVID-19,,,Y,,,,,,38.3,,6.91,,1.73,PA,X-ray,2020,"Zigong, China",images,fff49165-b22d-4bb4-b9d1-d5d62c52436c.annot.original.png,10.1148/cases.20201394,https://cases.rsna.org/case/8cc22815-ff15-4234-9148-f70c3cc8659e,,"40-year-old man presented with a 10-day history of cough and a 1-day history of fever (38.3°). After 6 days of treatment combined with antiviral drugs and anti-inflammatory drugs, the pulmonary lesions had nearly resolved, however new ground-glass opacities appeared in the periphery of the right lower lobe. Fortunately, following continuous treatment, the man improved and was discharged. PA and lateral chest radiographs show patchy consolidation in the right mid lung zone.",,
 150,8,M,28,Pneumonia/Viral/COVID-19,Unclear,,Y,N,Y,N,,,39.1,90,6.4,5.55,0.63,AP,X-ray,2020,,images,figure1-5e7c1b8d98c29ab001275405-98.jpeg,,https://app.figure1.com/images/5e7c1b8d98c29ab001275405/,,"28M previously fit and well, not on any regular medications, presented with a 6 day Hx of fever, non-productive cough and SOB for the last 4 days. His symptoms started as sore throat and coryzal symptoms 8 days prior to his presentation and he reported contact with a friend with similar symptomatology.  O/E T39.1 HR87 BP119/63 RR38 SpO2 90% on RA. Bilateral nasal crepitations without a wheeze.  Image 1 - CXR on admission Image 2 - haematology, biochemistry on admission and serial gases Image 3 - CXR post intubation in the critical care setting Image 4 - the reason for this unfortunate young man requiring critical care.",Image originally shared on Figure 1.,
@@ -317,14 +317,14 @@ patientid,offset,sex,age,finding,RT_PCR_positive,survival,intubated,intubation_p
 178,1,F,72,Pneumonia/Viral/COVID-19,Y,N,Y,Y,Y,Y,,N,,,,,,PA,X-ray,,"Hospital Universitario Doctor Peset, Valencia, Spain",images,16660_3_1.jpg,,https://www.eurorad.org/case/16660,CC BY-NC-SA 4.0,"A 72-year-old woman admitted with acute respiratory failure, fever (38°C) and dyspnoea. She was tachypneic (30bpm), with lymphopenia and low oxygen saturation (SpO2 85%, PAFI<250). Patient presented to the emergency department two days earlier with fever (up to 38.6°C), dry cough, odynophagia and general malaise. She was discharged from hospital because she did not present alarm criteria at that time. The patient required mechanical ventilation and was admitted to intensive care. During her stay in ICU, poor evolution to respiratory distress syndrome and to multi-organic failure. The patient passed away 24 hours later. Figure 2 (4 hours later). Radiological worsening, with affectation of lower lobes. Endotracheal tube and central venous line were required. Figure 3 (Day 1). Bilateral alveolar consolidation.",,
 178,2,F,72,Pneumonia/Viral/COVID-19,Y,N,Y,Y,Y,Y,,N,,,,,,PA,X-ray,,"Hospital Universitario Doctor Peset, Valencia, Spain",images,16660_4_1.jpg,,https://www.eurorad.org/case/16660,CC BY-NC-SA 4.0,"A 72-year-old woman admitted with acute respiratory failure, fever (38°C) and dyspnoea. She was tachypneic (30bpm), with lymphopenia and low oxygen saturation (SpO2 85%, PAFI<250). Patient presented to the emergency department two days earlier with fever (up to 38.6°C), dry cough, odynophagia and general malaise. She was discharged from hospital because she did not present alarm criteria at that time. The patient required mechanical ventilation and was admitted to intensive care. During her stay in ICU, poor evolution to respiratory distress syndrome and to multi-organic failure. The patient passed away 24 hours later. Figure 4 (Day 2). Radiological worsening. Bilateral alveolar consolidation with panlobar affectation.",,
 178,3,F,72,Pneumonia/Viral/COVID-19,Y,N,Y,Y,Y,Y,,N,,,,,,PA,X-ray,,"Hospital Universitario Doctor Peset, Valencia, Spain",images,16660_5_1.jpg,,https://www.eurorad.org/case/16660,CC BY-NC-SA 4.0,"A 72-year-old woman admitted with acute respiratory failure, fever (38°C) and dyspnoea. She was tachypneic (30bpm), with lymphopenia and low oxygen saturation (SpO2 85%, PAFI<250). Patient presented to the emergency department two days earlier with fever (up to 38.6°C), dry cough, odynophagia and general malaise. She was discharged from hospital because she did not present alarm criteria at that time. The patient required mechanical ventilation and was admitted to intensive care. During her stay in ICU, poor evolution to respiratory distress syndrome and to multi-organic failure. The patient passed away 24 hours later. Figure 5 (Day 3). Bilateral alveolar consolidation with panlobar affectation, with typical radiological findings of ARDS. 24 hours later the patient passed away.",,
-179,-5,M,56,Pneumonia/Viral/COVID-19,Y,,Y,N,Y,,,,37.9,,,,,AP,X-ray,,"University of California Irvine, Orange, California, USA",images,16654_1_1.png,,https://www.eurorad.org/case/16654,CC BY-NC-SA 4.0,"A 56-year-old male patient with end-stage renal disease, heart failure, and tobacco cigarette smoking (5 pack year history) presented to the emergency department with nausea, vomiting, and low-grade fever (37.9°C), and was diagnosed with gastroenteritis. He subsequently developed a dry cough and myalgia, and returned 5 days later with fever (38.1°C). Laboratory studies were remarkable for mild lymphopenia (0.8×103/µL, normal range 0.9×103/µL – 3.3×103/µL), elevated aspartate aminotransferase (71 IU/L, normal range 13 IU/L – 39 IU/L), elevated c-reactive protein (14.6 mg/dL, normal range 0 – 1 mg/dL), and elevated procalcitonin (2.37 ng/mL, normal < 0.1 ng/mL). He had traveled to South Korea approximately 7 weeks prior to presentation. AP chest X-ray at initial presentation demonstrated mild patchy increased interstitial markings at the bilateral lung bases without evidence of focal consolidation and stable mild cardiomegaly (Fig. 1).",,
-179,0,M,56,Pneumonia/Viral/COVID-19,Y,,Y,N,Y,,,,38.1,,,,0.8,AP,X-ray,,"University of California Irvine, Orange, California, USA",images,16654_2_1.jpg,,https://www.eurorad.org/case/16654,CC BY-NC-SA 4.0,"A 56-year-old male patient with end-stage renal disease, heart failure, and tobacco cigarette smoking (5 pack year history) presented to the emergency department with nausea, vomiting, and low-grade fever (37.9°C), and was diagnosed with gastroenteritis. He subsequently developed a dry cough and myalgia, and returned 5 days later with fever (38.1°C). Laboratory studies were remarkable for mild lymphopenia (0.8×103/µL, normal range 0.9×103/µL – 3.3×103/µL), elevated aspartate aminotransferase (71 IU/L, normal range 13 IU/L – 39 IU/L), elevated c-reactive protein (14.6 mg/dL, normal range 0 – 1 mg/dL), and elevated procalcitonin (2.37 ng/mL, normal < 0.1 ng/mL). He had traveled to South Korea approximately 7 weeks prior to presentation. AP Chest X-ray obtained at second presentation demonstrated diffuse patchy bilateral airspace opacities (Fig. 2). ",,
-179,2,M,56,Pneumonia/Viral/COVID-19,Y,,Y,Y,Y,Y,,,,,,,,AP,X-ray,,"University of California Irvine, Orange, California, USA",images,16654_4_1.jpg,,https://www.eurorad.org/case/16654,CC BY-NC-SA 4.0,"A 56-year-old male patient with end-stage renal disease, heart failure, and tobacco cigarette smoking (5 pack year history) presented to the emergency department with nausea, vomiting, and low-grade fever (37.9°C), and was diagnosed with gastroenteritis. He subsequently developed a dry cough and myalgia, and returned 5 days later with fever (38.1°C). Laboratory studies were remarkable for mild lymphopenia (0.8×103/µL, normal range 0.9×103/µL – 3.3×103/µL), elevated aspartate aminotransferase (71 IU/L, normal range 13 IU/L – 39 IU/L), elevated c-reactive protein (14.6 mg/dL, normal range 0 – 1 mg/dL), and elevated procalcitonin (2.37 ng/mL, normal < 0.1 ng/mL). He had traveled to South Korea approximately 7 weeks prior to presentation. AP chest X-ray on day two of admission (Fig. 4) demonstrated interval intubation, increased patchy airspace opacities, and stable mild cardiomegaly.",,
+179,-5,M,56,Pneumonia/Viral/COVID-19,Y,,Y,N,Y,,,,37.9,,,,,AP,X-ray,,"University of California Irvine, Orange, California, United States",images,16654_1_1.png,,https://www.eurorad.org/case/16654,CC BY-NC-SA 4.0,"A 56-year-old male patient with end-stage renal disease, heart failure, and tobacco cigarette smoking (5 pack year history) presented to the emergency department with nausea, vomiting, and low-grade fever (37.9°C), and was diagnosed with gastroenteritis. He subsequently developed a dry cough and myalgia, and returned 5 days later with fever (38.1°C). Laboratory studies were remarkable for mild lymphopenia (0.8×103/µL, normal range 0.9×103/µL – 3.3×103/µL), elevated aspartate aminotransferase (71 IU/L, normal range 13 IU/L – 39 IU/L), elevated c-reactive protein (14.6 mg/dL, normal range 0 – 1 mg/dL), and elevated procalcitonin (2.37 ng/mL, normal < 0.1 ng/mL). He had traveled to South Korea approximately 7 weeks prior to presentation. AP chest X-ray at initial presentation demonstrated mild patchy increased interstitial markings at the bilateral lung bases without evidence of focal consolidation and stable mild cardiomegaly (Fig. 1).",,
+179,0,M,56,Pneumonia/Viral/COVID-19,Y,,Y,N,Y,,,,38.1,,,,0.8,AP,X-ray,,"University of California Irvine, Orange, California, United States",images,16654_2_1.jpg,,https://www.eurorad.org/case/16654,CC BY-NC-SA 4.0,"A 56-year-old male patient with end-stage renal disease, heart failure, and tobacco cigarette smoking (5 pack year history) presented to the emergency department with nausea, vomiting, and low-grade fever (37.9°C), and was diagnosed with gastroenteritis. He subsequently developed a dry cough and myalgia, and returned 5 days later with fever (38.1°C). Laboratory studies were remarkable for mild lymphopenia (0.8×103/µL, normal range 0.9×103/µL – 3.3×103/µL), elevated aspartate aminotransferase (71 IU/L, normal range 13 IU/L – 39 IU/L), elevated c-reactive protein (14.6 mg/dL, normal range 0 – 1 mg/dL), and elevated procalcitonin (2.37 ng/mL, normal < 0.1 ng/mL). He had traveled to South Korea approximately 7 weeks prior to presentation. AP Chest X-ray obtained at second presentation demonstrated diffuse patchy bilateral airspace opacities (Fig. 2). ",,
+179,2,M,56,Pneumonia/Viral/COVID-19,Y,,Y,Y,Y,Y,,,,,,,,AP,X-ray,,"University of California Irvine, Orange, California, United States",images,16654_4_1.jpg,,https://www.eurorad.org/case/16654,CC BY-NC-SA 4.0,"A 56-year-old male patient with end-stage renal disease, heart failure, and tobacco cigarette smoking (5 pack year history) presented to the emergency department with nausea, vomiting, and low-grade fever (37.9°C), and was diagnosed with gastroenteritis. He subsequently developed a dry cough and myalgia, and returned 5 days later with fever (38.1°C). Laboratory studies were remarkable for mild lymphopenia (0.8×103/µL, normal range 0.9×103/µL – 3.3×103/µL), elevated aspartate aminotransferase (71 IU/L, normal range 13 IU/L – 39 IU/L), elevated c-reactive protein (14.6 mg/dL, normal range 0 – 1 mg/dL), and elevated procalcitonin (2.37 ng/mL, normal < 0.1 ng/mL). He had traveled to South Korea approximately 7 weeks prior to presentation. AP chest X-ray on day two of admission (Fig. 4) demonstrated interval intubation, increased patchy airspace opacities, and stable mild cardiomegaly.",,
 180,,M,61,Pneumonia/Viral/COVID-19,Unclear,,,,,,,,,,,,,AP Supine,X-ray,,"Civili Hospital, Vigevano, Italy",images,16691_1_1.jpg,,https://www.eurorad.org/case/16691,CC BY-NC-SA 4.0,"A 61-year-old male patient presented with three days fever and mild sore throat. Past history of diabetes mellitus and arterial hypertension. Blood analysis showed mild elevation of C-reactive protein level (11,26 mg/l ), normal LDH level, normal WBC count with neutrophylia (80,4%) and hyperglycaemia (151 mg/dl). Chest X-ray (antero-posterior view): consolidations in right upper lobe sharply defined at the fissure, and in lower zone of the left-lung. ",,
 181,5,F,53,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP,X-ray,,"GZA Sint-Augustinus, Antwerp, Belgium",images,16674_1_1.jpg,,https://www.eurorad.org/case/16674,CC BY-NC-SA 4.0,"A 53-year-old woman was referred to our emergency department by her general practitioner (GP) because of increasing dyspnoea and suspicion of COVID-19 infection. Symptoms started five days prior with muscle ache, sore throat, cough, general malaise and fever up to 38°C. No other remarkable medical history was noted. Laboratory results showed only a mildly increased CRP (16 mg/L). There was no hypoxaemia. She was tested for COVID-19, influenza and respiratory syncytial virus. AP bedside chest X-ray. This demonstrated a normal size of the heart without evidence of alveolar consolidation or pleural effusion. However, there was a noticeable increase in interstitial trauma at the base of the lungs",,
 182,0,M,34,Pneumonia/Viral/COVID-19,Unclear,,,,,,,,,,,,,PA,X-ray,,"Ospedale di Cattinara, Trieste, Italy",images,16672_1_1.jpg,,https://www.eurorad.org/case/16672,CC BY-NC-SA 4.0,"A previously healthy 34-year-old man presented to the emergency department with a 7-day history of high fever, dry cough and dyspnoea. Laboratory tests showed elevation of C-reactive protein (45 mg/L), while white cell count was normal. Chest X-ray performed on admission showed only a small opacity in the right upper perihilar region (Fig. 1).",,
-183,0,F,30,Pneumonia/Viral/COVID-19,Y,,Y,Y,,,,,38.9,,,,0.6,AP,X-ray,,"University of California Irvine, Orange, California, USA",images,16669_1_1.jpeg,,https://www.eurorad.org/case/16669,CC BY-NC-SA 4.0,"A 30-year-old female patient with a past medical history of asthma, morbid obesity (BMI 39.5), and hypertension on an angiotensin-converting enzyme (ACE) inhibitor presented with a 6-day history of fever (Tmax 38.9°C), cough, and shortness of breath. Laboratory studies were remarkable for lymphopenia (0.6×103/µL, normal range 0.9×103/µL – 3.3×103/µL), elevated serum creatinine (1.3 mg/dL, normal range 0.6 mg/dL – 1.2 mg/dL), elevated aspartate aminotransferase (73 IU/L, normal range 13 IU/L – 39 IU/L), elevated c-reactive protein (8.6 mg/dL, normal range 0 – 1 mg/dL), elevated procalcitonin (2.39 ng/mL, normal < 0.1 ng/mL), elevated interleukin-6 (197 pg/mL, normal ≤ 5 pg/mL), elevated cardiac troponin I (142 ng/L, normal < 15 ng/L), and mildly elevated d-dimer (570 ng/mL, normal < 500 ng/mL). She reported a history of contact with a COVID-positive co-worker and no recent travel. Influenza A/B RT-PCR were negative. She developed acute respiratory distress and was emergently intubated. AP chest X-ray after emergent intubation demonstrates bilateral upper-lobe predominant patchy and confluent airspace opacities (Fig. 1).",,
-183,2,F,30,Pneumonia/Viral/COVID-19,Y,,Y,Y,,,,,,,,,,PA,X-ray,,"University of California Irvine, Orange, California, USA",images,16669_3_1.jpeg,,https://www.eurorad.org/case/16669,CC BY-NC-SA 4.0,"A 30-year-old female patient with a past medical history of asthma, morbid obesity (BMI 39.5), and hypertension on an angiotensin-converting enzyme (ACE) inhibitor presented with a 6-day history of fever (Tmax 38.9°C), cough, and shortness of breath. Laboratory studies were remarkable for lymphopenia (0.6×103/µL, normal range 0.9×103/µL – 3.3×103/µL), elevated serum creatinine (1.3 mg/dL, normal range 0.6 mg/dL – 1.2 mg/dL), elevated aspartate aminotransferase (73 IU/L, normal range 13 IU/L – 39 IU/L), elevated c-reactive protein (8.6 mg/dL, normal range 0 – 1 mg/dL), elevated procalcitonin (2.39 ng/mL, normal < 0.1 ng/mL), elevated interleukin-6 (197 pg/mL, normal ≤ 5 pg/mL), elevated cardiac troponin I (142 ng/L, normal < 15 ng/L), and mildly elevated d-dimer (570 ng/mL, normal < 500 ng/mL). She reported a history of contact with a COVID-positive co-worker and no recent travel. Influenza A/B RT-PCR were negative. She developed acute respiratory distress and was emergently intubated. Prone portable PA chest X-ray on second day of admission demonstrates persistent airspace opacities, cardiomegaly and haziness of the cardiac borders (Fig. 3).",,
+183,0,F,30,Pneumonia/Viral/COVID-19,Y,,Y,Y,,,,,38.9,,,,0.6,AP,X-ray,,"University of California Irvine, Orange, California, United States",images,16669_1_1.jpeg,,https://www.eurorad.org/case/16669,CC BY-NC-SA 4.0,"A 30-year-old female patient with a past medical history of asthma, morbid obesity (BMI 39.5), and hypertension on an angiotensin-converting enzyme (ACE) inhibitor presented with a 6-day history of fever (Tmax 38.9°C), cough, and shortness of breath. Laboratory studies were remarkable for lymphopenia (0.6×103/µL, normal range 0.9×103/µL – 3.3×103/µL), elevated serum creatinine (1.3 mg/dL, normal range 0.6 mg/dL – 1.2 mg/dL), elevated aspartate aminotransferase (73 IU/L, normal range 13 IU/L – 39 IU/L), elevated c-reactive protein (8.6 mg/dL, normal range 0 – 1 mg/dL), elevated procalcitonin (2.39 ng/mL, normal < 0.1 ng/mL), elevated interleukin-6 (197 pg/mL, normal ≤ 5 pg/mL), elevated cardiac troponin I (142 ng/L, normal < 15 ng/L), and mildly elevated d-dimer (570 ng/mL, normal < 500 ng/mL). She reported a history of contact with a COVID-positive co-worker and no recent travel. Influenza A/B RT-PCR were negative. She developed acute respiratory distress and was emergently intubated. AP chest X-ray after emergent intubation demonstrates bilateral upper-lobe predominant patchy and confluent airspace opacities (Fig. 1).",,
+183,2,F,30,Pneumonia/Viral/COVID-19,Y,,Y,Y,,,,,,,,,,PA,X-ray,,"University of California Irvine, Orange, California, United States",images,16669_3_1.jpeg,,https://www.eurorad.org/case/16669,CC BY-NC-SA 4.0,"A 30-year-old female patient with a past medical history of asthma, morbid obesity (BMI 39.5), and hypertension on an angiotensin-converting enzyme (ACE) inhibitor presented with a 6-day history of fever (Tmax 38.9°C), cough, and shortness of breath. Laboratory studies were remarkable for lymphopenia (0.6×103/µL, normal range 0.9×103/µL – 3.3×103/µL), elevated serum creatinine (1.3 mg/dL, normal range 0.6 mg/dL – 1.2 mg/dL), elevated aspartate aminotransferase (73 IU/L, normal range 13 IU/L – 39 IU/L), elevated c-reactive protein (8.6 mg/dL, normal range 0 – 1 mg/dL), elevated procalcitonin (2.39 ng/mL, normal < 0.1 ng/mL), elevated interleukin-6 (197 pg/mL, normal ≤ 5 pg/mL), elevated cardiac troponin I (142 ng/L, normal < 15 ng/L), and mildly elevated d-dimer (570 ng/mL, normal < 500 ng/mL). She reported a history of contact with a COVID-positive co-worker and no recent travel. Influenza A/B RT-PCR were negative. She developed acute respiratory distress and was emergently intubated. Prone portable PA chest X-ray on second day of admission demonstrates persistent airspace opacities, cardiomegaly and haziness of the cardiac borders (Fig. 3).",,
 184,3,F,29,Pneumonia/Viral/COVID-19,Unclear,Y,,,,,,,,,,,,PA,X-ray,,"Hospital Universitario, Madrid, Spain",images,16664_1_1.jpg,,https://www.eurorad.org/case/16664,CC BY-NC-SA 4.0,A 29-year-old immunocompromised female patient with a 3-day history of cough and fever. Past medical history includes severe ulcerative colitis treated with Tofacitinib. The patient was admitted to the hospital ward and discharged one week after admission with complete recovery. Chest X-ray: Increase of parenchymal opacity in right lower lobe.,,
 184,3,F,29,Pneumonia/Viral/COVID-19,Unclear,Y,,,,,,,,,,,,L,X-ray,,"Hospital Universitario, Madrid, Spain",images,16664_2_1.jpg,,https://www.eurorad.org/case/16664,CC BY-NC-SA 4.0,A 29-year-old immunocompromised female patient with a 3-day history of cough and fever. Past medical history includes severe ulcerative colitis treated with Tofacitinib. The patient was admitted to the hospital ward and discharged one week after admission with complete recovery. Chest X-ray: Increase of parenchymal opacity in right lower lobe.,,
 185,3,F,78,Pneumonia/Viral/COVID-19,Unclear,N,,,,,,,,,,,,AP Supine,X-ray,,"Shanghai Public Health Clinical Center, Shanghai, China",images,ajr.20.23034.pdf-001.png,10.2214/AJR.20.23034 ,https://www.ajronline.org/doi/full/10.2214/AJR.20.23034,,"79-year-old woman who presented with chest pain, cough, and fever for 3 days. Coronavirus disease (COVID-19) had recently been diagnosed in two of her household members. Patient developed acute respiratory distress syndrome within subsequent few days and died 11 days after admission. (Courtesy of Song F, Shanghai Public Health Clinical Center, Shanghai, China).  show ground glass opacification (GGO) on day 1.","Courtesy of Song F, Shanghai Public Health Clinical Center, Shanghai, China",
@@ -550,8 +550,8 @@ patientid,offset,sex,age,finding,RT_PCR_positive,survival,intubated,intubation_p
 291,3,F,61,Pneumonia/Viral/COVID-19,Y,Y,N,N,,,,,,,,,,AP,X-ray,2020,South Korea,images,296_2020_4584_Fig2_HTML-b.png,10.1007/s00296-020-04584-7,https://link.springer.com/article/10.1007%2Fs00296-020-04584-7,,"we report a case of COVID-19 pneumonia in a 61-year-old female RA patient who was receiving conventional disease-modifying antirheumatic drugs (cDMARDs). The patient presented with a 4-day history of myalgia and febrile sensation. COVID-19 was confirmed by real-time polymerase chain reaction (PCR). Chest X-ray showed increased opacity on the right lower lung area, and C-reactive protein level was slightly elevated. The patient was treated with antiviral agents (lopinavir/ritonavir), and treatment with cDMARDs was discontinued except hydroxychloroquine. Her symptoms and laboratory results gradually improved. Three weeks later, real-time PCR for COVID-19 showed negative conversion, and the patient was discharged without any complications. b Haziness was observed on the right lower lung area at hospitalization day 3.",,
 291,10,F,61,Pneumonia/Viral/COVID-19,Y,Y,N,N,,,,,,,,,,AP,X-ray,2020,South Korea,images,296_2020_4584_Fig2_HTML-c.png,10.1007/s00296-020-04584-7,https://link.springer.com/article/10.1007%2Fs00296-020-04584-7,,"we report a case of COVID-19 pneumonia in a 61-year-old female RA patient who was receiving conventional disease-modifying antirheumatic drugs (cDMARDs). The patient presented with a 4-day history of myalgia and febrile sensation. COVID-19 was confirmed by real-time polymerase chain reaction (PCR). Chest X-ray showed increased opacity on the right lower lung area, and C-reactive protein level was slightly elevated. The patient was treated with antiviral agents (lopinavir/ritonavir), and treatment with cDMARDs was discontinued except hydroxychloroquine. Her symptoms and laboratory results gradually improved. Three weeks later, real-time PCR for COVID-19 showed negative conversion, and the patient was discharged without any complications. c Resorption of haziness on right lower lung area was observed at hospitalization day 10",,
 292,,F,54,Pneumonia/Viral/COVID-19,Y,Y,Y,N,Y,N,,Y,,,,,,AP Supine,X-ray,2020,"Brescia, Italy",images,701_2020_4374_Fig2_HTML.png,10.1007/s00701-020-04374-x,https://link.springer.com/article/10.1007%2Fs00701-020-04374-x,,"A 54 years old women, with a past medical history of anterior communicating artery (AComA) aneurysm treated surgically 20 years before, was found unconscious at home. When the rescue arrived, she regained consciousness and became unrest. At the emergency department, a brief neurological examination revealed a GCS of 12 (E3 M6 V3), without focal sensorimotor deficits. No signs of both tongue biting and incontinence were reported by the familiars. Anosmia and ageusia were referred by several days. Head CT scan was normal (Fig. 1). Chest X-ray (Fig. 2) revealed an interstitial pneumonia (IP), and real-time polymerase chain reaction (RT-PCR) for SARS-CoV-2 was positive.",,
-293,,,55,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP Supine,X-ray,2020,"Seattle, USA",images,nejmoa2004500_f1-a.png,10.1056/NEJMoa2004500,https://www.nejm.org/doi/10.1056/NEJMoa2004500,,An initial radiograph (anteroposterior view) of the chest at admission (Panel A) shows hazy opacities in the upper and mid lung zones. Another chest radiograph obtained approximately 24 hours after the initial presentation (Panel B) shows worsening multifocal air-space opacities. Axial CT images (Panels C and D) and coronal reformats (Panel E) obtained within 2 hours after the chest radiograph in Panel B show extensive ground glass opacities and occasional foci of consolidation.,,
-293,,,55,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP Supine,X-ray,2020,"Seattle, USA",images,nejmoa2004500_f1-b.png,10.1056/NEJMoa2004500,https://www.nejm.org/doi/10.1056/NEJMoa2004500,,An initial radiograph (anteroposterior view) of the chest at admission (Panel A) shows hazy opacities in the upper and mid lung zones. Another chest radiograph obtained approximately 24 hours after the initial presentation (Panel B) shows worsening multifocal air-space opacities. Axial CT images (Panels C and D) and coronal reformats (Panel E) obtained within 2 hours after the chest radiograph in Panel B show extensive ground glass opacities and occasional foci of consolidation.,,
+293,,,55,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP Supine,X-ray,2020,"Seattle, United States",images,nejmoa2004500_f1-a.png,10.1056/NEJMoa2004500,https://www.nejm.org/doi/10.1056/NEJMoa2004500,,An initial radiograph (anteroposterior view) of the chest at admission (Panel A) shows hazy opacities in the upper and mid lung zones. Another chest radiograph obtained approximately 24 hours after the initial presentation (Panel B) shows worsening multifocal air-space opacities. Axial CT images (Panels C and D) and coronal reformats (Panel E) obtained within 2 hours after the chest radiograph in Panel B show extensive ground glass opacities and occasional foci of consolidation.,,
+293,,,55,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP Supine,X-ray,2020,"Seattle, United States",images,nejmoa2004500_f1-b.png,10.1056/NEJMoa2004500,https://www.nejm.org/doi/10.1056/NEJMoa2004500,,An initial radiograph (anteroposterior view) of the chest at admission (Panel A) shows hazy opacities in the upper and mid lung zones. Another chest radiograph obtained approximately 24 hours after the initial presentation (Panel B) shows worsening multifocal air-space opacities. Axial CT images (Panels C and D) and coronal reformats (Panel E) obtained within 2 hours after the chest radiograph in Panel B show extensive ground glass opacities and occasional foci of consolidation.,,
 294,0,M,72,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP,X-ray,2020,"Brescia, Italy",images,11547_2020_1200_Fig3_HTML-a.png,10.1007/s11547-020-01200-3,https://link.springer.com/article/10.1007%2Fs11547-020-01200-3,,Serial chest X-ray findings in a 72-year-old male patient with COVID-19 pneumonia. a Baseline frontal chest radiograph performed on the day of admission (one day after the onset of fever).,,
 294,4,M,72,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP,X-ray,2020,"Brescia, Italy",images,11547_2020_1200_Fig3_HTML-b.png,10.1007/s11547-020-01200-3,https://link.springer.com/article/10.1007%2Fs11547-020-01200-3,,Serial chest X-ray findings in a 72-year-old male patient with COVID-19 pneumonia. a Baseline frontal chest radiograph performed on the day of admission (one day after the onset of fever). A rapid progression of the lung disease is shown on radiographic follow-ups performed at day 4 (b) and day 5 (c) post-hospitalization,,
 294,5,M,72,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP Supine,X-ray,2020,"Brescia, Italy",images,11547_2020_1200_Fig3_HTML-c.png,10.1007/s11547-020-01200-3,https://link.springer.com/article/10.1007%2Fs11547-020-01200-3,,Serial chest X-ray findings in a 72-year-old male patient with COVID-19 pneumonia. a Baseline frontal chest radiograph performed on the day of admission (one day after the onset of fever). A rapid progression of the lung disease is shown on radiographic follow-ups performed at day 4 (b) and day 5 (c) post-hospitalization,,
@@ -567,15 +567,15 @@ patientid,offset,sex,age,finding,RT_PCR_positive,survival,intubated,intubation_p
 300,3,M,27,Pneumonia/Viral/COVID-19,Unclear,,Y,N,Y,,,,,,,,,AP Supine,X-ray,2020,"Padova, Italy",images,11547_2020_1203_Fig2_HTML-b.png,10.1007/s11547-020-01203-0,https://link.springer.com/article/10.1007%2Fs11547-020-01203-0,,"Chest X-rays of a 27-year-old male patient with COVID-19 (a–d). The first radiograph at admission demonstrated a mild interstitial thickening in the lower lobes (a). Within 72 h from hospital admission, his clinical conditions worsened and bilateral pulmonary consolidations became visible at chest X-ray (b). The same day he was intubated with a prompt improvement of the radiological findings especially in the left lung (c). In the next 24 h after the beginning of the mechanical ventilation, the bilateral pulmonary consolidations increased (d)",,
 300,3,M,27,Pneumonia/Viral/COVID-19,Unclear,,Y,Y,Y,Y,,,,,,,,AP Supine,X-ray,2020,"Padova, Italy",images,11547_2020_1203_Fig2_HTML-c.png,10.1007/s11547-020-01203-0,https://link.springer.com/article/10.1007%2Fs11547-020-01203-0,,"Chest X-rays of a 27-year-old male patient with COVID-19 (a–d). The first radiograph at admission demonstrated a mild interstitial thickening in the lower lobes (a). Within 72 h from hospital admission, his clinical conditions worsened and bilateral pulmonary consolidations became visible at chest X-ray (b). The same day he was intubated with a prompt improvement of the radiological findings especially in the left lung (c). In the next 24 h after the beginning of the mechanical ventilation, the bilateral pulmonary consolidations increased (d)",,
 300,4,M,27,Pneumonia/Viral/COVID-19,Unclear,,Y,Y,Y,Y,,,,,,,,AP Supine,X-ray,2020,"Padova, Italy",images,11547_2020_1203_Fig2_HTML-d.png,10.1007/s11547-020-01203-0,https://link.springer.com/article/10.1007%2Fs11547-020-01203-0,,"Chest X-rays of a 27-year-old male patient with COVID-19 (a–d). The first radiograph at admission demonstrated a mild interstitial thickening in the lower lobes (a). Within 72 h from hospital admission, his clinical conditions worsened and bilateral pulmonary consolidations became visible at chest X-ray (b). The same day he was intubated with a prompt improvement of the radiological findings especially in the left lung (c). In the next 24 h after the beginning of the mechanical ventilation, the bilateral pulmonary consolidations increased (d)",,
-301,0,M,62,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,,,37.3,97,,,,AP Supine,X-ray,2020,"Chicago, USA",images,1-s2.0-S0735675720302746-gr1_lrg.jpg,10.1016/j.ajem.2020.04.045,https://www.sciencedirect.com/science/article/pii/S0735675720302746,,"28M previously fit and well, not on any regular medications, presented with a 6 day Hx of fever, non-productive cough and SOB for the last 4 days. His symptoms started as sore throat and coryzal symptoms 8 days prior to his presentation and he reported contact with a friend with similar symptomatology.  O/E T39.1 HR87 BP119/63 RR38 SpO2 90% on RA. Bilateral nasal crepitations without a wheeze.  Image 1 - CXR on admission Image 2 - haematology, biochemistry on admission and serial gases Image 3 - CXR post intubation in the critical care setting Image 4 - the reason for this unfortunate young man requiring critical care. On arrival to the ED, vital signs were temperature 37.3 °C, heart rate 96 beats per minute, blood pressure 137/70, 20 respirations per minute, and oxygen saturation 97% on room air. Lung examination was notable for non-labored respirations with clear breath sounds bilaterally. The reminder of his physical examination was unremarkable. The ED treatment team pursued imaging to rule out a mediastinal mass in the setting of persistent hiccups and weight loss. A chest X-ray showed new groundglass opacities in the right upper lung, left mid and lower lungs, and right costophrenic angle",,
+301,0,M,62,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,,,37.3,97,,,,AP Supine,X-ray,2020,"Chicago, United States",images,1-s2.0-S0735675720302746-gr1_lrg.jpg,10.1016/j.ajem.2020.04.045,https://www.sciencedirect.com/science/article/pii/S0735675720302746,,"28M previously fit and well, not on any regular medications, presented with a 6 day Hx of fever, non-productive cough and SOB for the last 4 days. His symptoms started as sore throat and coryzal symptoms 8 days prior to his presentation and he reported contact with a friend with similar symptomatology.  O/E T39.1 HR87 BP119/63 RR38 SpO2 90% on RA. Bilateral nasal crepitations without a wheeze.  Image 1 - CXR on admission Image 2 - haematology, biochemistry on admission and serial gases Image 3 - CXR post intubation in the critical care setting Image 4 - the reason for this unfortunate young man requiring critical care. On arrival to the ED, vital signs were temperature 37.3 °C, heart rate 96 beats per minute, blood pressure 137/70, 20 respirations per minute, and oxygen saturation 97% on room air. Lung examination was notable for non-labored respirations with clear breath sounds bilaterally. The reminder of his physical examination was unremarkable. The ED treatment team pursued imaging to rule out a mediastinal mass in the setting of persistent hiccups and weight loss. A chest X-ray showed new groundglass opacities in the right upper lung, left mid and lower lungs, and right costophrenic angle",,
 302,,F,35,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP Supine,X-ray,2020,"Eskisehir, Turkey",images,1-s2.0-S0196070920301691-gr3_lrg.jpg,10.1016/j.amjoto.2020.102487,https://www.sciencedirect.com/science/article/pii/S0196070920301691?via%3Dihub#!,,"A 35-year-old female patient presented to our clinic with otalgia and tinnitus. She has not any published COVID-19 symptoms. The patient has not any comorbid diseases. There was hyperemia and bulging tympanic membrane in her otorhinolaryngologic examination (Fig. 1). But there was mild rhonchi at lower part of thorax. The patient underwent audiometry and tympanometry tests. In terms of roncus detected in the examination, further examinations (chest X-ray, real-time reverse transcriptase–polymerase chain reaction (RT-PCR)) were requested due to the pandemic status of world.",,
 303,7,M,74,Pneumonia/Viral/COVID-19,Y,,Y,N,,,,Y,,,,,,PA,X-ray,2020,"Nagoya, Japan",images,10.1016-slash-j.anl.2020.04.002-a.png,10.1016/j.anl.2020.04.002,https://www.aurisnasuslarynx.com/article/S0385-8146(20)30082-1/pdf,,"The patient was a 74-year-old man with a body weight of 65 kg and had no overseas travel history and no contact with COVID-19 patients. He was a hepatitis B carrier and had hypertension, bronchial asthma, and was not under a medical treatment. He experienced slight fever on Day 1 and was admitted to a nearby hospital on Day 4 with prolonged high fever (> 39 °C) and shortness of breath. The Hemoglobin A1c (HbA1c) test revealed poorly controlled diabetes with a value of 9.4%. The PCR test for SARS-CoV-2 was positive, and he was diagnosed with COVID-19 on Day 7. He received intensive drug treatment, including ciclesonide, lopinavir/ritonavir and systemic corticosteroids, as well as respiratory care. Despite these treatments, his respiratory condition deteriorated, and he underwent tracheal intubation (23 cm deep from the mouth) for mechanical ventilation on Day 11. After his transfer to our hospital on Day 12, favipiravir was added to the drug regimen to improve the general condition. However, the patient's condition did not improve despite these intensive treatments. Because of the prolonged tracheal intubation, a tracheostomy was performed after consultation with the anesthesiologists, medical staff in the intensive care unit (ICU), and the infection prevention and control team. Surgical tracheostomy was performed on Day 28 in a negative-pressure airborne infection isolation room in our ICU. Fig. 1 shows the patient's clinical course and chest radiological findings before tracheostomy was performed. After the tracheostomy, his respiratory condition improved by Day 35, and thus he was considered for transfer to the other hospital.",,
 303,11,M,74,Pneumonia/Viral/COVID-19,Y,,Y,Y,,,,Y,,,,,,AP,X-ray,2020,"Nagoya, Japan",images,10.1016-slash-j.anl.2020.04.002-b.png,10.1016/j.anl.2020.04.002,https://www.aurisnasuslarynx.com/article/S0385-8146(20)30082-1/pdf,,"The patient was a 74-year-old man with a body weight of 65 kg and had no overseas travel history and no contact with COVID-19 patients. He was a hepatitis B carrier and had hypertension, bronchial asthma, and was not under a medical treatment. He experienced slight fever on Day 1 and was admitted to a nearby hospital on Day 4 with prolonged high fever (> 39 °C) and shortness of breath. The Hemoglobin A1c (HbA1c) test revealed poorly controlled diabetes with a value of 9.4%. The PCR test for SARS-CoV-2 was positive, and he was diagnosed with COVID-19 on Day 7. He received intensive drug treatment, including ciclesonide, lopinavir/ritonavir and systemic corticosteroids, as well as respiratory care. Despite these treatments, his respiratory condition deteriorated, and he underwent tracheal intubation (23 cm deep from the mouth) for mechanical ventilation on Day 11. After his transfer to our hospital on Day 12, favipiravir was added to the drug regimen to improve the general condition. However, the patient's condition did not improve despite these intensive treatments. Because of the prolonged tracheal intubation, a tracheostomy was performed after consultation with the anesthesiologists, medical staff in the intensive care unit (ICU), and the infection prevention and control team. Surgical tracheostomy was performed on Day 28 in a negative-pressure airborne infection isolation room in our ICU. Fig. 1 shows the patient's clinical course and chest radiological findings before tracheostomy was performed. After the tracheostomy, his respiratory condition improved by Day 35, and thus he was considered for transfer to the other hospital.",,
 303,28,M,74,Pneumonia/Viral/COVID-19,Y,,Y,N,,,,Y,,,,,,AP,X-ray,2020,"Nagoya, Japan",images,10.1016-slash-j.anl.2020.04.002-c.png,10.1016/j.anl.2020.04.002,https://www.aurisnasuslarynx.com/article/S0385-8146(20)30082-1/pdf,,"The patient was a 74-year-old man with a body weight of 65 kg and had no overseas travel history and no contact with COVID-19 patients. He was a hepatitis B carrier and had hypertension, bronchial asthma, and was not under a medical treatment. He experienced slight fever on Day 1 and was admitted to a nearby hospital on Day 4 with prolonged high fever (> 39 °C) and shortness of breath. The Hemoglobin A1c (HbA1c) test revealed poorly controlled diabetes with a value of 9.4%. The PCR test for SARS-CoV-2 was positive, and he was diagnosed with COVID-19 on Day 7. He received intensive drug treatment, including ciclesonide, lopinavir/ritonavir and systemic corticosteroids, as well as respiratory care. Despite these treatments, his respiratory condition deteriorated, and he underwent tracheal intubation (23 cm deep from the mouth) for mechanical ventilation on Day 11. After his transfer to our hospital on Day 12, favipiravir was added to the drug regimen to improve the general condition. However, the patient's condition did not improve despite these intensive treatments. Because of the prolonged tracheal intubation, a tracheostomy was performed after consultation with the anesthesiologists, medical staff in the intensive care unit (ICU), and the infection prevention and control team. Surgical tracheostomy was performed on Day 28 in a negative-pressure airborne infection isolation room in our ICU. Fig. 1 shows the patient's clinical course and chest radiological findings before tracheostomy was performed. After the tracheostomy, his respiratory condition improved by Day 35, and thus he was considered for transfer to the other hospital.",,
-304,,F,83,Pneumonia/Viral/COVID-19,Y,N,Y,N,Y,,,,,,,,,AP Supine,X-ray,2020,"New York, USA",images,1-s2.0-S0889159120306851-gr2b_lrg.jpg,10.1016/j.bbi.2020.04.077,https://www.sciencedirect.com/science/article/pii/S0889159120306851?via%3Dihub#f0020,,"80 year-old-female with a history of hypertension was brought to the ED for a chief complaint of altered mental status and left-sided weakness. The family denied history of fever or cough, but reported that the patient has been falling frequently in the past week. The patient was intubated for airway protection and a code stroke was activated. Vital signs in the ED were significant for Temp of 100.2° F (37.9° C), HR 101, BP 130/77, Examination was significant for left hemiplegia and aphasia. NIHSS was calculated to be 36. CT head revealed an acute right MCA stroke (Fig. 3a). CTA of the head and neck demonstrated occlusion of the right internal carotid artery at origin and incidental bilateral patchy apical lung opacities (Fig. 3b). CT perfusion demonstrated a 305 cc core infarct in the right MCA distribution and a surrounding 109 cc ischemic penumbra (Fig. 3c). The patient was deemed not a suitable candidate for any acute neuro-intervention due to the large core infarct. Considering these characteristic CT findings, the patient was tested for COVID-19 infection with PCR and was positive. Laboratory data on admission demonstrated leukocytosis with lymphopenia, elevated d-dimer (13966 ng/ml DDU), along with elevated lactate dehydrogenase (712 U/L) and elevated C – reactive protein (16.24 mg/dl). The patient’s hospital course was complicated by acute kidney injury and progressively increasing oxygen requirements. On the third day of admission, her family chose for terminal extubation with comfort measures. Fig. 2b. CXR demonstrating worsening bilateral opacities.",,
-305,0,M,66,Pneumonia/Viral/COVID-19,Y,,Y,N,Y,N,,,38.3,70,,,,AP,X-ray,2020,"Philadelphia, Pennsylvania, USA",images,10.1016-slash-j.cardfail.2020.04.007-a.png,10.1016/j.cardfail.2020.04.007,https://www.onlinejcf.com/article/S1071-9164(20)30349-3/pdf,,,,
-305,13,M,66,Pneumonia/Viral/COVID-19,Y,,Y,Y,Y,Y,,,,,,,,AP,X-ray,2020,"Philadelphia, Pennsylvania, USA",images,10.1016-slash-j.cardfail.2020.04.007-b.png,10.1016/j.cardfail.2020.04.007,https://www.onlinejcf.com/article/S1071-9164(20)30349-3/pdf,,,,
-306,2,M,40,Pneumonia/Viral/COVID-19,Y,,Y,Y,Y,Y,,,,,,,,AP Supine,X-ray,2020,"New Brunswick, New Jersey, USA",images,10.1016-slash-j.chest.2020.04.024.png,10.1016/j.chest.2020.04.024,https://journal.chestnet.org/article/S0012-3692(20)30764-9/pdf,,There is evidence of bilateral interstitialopacifications consistent with ARDS,,
+304,,F,83,Pneumonia/Viral/COVID-19,Y,N,Y,N,Y,,,,,,,,,AP Supine,X-ray,2020,"New York, United States",images,1-s2.0-S0889159120306851-gr2b_lrg.jpg,10.1016/j.bbi.2020.04.077,https://www.sciencedirect.com/science/article/pii/S0889159120306851?via%3Dihub#f0020,,"80 year-old-female with a history of hypertension was brought to the ED for a chief complaint of altered mental status and left-sided weakness. The family denied history of fever or cough, but reported that the patient has been falling frequently in the past week. The patient was intubated for airway protection and a code stroke was activated. Vital signs in the ED were significant for Temp of 100.2° F (37.9° C), HR 101, BP 130/77, Examination was significant for left hemiplegia and aphasia. NIHSS was calculated to be 36. CT head revealed an acute right MCA stroke (Fig. 3a). CTA of the head and neck demonstrated occlusion of the right internal carotid artery at origin and incidental bilateral patchy apical lung opacities (Fig. 3b). CT perfusion demonstrated a 305 cc core infarct in the right MCA distribution and a surrounding 109 cc ischemic penumbra (Fig. 3c). The patient was deemed not a suitable candidate for any acute neuro-intervention due to the large core infarct. Considering these characteristic CT findings, the patient was tested for COVID-19 infection with PCR and was positive. Laboratory data on admission demonstrated leukocytosis with lymphopenia, elevated d-dimer (13966 ng/ml DDU), along with elevated lactate dehydrogenase (712 U/L) and elevated C – reactive protein (16.24 mg/dl). The patient’s hospital course was complicated by acute kidney injury and progressively increasing oxygen requirements. On the third day of admission, her family chose for terminal extubation with comfort measures. Fig. 2b. CXR demonstrating worsening bilateral opacities.",,
+305,0,M,66,Pneumonia/Viral/COVID-19,Y,,Y,N,Y,N,,,38.3,70,,,,AP,X-ray,2020,"Philadelphia, Pennsylvania, United States",images,10.1016-slash-j.cardfail.2020.04.007-a.png,10.1016/j.cardfail.2020.04.007,https://www.onlinejcf.com/article/S1071-9164(20)30349-3/pdf,,,,
+305,13,M,66,Pneumonia/Viral/COVID-19,Y,,Y,Y,Y,Y,,,,,,,,AP,X-ray,2020,"Philadelphia, Pennsylvania, United States",images,10.1016-slash-j.cardfail.2020.04.007-b.png,10.1016/j.cardfail.2020.04.007,https://www.onlinejcf.com/article/S1071-9164(20)30349-3/pdf,,,,
+306,2,M,40,Pneumonia/Viral/COVID-19,Y,,Y,Y,Y,Y,,,,,,,,AP Supine,X-ray,2020,"New Brunswick, New Jersey, United States",images,10.1016-slash-j.chest.2020.04.024.png,10.1016/j.chest.2020.04.024,https://journal.chestnet.org/article/S0012-3692(20)30764-9/pdf,,There is evidence of bilateral interstitialopacifications consistent with ARDS,,
 307,0,M,66,Pneumonia/Viral/COVID-19,Y,,,,,,,,38.1,,7,6.4,0.5,AP,X-ray,2020,Singapore,images,1-s2.0-S1931312820301852-gr1_lrg-a.png,10.1016/j.chom.2020.03.021,https://www.sciencedirect.com/science/article/pii/S1931312820301852?via%3Dihub, ,"Our index case—Case 1 (66-year old man from Wuhan, China) —presented on January 22, 2020 with a 2-day history of fever (38.1°C) and cough (Figure 1A). Chest radiograph showed bilateral, patchy, ill-defined lung infiltrates (Figure 1B). Throat swab was positive for SARS-CoV-2 by RT-PCR (Corman et al., 2020). He progressively became more dependent on supplemental oxygen (Figure 1A), with worsening lung infiltrates on chest radiograph. His respiratory function reached a nadir on day 5 post illness onset, as evidenced by the oxygen saturation (Figure 1C) and tachycardia (Figure 1D) despite 4L of supplemental oxygen. He was initiated on oral lopinavir-ritonavir on the same day. After the first two positive SARS-CoV-2 RT-PCR findings, subsequent throat swabs from Case 1 were only positive intermittently until day 18 of illness (Figure 1A).","Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.",
 308,0,M,37,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP,X-ray,2020,Singapore,images,1-s2.0-S1931312820301852-gr1_lrg-b.png,10.1016/j.chom.2020.03.021,https://www.sciencedirect.com/science/article/pii/S1931312820301852?via%3Dihub,,"Case 2 (37 years old) was the son of Case 1. On January 23, he reported mild sore throat and cough that started 3 days earlier, even before onset of symptoms in the index case (Figure 1A). He also reported a one-day history of diarrhea on January 18. He was never febrile throughout this period. Chest radiographs were normal (Figure 1B). Nonetheless, throat swabs were consistently RT-PCR positive for SARS-CoV-2 in Case 2 until day 29 from illness onset (Figure 1A).","Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.",
 309,0,M,38,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP,X-ray,"January 29, 2020",Singapore,images,1-s2.0-S1931312820301852-gr1_lrg-c.png,10.1016/j.chom.2020.03.021,https://www.sciencedirect.com/science/article/pii/S1931312820301852?via%3Dihub,,"Case 3 was a 38-year-old businessman from Wuhan, China. He arrived in Singapore on January 22 and became unwell with fever, non-productive cough, lethargy, and myalgia a day later. He presented to the hospital on January 29 for persistent fever and was diagnosed with RT-PCR-confirmed COVID-19. He did not develop lower respiratory tract complications, but throat swabs were consistently RT-PCR positive for SARS-CoV-2 until 23 days post illness onset (Figure 1A). Chest radiograph was normal (Figure 1B).","Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.",
@@ -588,9 +588,9 @@ patientid,offset,sex,age,finding,RT_PCR_positive,survival,intubated,intubation_p
 313a,,M,71,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP Supine,X-ray,2020,"Turin, Italy",images,10.1016-slash-j.hrcr.2020.04.015-b.png,10.1016/j.hrcr.2020.04.015,https://www.heartrhythmcasereports.com/article/S2214-0271(20)30075-0/pdf,CC BY-NC-ND,"A 71-year-old man with hypertension and coronary artery disease, status post permanent pacemaker (PPM) implantation 3 years before, presented to the Emergency Department (ED) with a presyncopal episode while sitting. He reported lightheadedness, profuse sweating, and blurred vision. In the ED his blood pressure was 115/75 mm Hg, heart rate 75 beats per minute, and oxygen saturation 98% on room air. His device was interrogated and showed normal functioning, regular parameters, and no arrhythmias. In order to be admitted on a regular medicine floor he was tested for COVID-19 infection. He was placed on isolation precautions and after 4 days he developed a fever; subsequently, right lobe pneumonia was diagnosed on chest radiograph (Figure 1B).",,
 313b,-2,M,75,No Finding,Unclear,,,,,,,,,,,,,AP,X-ray,2020,"Turin, Italy",images,10.1016-slash-j.hrcr.2020.04.015-fig3-a.png,10.1016/j.hrcr.2020.04.015,https://www.heartrhythmcasereports.com/article/S2214-0271(20)30075-0/pdf,CC BY-NC-ND,"A 75-year-old man with history of dilated cardiomyopathy, status post PPM implantation 12 years before, was admitted for heart failure exacerbation. His symptoms improved after appropriate treatment with intravenous diuretics. He tested negative for COVID-19 infection. Because of reduced left ventricular ejection fraction despite optimal medical therapy, he underwent device upgrade to an ICD. During the procedure he developed an intense vagal reaction with drop in blood pressure to 60/40 mm Hg with presyncope and diaphoresis, which resolved after fluid challenge. TTE ruled out pericardial effusion. Chest radiograph was within normal limits (Figure 3A). He was discharged home asymptomatic the following day.",,
 313b,0,M,75,Pneumonia/Viral/COVID-19,Unclear,,,,,,,,,,,,,AP Supine,X-ray,2020,"Turin, Italy",images,10.1016-slash-j.hrcr.2020.04.015-fig3-b.png,10.1016/j.hrcr.2020.04.015,https://www.heartrhythmcasereports.com/article/S2214-0271(20)30075-0/pdf,CC BY-NC-ND,"Two days later, he presented again to the ED because of a syncope preceded by a similar vagal reaction. The ICD worked properly, and no arrhythmias were found. Chest radiograph showed an area of lung dysventilation in the right lower lobe (Figure 3B). CT scan of the chest confirmed bilateral pneumonia, with multiple ground-glass opacities with subpleural distribution (Figure 3C). He was tested again for COVID-19 infection and the result was positive.",,
-314,0,M,21,Pneumonia/Viral/COVID-19,Y,,N,,,,Y,,40,93,,,,AP Supine,X-ray,2020,"Florida, USA",images,1-s2.0-S2214250920300706-gr1_lrg.jpg,10.1016/j.idcr.2020.e00762,https://www.sciencedirect.com/science/article/pii/S2214250920300706?via%3Dihub#fig0005,CC BY-NC-ND,"21 year old male, with known substance abuse (cocaine, methamphetamines) and current smoker of 1 pack a day for the last 3 years, with no reported past medical history, presented to the Emergency department of a South Florida Hospital in the USA, with complaints of fever, dry cough, exertional dyspnea, generalized myalgia, fatigue and diarrhea of 3 days duration. At initiation of symptoms he was prescribed Tamiflu at the Urgent care center but his symptomatology worsened. Denied abdominal pain, nausea, vomiting, chills, and chest pain. The patient had no identifiable exposure to sick contacts nor recent travel outside the USA. The physical exam was significant for Temperature of 40C, Heart Rate 122 Respiratory rate 18 Blood pressure of 128/75 O2Sat:93% at room air, mild expiratory wheezing in bilateral lung fields. O2 via nasal cannula was started, a Respiratory Pathogen (RP) panel (GenMark Diagnostics, Carlsbad, CA) and a SARS-CoV-2 test (CDC 2019-Novel Coronavirus Real-Time RT-PCR Diagnostic Panel for use under a Food and Drug Administration’s Emergency Use authorization approved 2/4/2020) were performed on nasopharyngeal swab specimens of both nostrils, chest X-ray (Fig. 1), blood culture, CBC where ordered. Patient started on Ceftriaxone 1 g IV onetime, Azithromycin 500 mg PO onetime empirically, albuterol nebulizer. Lab work was only positive for parainfluenza virus 4, with the SARS-CoV-2 test pending at that time. Fever subsided and O2 saturation and wheezing improved. The patient was educated on diagnosis counseled on following up if symptoms persisted, cessation of drugs and self-isolation; discharged on Doxycycline 100 mg PO BID, Albuterol inhaler, Ibuprofen 800 mg PO as needed.",,
-314,3,M,21,Pneumonia/Viral/COVID-19,Y,,N,,,,Y,,38.5,93,,,10.1,AP,X-ray,2020,"Florida, USA",images,1-s2.0-S2214250920300706-gr2_lrg.jpg,10.1016/j.idcr.2020.e00762,https://www.sciencedirect.com/science/article/pii/S2214250920300706?via%3Dihub#fig0005,CC BY-NC-ND,"Patient presented to the emergency department 3 days later due to worsening dry cough, dyspnea at rest, fever associated with chills. Previous SARS-CoV-2 test was negative. The physical exam was significant for Temperature of 38.5C, Heart Rate 117 Respiratory rate 20 Blood pressure of 121/68 O2Sat:93% at room air, expiratory wheezing and crackles in bilateral lung fields. Supplemental O2 via nasal cannula started, SARS-CoV-2 testing reordered, along with chest X-ray, blood cultures, CBC, patient was placed in respiratory isolation in a single negative pressure ward of the medical intermediate care unit. The patient was started on Normal Saline IV 2 L, Ceftriaxone 2 g IV QD, Azithromycin 500 mg IV QD empirically, albuterol nebulizer and Acetaminophen 1000 mg PO. Chest X-ray (Fig. 2) showing bilateral pulmonary opacities, WBC 12.6 1000/uL (reference range 3.5 - 10.0 1000/uL), Neutrophils 85.3 %(reference range 40.3 - 74.8 %), Lymphocytes 10.1% (reference range 12.2 - 47.1%), Patient was refractory to O2 therapy and remained hypoxic with a O2 sat 91% on 2 L nasal cannula, ABG ordered showing a pH 7.46, PO2 74 mmHg, CO2 29.6., placed on a nonrebreather mask with FIO2 50% CT of the chest ordered (Fig. 2, Figs. 3 and 4) showing multifocal bilateral opacities and ground glass opacities. Dyspnea worsened with increased work of breathing saturation 90% patient was placed on Bi-PAP iPAP 16 ePAP 10 RR18 FIO2 65%. Repeated SARS-CoV-2 testing resulted positive on day 2 of admission. Ferritin, Procalcitonin, CRP, HIV ordered. Patient was started on Lopinavir/Ritonavir (Kaletra) 400/100 mg PO BID and Hydroxychloroquine 400 mg PO BID x 2 doses followed by Hydroxychloroquine 200 mg PO BID. Lab work trend is as shown: Ferritin: 531-489-443 ng/mL (reference range 22.0 - 322.0 ng/mL), CRP: 35.1-26.3-16.4-14.9 mg/dL(reference range <0.30 mg/dL). Procalcitonin 5.23-4.4-1.83-0.83 ng/mL (reference range <0.5 ng/mL).",,
-314,,M,21,Pneumonia/Viral/COVID-19,Y,,N,,,,Y,,,,,,,AP,X-ray,2020,"Florida, USA",images,1-s2.0-S2214250920300706-gr5_lrg.jpg,10.1016/j.idcr.2020.e00762,https://www.sciencedirect.com/science/article/pii/S2214250920300706?via%3Dihub#fig0005,CC BY-NC-ND,"Patient continued with supplemental oxygen on Venturi Mask at a FIO 50% with a stable O2 sat, follow up chest x-ray (Fig. 5) showed worsening bilateral infiltrates but clinically, the patient continued to improve.",,
+314,0,M,21,Pneumonia/Viral/COVID-19,Y,,N,,,,Y,,40,93,,,,AP Supine,X-ray,2020,"Florida, United States",images,1-s2.0-S2214250920300706-gr1_lrg.jpg,10.1016/j.idcr.2020.e00762,https://www.sciencedirect.com/science/article/pii/S2214250920300706?via%3Dihub#fig0005,CC BY-NC-ND,"21 year old male, with known substance abuse (cocaine, methamphetamines) and current smoker of 1 pack a day for the last 3 years, with no reported past medical history, presented to the Emergency department of a South Florida Hospital in the USA, with complaints of fever, dry cough, exertional dyspnea, generalized myalgia, fatigue and diarrhea of 3 days duration. At initiation of symptoms he was prescribed Tamiflu at the Urgent care center but his symptomatology worsened. Denied abdominal pain, nausea, vomiting, chills, and chest pain. The patient had no identifiable exposure to sick contacts nor recent travel outside the USA. The physical exam was significant for Temperature of 40C, Heart Rate 122 Respiratory rate 18 Blood pressure of 128/75 O2Sat:93% at room air, mild expiratory wheezing in bilateral lung fields. O2 via nasal cannula was started, a Respiratory Pathogen (RP) panel (GenMark Diagnostics, Carlsbad, CA) and a SARS-CoV-2 test (CDC 2019-Novel Coronavirus Real-Time RT-PCR Diagnostic Panel for use under a Food and Drug Administration’s Emergency Use authorization approved 2/4/2020) were performed on nasopharyngeal swab specimens of both nostrils, chest X-ray (Fig. 1), blood culture, CBC where ordered. Patient started on Ceftriaxone 1 g IV onetime, Azithromycin 500 mg PO onetime empirically, albuterol nebulizer. Lab work was only positive for parainfluenza virus 4, with the SARS-CoV-2 test pending at that time. Fever subsided and O2 saturation and wheezing improved. The patient was educated on diagnosis counseled on following up if symptoms persisted, cessation of drugs and self-isolation; discharged on Doxycycline 100 mg PO BID, Albuterol inhaler, Ibuprofen 800 mg PO as needed.",,
+314,3,M,21,Pneumonia/Viral/COVID-19,Y,,N,,,,Y,,38.5,93,,,10.1,AP,X-ray,2020,"Florida, United States",images,1-s2.0-S2214250920300706-gr2_lrg.jpg,10.1016/j.idcr.2020.e00762,https://www.sciencedirect.com/science/article/pii/S2214250920300706?via%3Dihub#fig0005,CC BY-NC-ND,"Patient presented to the emergency department 3 days later due to worsening dry cough, dyspnea at rest, fever associated with chills. Previous SARS-CoV-2 test was negative. The physical exam was significant for Temperature of 38.5C, Heart Rate 117 Respiratory rate 20 Blood pressure of 121/68 O2Sat:93% at room air, expiratory wheezing and crackles in bilateral lung fields. Supplemental O2 via nasal cannula started, SARS-CoV-2 testing reordered, along with chest X-ray, blood cultures, CBC, patient was placed in respiratory isolation in a single negative pressure ward of the medical intermediate care unit. The patient was started on Normal Saline IV 2 L, Ceftriaxone 2 g IV QD, Azithromycin 500 mg IV QD empirically, albuterol nebulizer and Acetaminophen 1000 mg PO. Chest X-ray (Fig. 2) showing bilateral pulmonary opacities, WBC 12.6 1000/uL (reference range 3.5 - 10.0 1000/uL), Neutrophils 85.3 %(reference range 40.3 - 74.8 %), Lymphocytes 10.1% (reference range 12.2 - 47.1%), Patient was refractory to O2 therapy and remained hypoxic with a O2 sat 91% on 2 L nasal cannula, ABG ordered showing a pH 7.46, PO2 74 mmHg, CO2 29.6., placed on a nonrebreather mask with FIO2 50% CT of the chest ordered (Fig. 2, Figs. 3 and 4) showing multifocal bilateral opacities and ground glass opacities. Dyspnea worsened with increased work of breathing saturation 90% patient was placed on Bi-PAP iPAP 16 ePAP 10 RR18 FIO2 65%. Repeated SARS-CoV-2 testing resulted positive on day 2 of admission. Ferritin, Procalcitonin, CRP, HIV ordered. Patient was started on Lopinavir/Ritonavir (Kaletra) 400/100 mg PO BID and Hydroxychloroquine 400 mg PO BID x 2 doses followed by Hydroxychloroquine 200 mg PO BID. Lab work trend is as shown: Ferritin: 531-489-443 ng/mL (reference range 22.0 - 322.0 ng/mL), CRP: 35.1-26.3-16.4-14.9 mg/dL(reference range <0.30 mg/dL). Procalcitonin 5.23-4.4-1.83-0.83 ng/mL (reference range <0.5 ng/mL).",,
+314,,M,21,Pneumonia/Viral/COVID-19,Y,,N,,,,Y,,,,,,,AP,X-ray,2020,"Florida, United States",images,1-s2.0-S2214250920300706-gr5_lrg.jpg,10.1016/j.idcr.2020.e00762,https://www.sciencedirect.com/science/article/pii/S2214250920300706?via%3Dihub#fig0005,CC BY-NC-ND,"Patient continued with supplemental oxygen on Venturi Mask at a FIO 50% with a stable O2 sat, follow up chest x-ray (Fig. 5) showed worsening bilateral infiltrates but clinically, the patient continued to improve.",,
 315,0,F,78,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,N,,37.7,95,,,,PA,X-ray,"February 18, 2020","Tokyo, Japan",images,1-s2.0-S2214250920300834-gr1_lrg-b.png,10.1016/j.idcr.2020.e00775,https://www.sciencedirect.com/science/article/pii/S2214250920300834?via%3Dihub,CC BY-NC-ND,"A 78-year-old woman, a non-smoker with dyslipidemia and hypothyroidism presented to her primary care physician on 13 February with general malaise and anorexia lasting several days. She did not have other symptoms, such as fever, cough, sputum, or dyspnoea. She had visited Paris, France, from 30 January to 4 February 2020. At that time, her vital signs were within normal limits, including SpO2 (i.e., 98 % on room air) (Fig. 1A). On 18 February, she complained of cough and exacerbation of malaise and anorexia and had an associated 3 kg body weight loss. She was referred to our hospital because of a bilateral reticular shadow seen on chest X-rays (Fig. 1B) and ground-glass opacity (GGO) adjacent to the pleura seen on chest computed tomography (CT) (Fig. 1C, D). At the time of her visit, she had a temperature of 37.7 °C; respiratory rate, 20 breaths/min; heart rate, 106 beats/min (regular); blood pressure, 139/63 mmHg; and SPO2 of 95 % on room air. Admission blood tests showed elevated C-reactive protein (7.9 mg/dL), aspartate aminotransferase (106 U/L), alanine aminotransferase (80 U/L), γ-glutamyltransferase (153 U/L), alkaline phosphatase (372 U/L), and lactate dehydrogenase (383 U/L). Other blood test results were within the normal range. COVID-19 was suggested based on her prolonged clinical symptoms, travel history, and chest X-ray and CT findings. We thus performed a polymerase chain reaction (PCR) assay of a sputum specimen for SARS-CoV-2 detection. A rapid influenza test, conducted simultaneously, was positive for influenza A virus, and she was started on oseltamivir with ceftriaxone 2 g/day and azithromycin 500 mg/day to cover possible bacterial infections. One day after oseltamivir initiation, on 19 February, she became afebrile. The PCR assay performed on admission tested positive for SARS-CoV-2 on 20 February. By 21 February, her general malaise had worsened. Chest X-ray (Fig. 1E) and CT (Fig. 1F, G), re-examined on 25 February, showed improvements in previously noted GGO, appearing more like a consolidation. Given the improvement in her clinical symptoms and CT findings, another PCR assay for SARS-CoV-2 detection was performed on 26 February which tested still positive. Subsequent SARS-CoV-2 PCR testing on 1 and 2 March tested negative, and the patient was discharged on 5 March. Chest X-ray (Fig. 1H) and CT (Fig. 1I, J) images obtained a day before discharge showed improvements of previously noted consolidation and GGO. She did not require oxygen therapy throughout her hospital stay.",,
 315,7,F,78,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,N,,,,,,,PA,X-ray,"February 25, 2020","Tokyo, Japan",images,1-s2.0-S2214250920300834-gr1_lrg-c.png,10.1016/j.idcr.2020.e00775,https://www.sciencedirect.com/science/article/pii/S2214250920300834?via%3Dihub,CC BY-NC-ND,"A 78-year-old woman, a non-smoker with dyslipidemia and hypothyroidism presented to her primary care physician on 13 February with general malaise and anorexia lasting several days. She did not have other symptoms, such as fever, cough, sputum, or dyspnoea. She had visited Paris, France, from 30 January to 4 February 2020. At that time, her vital signs were within normal limits, including SpO2 (i.e., 98 % on room air) (Fig. 1A). On 18 February, she complained of cough and exacerbation of malaise and anorexia and had an associated 3 kg body weight loss. She was referred to our hospital because of a bilateral reticular shadow seen on chest X-rays (Fig. 1B) and ground-glass opacity (GGO) adjacent to the pleura seen on chest computed tomography (CT) (Fig. 1C, D). At the time of her visit, she had a temperature of 37.7 °C; respiratory rate, 20 breaths/min; heart rate, 106 beats/min (regular); blood pressure, 139/63 mmHg; and SPO2 of 95 % on room air. Admission blood tests showed elevated C-reactive protein (7.9 mg/dL), aspartate aminotransferase (106 U/L), alanine aminotransferase (80 U/L), γ-glutamyltransferase (153 U/L), alkaline phosphatase (372 U/L), and lactate dehydrogenase (383 U/L). Other blood test results were within the normal range. COVID-19 was suggested based on her prolonged clinical symptoms, travel history, and chest X-ray and CT findings. We thus performed a polymerase chain reaction (PCR) assay of a sputum specimen for SARS-CoV-2 detection. A rapid influenza test, conducted simultaneously, was positive for influenza A virus, and she was started on oseltamivir with ceftriaxone 2 g/day and azithromycin 500 mg/day to cover possible bacterial infections. One day after oseltamivir initiation, on 19 February, she became afebrile. The PCR assay performed on admission tested positive for SARS-CoV-2 on 20 February. By 21 February, her general malaise had worsened. Chest X-ray (Fig. 1E) and CT (Fig. 1F, G), re-examined on 25 February, showed improvements in previously noted GGO, appearing more like a consolidation. Given the improvement in her clinical symptoms and CT findings, another PCR assay for SARS-CoV-2 detection was performed on 26 February which tested still positive. Subsequent SARS-CoV-2 PCR testing on 1 and 2 March tested negative, and the patient was discharged on 5 March. Chest X-ray (Fig. 1H) and CT (Fig. 1I, J) images obtained a day before discharge showed improvements of previously noted consolidation and GGO. She did not require oxygen therapy throughout her hospital stay.",,
 315,15,F,78,No Finding,Y,Y,N,N,N,N,N,,,,,,,PA,X-ray,"March 4, 2020","Tokyo, Japan",images,1-s2.0-S2214250920300834-gr1_lrg-d.png,10.1016/j.idcr.2020.e00775,https://www.sciencedirect.com/science/article/pii/S2214250920300834?via%3Dihub,CC BY-NC-ND,"A 78-year-old woman, a non-smoker with dyslipidemia and hypothyroidism presented to her primary care physician on 13 February with general malaise and anorexia lasting several days. She did not have other symptoms, such as fever, cough, sputum, or dyspnoea. She had visited Paris, France, from 30 January to 4 February 2020. At that time, her vital signs were within normal limits, including SpO2 (i.e., 98 % on room air) (Fig. 1A). On 18 February, she complained of cough and exacerbation of malaise and anorexia and had an associated 3 kg body weight loss. She was referred to our hospital because of a bilateral reticular shadow seen on chest X-rays (Fig. 1B) and ground-glass opacity (GGO) adjacent to the pleura seen on chest computed tomography (CT) (Fig. 1C, D). At the time of her visit, she had a temperature of 37.7 °C; respiratory rate, 20 breaths/min; heart rate, 106 beats/min (regular); blood pressure, 139/63 mmHg; and SPO2 of 95 % on room air. Admission blood tests showed elevated C-reactive protein (7.9 mg/dL), aspartate aminotransferase (106 U/L), alanine aminotransferase (80 U/L), γ-glutamyltransferase (153 U/L), alkaline phosphatase (372 U/L), and lactate dehydrogenase (383 U/L). Other blood test results were within the normal range. COVID-19 was suggested based on her prolonged clinical symptoms, travel history, and chest X-ray and CT findings. We thus performed a polymerase chain reaction (PCR) assay of a sputum specimen for SARS-CoV-2 detection. A rapid influenza test, conducted simultaneously, was positive for influenza A virus, and she was started on oseltamivir with ceftriaxone 2 g/day and azithromycin 500 mg/day to cover possible bacterial infections. One day after oseltamivir initiation, on 19 February, she became afebrile. The PCR assay performed on admission tested positive for SARS-CoV-2 on 20 February. By 21 February, her general malaise had worsened. Chest X-ray (Fig. 1E) and CT (Fig. 1F, G), re-examined on 25 February, showed improvements in previously noted GGO, appearing more like a consolidation. Given the improvement in her clinical symptoms and CT findings, another PCR assay for SARS-CoV-2 detection was performed on 26 February which tested still positive. Subsequent SARS-CoV-2 PCR testing on 1 and 2 March tested negative, and the patient was discharged on 5 March. Chest X-ray (Fig. 1H) and CT (Fig. 1I, J) images obtained a day before discharge showed improvements of previously noted consolidation and GGO. She did not require oxygen therapy throughout her hospital stay.",,
@@ -630,12 +630,12 @@ patientid,offset,sex,age,finding,RT_PCR_positive,survival,intubated,intubation_p
 332,12,F,56,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,N,,36.8,,,,,PA,X-ray,2020,Thailand,images,tpmd200203f2-c.png,10.4269/ajtmh.20-0203,http://www.ajtmh.org/content/journals/10.4269/ajtmh.20-0205,,,,
 333,7,F,50,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,N,,38.5,,,,,PA,X-ray,2020,China,images,BMJ-37-163-g1.jpg,10.4274/balkanmedj.galenos.2020.2020.2.15,https://pubmed.ncbi.nlm.nih.gov/32157862/,,"Initial admission chest X-ray shows increased and thickened right lower lung markings, suggesting bronchitis and interstitial pneumonia. On February 4, 2020, a 50-year-old female patient, who is a businesswoman, presented with chief complaints of “fever for one week, diarrhea, anorexia, and asthenia,” and she was admitted to the Infectious Diseases Fever Clinic of Xiangyang First People’s Hospital Affiliated to Hubei Medical College. The patient had a five-day business trip in Wuhan (from January 22, 2020, to January 27, 2020). Fever initially occurred on January 28, 2020, with a body temperature of 38.5°C, with dry cough and muscle ache. On January 30, 2020, the patient went to Xiangyang First People’s Hospital of Traditional Chinese Medicine (TCM) for consultation in the respiratory department, and the laboratory test reported that the influenza A virus serology was negative. The results of blood routine examination were normal [white blood cell count (WBC): 5.1×109/l; neutrophil percentage (neu%): 69.2%; lymphocyte percentage (lym%): 25.6%; lymphocyte absolute value (lym): 1.28×109/l; C-reactive protein (CRP): 6.1 mg/l] and she was given Tamiflu (75 mg/time, twice per day) orally and was rehydrated. Three days later (on February 2, 2020), the patient still had dry cough, so she went to hospital (TCM) again. It was noted that before the onset of the disease, the patient went to Wuhan on a business trip and a novel coronavirus nucleic acid test was performed and it was negative. At admission, chest X-ray showed increased and thickened right lower lung markings, which suggested bronchitis and possible interstitial pneumonia according to her positive family history of interstitial pneumonia (Figure 1). Levofloxacin was given drip once for intravenous treatment, and Tamiflu was continued to be taken orally. On February 04, 2020, the patient's symptoms were still not improved, and her body temperature continued to rise to 39.2°C. She was referred to our fever clinic for further evaluation, and a chest computed tomography (CT) was performed. Chest CT showed bilateral multifocal ground glass opacities with consolidation which suggested viral pneumonia as a differential diagnosis (Figure 2a, 2b), and the subsequent 2019-nCoV pneumonia nucleic acid test was positive.",,
 334,,M,52,Pneumonia/Viral/COVID-19,Unclear,,,,,,,,,,,,,PA,X-ray,2020,China,images,thnov10p5641g006-c.png,10.7150/thno.46465,https://www.thno.org/v10p5641.htm,CC BY 4.0,chest X-ray also showed patchy consolidation in bilateral lung periphery.,,
-335,7,M,74,Pneumonia/Viral/COVID-19,Y,,Y,,Y,N,,,,,,,,AP Supine,X-ray,2020,"Boca Raton, Florida , USA",images,lightbox_78f27a80685411ea93cde791fb7cd172-CXR.png,10.7759/cureus.7352,https://www.cureus.com/articles/29414-neurological-complications-of-coronavirus-disease-covid-19-encephalopathy,CC BY-NC-SA 4.0,"Chest X-ray shows multifocal airspace opacities and “ground-glass opacities”, characteristic signs of COVID-19 infection.",,
-336,0,M,49,Pneumonia/Viral/COVID-19,Y,Y,N,N,Y,Y,Y,,39.4,,,,,PA,X-ray,2020,"New Brunswick, New Jersey, USA",images,article_river_e4d185c06e3511eaa2321d8ab357a1de-c1mn.png,10.7759/cureus.7473,https://www.cureus.com/articles/29732-a-coronavirus-disease-2019-covid-19-patient-with-multifocal-pneumonia-treated-with-hydroxychloroquine,CC BY-NC-SA 4.0,Chest X-ray showing hazy bilateral lung opacities (arrows),,
-337,0,M,80,Pneumonia/Viral/COVID-19,Y,,Y,N,Y,Y,Y,,,90,,,,AP,X-ray,2020,"Cleveland, Ohio, USA",images,article_river_c79329e06dff11eab69c95940c7c0d00-CXR-D1-COVID19.png,10.7759/cureus.7482,https://www.cureus.com/articles/29830-coronavirus-disease-2019-covid-19-complicated-by-acute-respiratory-distress-syndrome-an-internists-perspective,CC BY-NC-SA 4.0,Chest X-ray on presentation showing hazy right upper lobe opacity (red arrow) with increased prominence of right hilum indicating adenopathy or inflammatory changes (green arrow),,
-337,2,M,80,Pneumonia/Viral/COVID-19,Y,,Y,Y,Y,Y,Y,,,,,,,AP,X-ray,2020,"Cleveland, Ohio, USA",images,article_river_de7471906e0011eabe5f9363acaf45c4-covid-cxr-2.png,10.7759/cureus.7482,https://www.cureus.com/articles/29830-coronavirus-disease-2019-covid-19-complicated-by-acute-respiratory-distress-syndrome-an-internists-perspective,CC BY-NC-SA 4.0,Chest X-ray on day 2 of admission revealing worsening infiltrates in bilateral lung zones,,
-338,7,F,61,Pneumonia/Viral/COVID-19,Unclear,,Y,Y,Y,Y,Y,,36.8,95,,,,AP Supine,X-ray,2020,"Little Rock, Arkansas, USA",images,article_river_1a00a3c07ea311eab70491c6fb93d336-figure-2.png,10.7759/cureus.7782,https://www.cureus.com/articles/30976-corona-virus-disease-2019-covid-19-presenting-as-acute-st-elevation-myocardial-infarction,CC BY-NC-SA 4.0,"Chest X-ray suggestive of bilateral pulmonary edema, more on the right compared to left (arrows pointing)",,
-338,7,F,61,Pneumonia/Viral/COVID-19,Unclear,,Y,Y,Y,Y,Y,,,,,,,AP Supine,X-ray,2020,"Little Rock, Arkansas, USA",images,article_river_2a361d607ea311ea95dbcf0c95d13492-figure-4.png,10.7759/cureus.7782,https://www.cureus.com/articles/30976-corona-virus-disease-2019-covid-19-presenting-as-acute-st-elevation-myocardial-infarction,CC BY-NC-SA 4.0,Chest X-ray showing bilateral ground glass opacities with worsening aeration suggestive of acute respiratory distress syndrome (ARDS) (arrows pointing),,
+335,7,M,74,Pneumonia/Viral/COVID-19,Y,,Y,,Y,N,,,,,,,,AP Supine,X-ray,2020,"Boca Raton, Florida , United States",images,lightbox_78f27a80685411ea93cde791fb7cd172-CXR.png,10.7759/cureus.7352,https://www.cureus.com/articles/29414-neurological-complications-of-coronavirus-disease-covid-19-encephalopathy,CC BY-NC-SA 4.0,"Chest X-ray shows multifocal airspace opacities and “ground-glass opacities”, characteristic signs of COVID-19 infection.",,
+336,0,M,49,Pneumonia/Viral/COVID-19,Y,Y,N,N,Y,Y,Y,,39.4,,,,,PA,X-ray,2020,"New Brunswick, New Jersey, United States",images,article_river_e4d185c06e3511eaa2321d8ab357a1de-c1mn.png,10.7759/cureus.7473,https://www.cureus.com/articles/29732-a-coronavirus-disease-2019-covid-19-patient-with-multifocal-pneumonia-treated-with-hydroxychloroquine,CC BY-NC-SA 4.0,Chest X-ray showing hazy bilateral lung opacities (arrows),,
+337,0,M,80,Pneumonia/Viral/COVID-19,Y,,Y,N,Y,Y,Y,,,90,,,,AP,X-ray,2020,"Cleveland, Ohio, United States",images,article_river_c79329e06dff11eab69c95940c7c0d00-CXR-D1-COVID19.png,10.7759/cureus.7482,https://www.cureus.com/articles/29830-coronavirus-disease-2019-covid-19-complicated-by-acute-respiratory-distress-syndrome-an-internists-perspective,CC BY-NC-SA 4.0,Chest X-ray on presentation showing hazy right upper lobe opacity (red arrow) with increased prominence of right hilum indicating adenopathy or inflammatory changes (green arrow),,
+337,2,M,80,Pneumonia/Viral/COVID-19,Y,,Y,Y,Y,Y,Y,,,,,,,AP,X-ray,2020,"Cleveland, Ohio, United States",images,article_river_de7471906e0011eabe5f9363acaf45c4-covid-cxr-2.png,10.7759/cureus.7482,https://www.cureus.com/articles/29830-coronavirus-disease-2019-covid-19-complicated-by-acute-respiratory-distress-syndrome-an-internists-perspective,CC BY-NC-SA 4.0,Chest X-ray on day 2 of admission revealing worsening infiltrates in bilateral lung zones,,
+338,7,F,61,Pneumonia/Viral/COVID-19,Unclear,,Y,Y,Y,Y,Y,,36.8,95,,,,AP Supine,X-ray,2020,"Little Rock, Arkansas, United States",images,article_river_1a00a3c07ea311eab70491c6fb93d336-figure-2.png,10.7759/cureus.7782,https://www.cureus.com/articles/30976-corona-virus-disease-2019-covid-19-presenting-as-acute-st-elevation-myocardial-infarction,CC BY-NC-SA 4.0,"Chest X-ray suggestive of bilateral pulmonary edema, more on the right compared to left (arrows pointing)",,
+338,7,F,61,Pneumonia/Viral/COVID-19,Unclear,,Y,Y,Y,Y,Y,,,,,,,AP Supine,X-ray,2020,"Little Rock, Arkansas, United States",images,article_river_2a361d607ea311ea95dbcf0c95d13492-figure-4.png,10.7759/cureus.7782,https://www.cureus.com/articles/30976-corona-virus-disease-2019-covid-19-presenting-as-acute-st-elevation-myocardial-infarction,CC BY-NC-SA 4.0,Chest X-ray showing bilateral ground glass opacities with worsening aeration suggestive of acute respiratory distress syndrome (ARDS) (arrows pointing),,
 339,30,F,64,Pneumonia,,Y,N,N,N,N,,,,,,,,PA,X-ray,2013,Portugal,images,000001-24.jpg,,https://www.eurorad.org/case/10483,CC BY-NC-SA 4.0,"Patient with one month history of fever, cough and dyspnoea, who had undergone several courses of different antibiotherapy agents without response. Physical examination showed hypoxaemia and focal sparse crackles in the base of the left lung. Laboratory showed leukocytosis, neutrophilia and elevated levels of C-reactive protein. Chest radiograph at presentation shows bilateral patchy consolidations that resemble pneumonic infiltrates.","Credit to Inês Martins, Inês Pereira, Pedro Lopes, Hugo Pisco Pacheco, Leonor Moutinho",
 339,210,F,64,Pneumonia,,Y,N,N,N,N,,,,,,,,PA,X-ray,2013,Portugal,images,000006-17.jpg,,https://www.eurorad.org/case/10483,CC BY-NC-SA 4.0,"Patient with one month history of fever, cough and dyspnoea, who had undergone several courses of different antibiotherapy agents without response. Physical examination showed hypoxaemia and focal sparse crackles in the base of the left lung. Laboratory showed leukocytosis, neutrophilia and elevated levels of C-reactive protein. After first remission, there is marked improvement of the consolidations areas, as well as symptoms.","Credit to Inês Martins, Inês Pereira, Pedro Lopes, Hugo Pisco Pacheco, Leonor Moutinho",
 339,240,F,64,Pneumonia,,Y,N,N,N,N,,,,,,,,PA,X-ray,2013,Portugal,images,000007-15.jpg,,https://www.eurorad.org/case/10483,CC BY-NC-SA 4.0,"Patient with one month history of fever, cough and dyspnoea, who had undergone several courses of different antibiotherapy agents without response. Physical examination showed hypoxaemia and focal sparse crackles in the base of the left lung. Laboratory showed leukocytosis, neutrophilia and elevated levels of C-reactive protein. Two months later, the disease has recurred, with consolidations in a different distribution.","Credit to Inês Martins, Inês Pereira, Pedro Lopes, Hugo Pisco Pacheco, Leonor Moutinho",
@@ -712,14 +712,14 @@ patientid,offset,sex,age,finding,RT_PCR_positive,survival,intubated,intubation_p
 374,,M,70,Pneumonia,,,,,,,,,,,,,,PA,X-ray,,"Kabul, Afghanistan",images,82cb30b7678c6da229c6dc222c39c9_jumbo.jpeg,,https://radiopaedia.org/cases/usual-interstitial-pneumonia-16?lang=us,CC BY-NC-SA,Presentation: Shortness of breath. Radiologic work up advised to rule out lung neoplasm.. Imaging Notes: Decreased lung volumes are noted with coarse reticulation appears more pronounced peripherally and caudally.. Discussion: The features are representing a typical case of UIP pattern (definite) according to Diagnostic HRCT criteria for usual interstitial pneumonia (UIP) pattern - ATS/ERS/JRS/ALAT (2018).,"Case courtesy of Dr Hidayatullah Hamidi, Radiopaedia.org, rID: 75054",
 375,,F,60,Pneumonia/Viral/Influenza,,Y,,,,,,,,,,,,AP,X-ray,March 2020,Germany,images,84da526d0453b9b9e7896631e6b366_jumbo.jpeg,,https://radiopaedia.org/cases/influenza-a-pneumonia?lang=us,CC BY-NC-SA,"Presentation: Admitted early March 2020, somewhere in the middle of nowhere in Germany with fever, dry cough and pleuritic pain, hypoxia and hypocapnia. . Imaging Notes: Mildly increased cardiothoracic ratio (CTR): 52%.. Patchy, bilateral infiltrates and airspace opacification predominantly in the mid and lower lung zones.. No visible pleural effusions.. This case illustrates and shows the most common findings of influenza A pneumonia a combination of multifocal ground-glass opacities (GGO) and irregular consolidations, mainly along and around the bronchovascular bundles.. Real-time polymerase chain reaction (PCR) after respiratory swab was positive for influenza A virus RNA.. The patient was put under isolation and received supportive and antiviral therapy (oseltamivir) and an antibiotic regimen covering for gram-positive cocci for 7 days. After a hospital course of 8 days, the patient recovered and was released home in a vastly improved condition.. Outpatient follow-up CT, three weeks later, was normal and showed complete resolution of the ground glass opacities (GGO) and consolidations.. This is also an important differential diagnosis for COVID-19 pneumonia.","Case courtesy of Dr Joachim Feger, Radiopaedia.org, rID: 75217",
 375,,F,60,Pneumonia/Viral/Influenza,,Y,,,,,,,,,,,,L,X-ray,March 2020,Germany,images,defc5c87e473bdaf4f57e4c4c22e3b_jumbo.jpeg,,https://radiopaedia.org/cases/influenza-a-pneumonia?lang=us,CC BY-NC-SA,"Presentation: Admitted early March 2020, somewhere in the middle of nowhere in Germany with fever, dry cough and pleuritic pain, hypoxia and hypocapnia. . Imaging Notes: Mildly increased cardiothoracic ratio (CTR): 52%.. Patchy, bilateral infiltrates and airspace opacification predominantly in the mid and lower lung zones.. No visible pleural effusions.. This case illustrates and shows the most common findings of influenza A pneumonia a combination of multifocal ground-glass opacities (GGO) and irregular consolidations, mainly along and around the bronchovascular bundles.. Real-time polymerase chain reaction (PCR) after respiratory swab was positive for influenza A virus RNA.. The patient was put under isolation and received supportive and antiviral therapy (oseltamivir) and an antibiotic regimen covering for gram-positive cocci for 7 days. After a hospital course of 8 days, the patient recovered and was released home in a vastly improved condition.. Outpatient follow-up CT, three weeks later, was normal and showed complete resolution of the ground glass opacities (GGO) and consolidations.. This is also an important differential diagnosis for COVID-19 pneumonia.","Case courtesy of Dr Joachim Feger, Radiopaedia.org, rID: 75217",
-376,180,M,55,Pneumonia/Lipoid,,,,,,,,,,,,,,AP,X-ray,,"Huntington, New York, USA",images,503d2fbe68cd143b0f15749b4f816b_jumbo.jpeg,,https://radiopaedia.org/cases/lipoid-pneumonia?lang=us,CC BY-NC-SA,"Presentation: Chronic cough.. Imaging Notes: There are bibasilar infiltrates greater on left. Blunting of the left costophrenic angle suggest a small left pleural effusion.. Discussion: The patient had a long history of constipation and ingested mineral oil for its known laxative effect.  He presented to the emergency room with chronic cough and shortness of breath for 6 months. Unaware, he may have aspirated the mineral oil at some time during his self treatment.. On follow up the radiographs demonstrates chronic infiltrates and fibrotic changes particularly in the left lung. (not shown)","Case courtesy of Dr Eric F Greif, Radiopaedia.org, rID: 27371",
+376,180,M,55,Pneumonia/Lipoid,,,,,,,,,,,,,,AP,X-ray,,"Huntington, New York, United States",images,503d2fbe68cd143b0f15749b4f816b_jumbo.jpeg,,https://radiopaedia.org/cases/lipoid-pneumonia?lang=us,CC BY-NC-SA,"Presentation: Chronic cough.. Imaging Notes: There are bibasilar infiltrates greater on left. Blunting of the left costophrenic angle suggest a small left pleural effusion.. Discussion: The patient had a long history of constipation and ingested mineral oil for its known laxative effect.  He presented to the emergency room with chronic cough and shortness of breath for 6 months. Unaware, he may have aspirated the mineral oil at some time during his self treatment.. On follow up the radiographs demonstrates chronic infiltrates and fibrotic changes particularly in the left lung. (not shown)","Case courtesy of Dr Eric F Greif, Radiopaedia.org, rID: 27371",
 377,,M,50,Pneumonia,,,,,,,,,,,,,,PA,X-ray,,"Melbourne, Australia",images,a24181c437aca166f7aeccc62ba28a_jumbo.jpg,,https://radiopaedia.org/cases/cryptogenic-organising-pneumonia-6?lang=us,CC BY-NC-SA,"Presentation: Dyspnea, cough and fevers. Post bone marrow transplant for mantle cell lymphoma. Previous cryptogenic organizing pneumonia.. Imaging Notes: Bilateral ill-defined nodular opacities throughout both lungs with more confluent consolidation in the left upper lobe. Several of the nodules have apparent central lucency which is suspicious for cavitation. The lung volumes are reduced. There is no pleural fluid and the cardiac and mediastinal contours are normal.. COP may explain the reduced lung volumes and more peripheral confluent areas of consolidation, particularly in the left upper lobe. The possibility of cavitating nodules is however not easily explained and in the immunocompromised patient consideration to invasive aspergillosis or other atypical infections should be given.. Discussion: Typical appearances of cryptogenic organizing pneumonia. No definite features of infection on laboratory examination. ","Case courtesy of Royal Melbourne Hospital Respiratory, Radiopaedia.org, rID: 21992",
 377,,M,50,Pneumonia/Bacterial/Chlamydophila,,,,,,,,,,,,,,L,X-ray,,"Melbourne, Australia",images,0b1cb8905fd8839a001d7a707f0c3f_jumbo.jpg,,https://radiopaedia.org/cases/cryptogenic-organising-pneumonia-6?lang=us,CC BY-NC-SA,"Presentation: Dyspnea, cough and fevers. Post bone marrow transplant for mantle cell lymphoma. Previous cryptogenic organizing pneumonia.. Imaging Notes: Bilateral ill-defined nodular opacities throughout both lungs with more confluent consolidation in the left upper lobe. Several of the nodules have apparent central lucency which is suspicious for cavitation. The lung volumes are reduced. There is no pleural fluid and the cardiac and mediastinal contours are normal.. COP may explain the reduced lung volumes and more peripheral confluent areas of consolidation, particularly in the left upper lobe. The possibility of cavitating nodules is however not easily explained and in the immunocompromised patient consideration to invasive aspergillosis or other atypical infections should be given.. Discussion: Typical appearances of cryptogenic organizing pneumonia. No definite features of infection on laboratory examination. ","Case courtesy of Royal Melbourne Hospital Respiratory, Radiopaedia.org, rID: 21992",
 379,,F,50,Pneumonia,,,,,,,,,,,,,,PA,X-ray,,"Kedah, Malaysia",images,1e64990d1b40c1758a2aaa9c7f7a85_jumbo.jpeg,,https://radiopaedia.org/cases/lymphocytic-interstitial-pneumonia-4?lang=us,CC BY-NC-SA,"Presentation: Chronic cough with whitish sputum. Associated with loss of weight and appetite . Imaging Notes: Multiple patches of alveolar opacities of varies sizes in both lung fields. Confluence of alveolar opacities noted at right lower zone forms a largest lung mass.. No mediastinal widening.. Heart is normal.. Both costophrenic angle are obliterates by the soft tissue shadows from outer part.. No obvious bone lesions.. Impression:. Chest radiograph findings raises few possibilities, differential diagnosis are multiple pulmonary metastases (possible primary is lung and breast), lymphoma, bronchoalveolar carcinoma, Wegener's granulomatosis.. Discussion: In this case, lung biopsy under CT guidance was performed because unable to exclude primary lung carcinoma of the right upper lobe nodule which has spiculated margin.. However HPE of the biopsied lung tissue is interstitial lymphoid pneumonia.. After treatment, follow up CXR showed marked improvement of the findings.","Case courtesy of Dr Nur Ahida Md Ahir, Radiopaedia.org, rID: 51003",
 379,,F,50,Pneumonia,,,,,,,,,,,,,,PA,X-ray,,"Kedah, Malaysia",images,7223b8ad031187d9a142d7f7ca02c9_jumbo.jpeg,,https://radiopaedia.org/cases/lymphocytic-interstitial-pneumonia-4?lang=us,CC BY-NC-SA,"Presentation: Chronic cough with whitish sputum. Associated with loss of weight and appetite . Imaging Notes: Marked improvement chest radiograph findings, previously seen multiple ill defined alveolar opacities are reducing in size.. No pleural effusion.. Discussion: In this case, lung biopsy under CT guidance was performed because unable to exclude primary lung carcinoma of the right upper lobe nodule which has spiculated margin.. However HPE of the biopsied lung tissue is interstitial lymphoid pneumonia.. After treatment, follow up CXR showed marked improvement of the findings.","Case courtesy of Dr Nur Ahida Md Ahir, Radiopaedia.org, rID: 51003",
-380,,M,30,Pneumonia,,,,,,,,,,,,,,AP,X-ray,,"Augusta, Georgia, USA",images,3392dc7d262e28423caca517f98c2e_jumbo.jpeg,,https://radiopaedia.org/cases/desquamative-interstitial-pneumonia?lang=us,CC BY-NC-SA,"Presentation: Male prisoner who abuses drugs, smokes cigarettes with cough. . Imaging Notes: There is prominent bilateral interstitial markings with basilar predominance. The cardiomediastinal silhouette is normal in size and morphology.. Pathology proven DIP and background of severe emphysema. We do not have access to outside CT. He should stop smoking.","Case courtesy of Dr Jayanth Keshavamurthy, Radiopaedia.org, rID: 40280",
-380,,M,30,Pneumonia,,,,,,,,,,,,,,L,X-ray,,"Augusta, Georgia, USA",images,83cfee622ebe92fd5c14ce5b4da35e_jumbo.jpeg,,https://radiopaedia.org/cases/desquamative-interstitial-pneumonia?lang=us,CC BY-NC-SA,"Presentation: Male prisoner who abuses drugs, smokes cigarettes with cough. . Imaging Notes: There is prominent bilateral interstitial markings with basilar predominance. The cardiomediastinal silhouette is normal in size and morphology.. Pathology proven DIP and background of severe emphysema. We do not have access to outside CT. He should stop smoking.","Case courtesy of Dr Jayanth Keshavamurthy, Radiopaedia.org, rID: 40280",
-380,3,F,30,Pneumonia,,,,,,,,,,,,,,AP Supine,X-ray,,"Augusta, Georgia, USA",images,ec3a480c0926ded74429df416cfb05_jumbo.jpeg,,https://radiopaedia.org/cases/hemithorax-white-out-pneumonia-1?lang=us,CC BY-NC-SA,"Presentation: Three-day history of productive cough, chills, and nausea/vomiting. Imaging Findings: Complete white-out of left lung with air bronchogram sign consistent with total consolidation. Patchy areas of ground glass opacities in right lung. There is silhouetting of the left heart border and left hemi-diaphragm. There is no rib crowding to suggest atelectasis.. Discussion: Complete white-out of the hemithorax with air bronchograms and trachea in a central position is consistent with consolidation secondary to pneumonia. The patient is on linezolid, micafungin, and piperacillin-tazobactam pending culture and susceptibility studies. . Differential diagnosis of hemithorax white-out with a midline trachea include:.     consolidation.     pulmonary edema/ARDS.     pleural mass.     chest wall mass","Case courtesy of Ryan Schwertner, Radiopaedia.org, rID: 56908",
+380,,M,30,Pneumonia,,,,,,,,,,,,,,AP,X-ray,,"Augusta, Georgia, United States",images,3392dc7d262e28423caca517f98c2e_jumbo.jpeg,,https://radiopaedia.org/cases/desquamative-interstitial-pneumonia?lang=us,CC BY-NC-SA,"Presentation: Male prisoner who abuses drugs, smokes cigarettes with cough. . Imaging Notes: There is prominent bilateral interstitial markings with basilar predominance. The cardiomediastinal silhouette is normal in size and morphology.. Pathology proven DIP and background of severe emphysema. We do not have access to outside CT. He should stop smoking.","Case courtesy of Dr Jayanth Keshavamurthy, Radiopaedia.org, rID: 40280",
+380,,M,30,Pneumonia,,,,,,,,,,,,,,L,X-ray,,"Augusta, Georgia, United States",images,83cfee622ebe92fd5c14ce5b4da35e_jumbo.jpeg,,https://radiopaedia.org/cases/desquamative-interstitial-pneumonia?lang=us,CC BY-NC-SA,"Presentation: Male prisoner who abuses drugs, smokes cigarettes with cough. . Imaging Notes: There is prominent bilateral interstitial markings with basilar predominance. The cardiomediastinal silhouette is normal in size and morphology.. Pathology proven DIP and background of severe emphysema. We do not have access to outside CT. He should stop smoking.","Case courtesy of Dr Jayanth Keshavamurthy, Radiopaedia.org, rID: 40280",
+380,3,F,30,Pneumonia,,,,,,,,,,,,,,AP Supine,X-ray,,"Augusta, Georgia, United States",images,ec3a480c0926ded74429df416cfb05_jumbo.jpeg,,https://radiopaedia.org/cases/hemithorax-white-out-pneumonia-1?lang=us,CC BY-NC-SA,"Presentation: Three-day history of productive cough, chills, and nausea/vomiting. Imaging Findings: Complete white-out of left lung with air bronchogram sign consistent with total consolidation. Patchy areas of ground glass opacities in right lung. There is silhouetting of the left heart border and left hemi-diaphragm. There is no rib crowding to suggest atelectasis.. Discussion: Complete white-out of the hemithorax with air bronchograms and trachea in a central position is consistent with consolidation secondary to pneumonia. The patient is on linezolid, micafungin, and piperacillin-tazobactam pending culture and susceptibility studies. . Differential diagnosis of hemithorax white-out with a midline trachea include:.     consolidation.     pulmonary edema/ARDS.     pleural mass.     chest wall mass","Case courtesy of Ryan Schwertner, Radiopaedia.org, rID: 56908",
 381,21,M,35,Pneumonia/Fungal/Pneumocystis,,,,,,,,,,,,,,AP,X-ray,,Australia,images,076d9f1ab85d17bcf0f4f207891974_jumbo.jpg,,https://radiopaedia.org/cases/pneumocystis-jirovecii-pneumonia?lang=us,CC BY-NC-SA,"Presentation: Known HIV, recently off retroviral medication with a 3 week history of SOB. . Imaging Notes: Diffuse or perihilar fine reticular and ill-defined ground glass opacities.","Case courtesy of Dr Yune Kwong, Radiopaedia.org, rID: 26697",
 382,0,F,30,Pneumonia,,,,,,,,,,,,,,PA,X-ray,,"Adelaide, Australia ",images,a72aeb349a63c79ed24e473c434efe_jumbo.jpg,,https://radiopaedia.org/cases/left-upper-lobe-consolidation-due-to-pneumonia?lang=us,CC BY-NC-SA,Fever and shortness of breath On the PA radiograph there is opacity with air bronchograms in the left midzone with loss of visualization of the left heart border. The appearance is consistent with consolidation within the left upper lobe. This is confirmed on the lateral image.,"Case courtesy of Dr Thuan Tzen, Koh, Radiopaedia.org, rID: 34857",
 382,0,F,30,Pneumonia,,,,,,,,,,,,,,L,X-ray,,"Adelaide, Australia ",images,c98c6fce880dbec0d1eb3045cec103_jumbo.jpg,,https://radiopaedia.org/cases/left-upper-lobe-consolidation-due-to-pneumonia?lang=us,CC BY-NC-SA,Fever and shortness of breath On the PA radiograph there is opacity with air bronchograms in the left midzone with loss of visualization of the left heart border. The appearance is consistent with consolidation within the left upper lobe. This is confirmed on the lateral image.,"Case courtesy of Dr Thuan Tzen, Koh, Radiopaedia.org, rID: 34857",
@@ -823,8 +823,8 @@ patientid,offset,sex,age,finding,RT_PCR_positive,survival,intubated,intubation_p
 426a,,F,66,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP Supine,X-ray,,"Hangzhou, China",images,ansu-publish-ahead-of-print-10.1097.sla.0000000000003955-g001-c.png,10.1097/SLA.0000000000003955,https://journals.lww.com/annalsofsurgery/FullText/2020/07000/Lung_Transplantation_for_Elderly_Patients_With.14.aspx,,The first patient's chest x-ray on four days after lung transplantation.,"This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.",
 426b,33,M,70,Pneumonia/Viral/COVID-19,Y,,Y,,,,,,,,,,,AP Supine,X-ray,"March 7, 2020","Hangzhou, China",images,ansu-publish-ahead-of-print-10.1097.sla.0000000000003955-g001-d.png,10.1097/SLA.0000000000003955,https://journals.lww.com/annalsofsurgery/FullText/2020/07000/Lung_Transplantation_for_Elderly_Patients_With.14.aspx,,The second patient's chest x-ray on March 7.,"This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.",
 426b,,M,70,Pneumonia/Viral/COVID-19,Y,,Y,,,,,,,,,,,AP Supine,X-ray,,"Hangzhou, China",images,ansu-publish-ahead-of-print-10.1097.sla.0000000000003955-g001-f.png,10.1097/SLA.0000000000003955,https://journals.lww.com/annalsofsurgery/FullText/2020/07000/Lung_Transplantation_for_Elderly_Patients_With.14.aspx,,"The second patient's chest x-ray on the next day of lung transplantation. L indicates left; R, right.","This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.",
-427a,,M,77,Pneumonia/Viral/COVID-19,Y,N,Y,,Y,,,,,,,,,AP,X-ray,,"Oklahoma, USA",images,aqaa062i0002-a.png,10.1093/ajcp/aqaa062,https://academic.oup.com/ajcp/article/153/6/725/5818922,,"Case 1. Diffuse, dense bilateral airspace consolidations (complete “whiteout”). Multiple air bronchograms are present (arrows). The autopsy in this case showed diffuse alveolar damage.","This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.",
-427b,,M,42,Pneumonia/Viral/COVID-19,Y,N,Y,Y,Y,,,,,,,,,AP,X-ray,,"Oklahoma, USA",images,aqaa062i0002-b.png,10.1093/ajcp/aqaa062,https://academic.oup.com/ajcp/article/153/6/725/5818922,,"Case 2. Diffuse airspace opacities in both lungs, less consolidative in comparison to part A. Multiple bilateral air bronchograms are highlighted (arrows). The left lung is asymmetrically slightly more consolidated compared to the right. An endotracheal tube is shown with its tip above the level of the clavicular heads in the cervical trachea (white arrow). There is marked gastric distension with air (asterisk). The large opaque circular artifact on the right chest represents the grommet of the sealed body bag, and the small opaque circular artifacts represent buttons on clothing. Autopsy revealed acute bronchopneumonia.","This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.",
+427a,,M,77,Pneumonia/Viral/COVID-19,Y,N,Y,,Y,,,,,,,,,AP,X-ray,,"Oklahoma, United States",images,aqaa062i0002-a.png,10.1093/ajcp/aqaa062,https://academic.oup.com/ajcp/article/153/6/725/5818922,,"Case 1. Diffuse, dense bilateral airspace consolidations (complete “whiteout”). Multiple air bronchograms are present (arrows). The autopsy in this case showed diffuse alveolar damage.","This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.",
+427b,,M,42,Pneumonia/Viral/COVID-19,Y,N,Y,Y,Y,,,,,,,,,AP,X-ray,,"Oklahoma, United States",images,aqaa062i0002-b.png,10.1093/ajcp/aqaa062,https://academic.oup.com/ajcp/article/153/6/725/5818922,,"Case 2. Diffuse airspace opacities in both lungs, less consolidative in comparison to part A. Multiple bilateral air bronchograms are highlighted (arrows). The left lung is asymmetrically slightly more consolidated compared to the right. An endotracheal tube is shown with its tip above the level of the clavicular heads in the cervical trachea (white arrow). There is marked gastric distension with air (asterisk). The large opaque circular artifact on the right chest represents the grommet of the sealed body bag, and the small opaque circular artifacts represent buttons on clothing. Autopsy revealed acute bronchopneumonia.","This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.",
 429,0,F,,todo,,,,,N,N,,,,30,,3.1,1.8,PA,X-ray,2020,"Hannover Medical School, Hannover, Germany",images,fff13f3a.jpg,10.6084/m9.figshare.12275009,https://github.com/ml-workgroup/covid-19-image-repository,CC BY 3.0,,,
 430,0,F,,todo,,Y,,,Y,Y,,,,,,,,AP Supine,X-ray,2020,"Hannover Medical School, Hannover, Germany",images,c4a0e11a.jpg,10.6084/m9.figshare.12275009,https://github.com/ml-workgroup/covid-19-image-repository,CC BY 3.0,,,
 430,1,F,,todo,,Y,,,Y,Y,,,,,,,,AP Supine,X-ray,2020,"Hannover Medical School, Hannover, Germany",images,33ad0dcb.jpg,10.6084/m9.figshare.12275009,https://github.com/ml-workgroup/covid-19-image-repository,CC BY 3.0,,,
@@ -885,16 +885,16 @@ patientid,offset,sex,age,finding,RT_PCR_positive,survival,intubated,intubation_p
 444,3,M,,todo,,Y,,,Y,Y,,,,,,,,AP Supine,X-ray,2020,"Hannover Medical School, Hannover, Germany",images,e9877113.jpg,10.6084/m9.figshare.12275009,https://github.com/ml-workgroup/covid-19-image-repository,CC BY 3.0,,,
 444,5,M,,todo,,Y,,,Y,Y,,,,,,,,AP Supine,X-ray,2020,"Hannover Medical School, Hannover, Germany",images,c873402e.jpg,10.6084/m9.figshare.12275009,https://github.com/ml-workgroup/covid-19-image-repository,CC BY 3.0,,,
 444,8,M,,todo,,Y,,,Y,Y,,,,,,,,AP Supine,X-ray,2020,"Hannover Medical School, Hannover, Germany",images,5b324cc7.jpg,10.6084/m9.figshare.12275009,https://github.com/ml-workgroup/covid-19-image-repository,CC BY 3.0,,,
-445,,F,50,Pneumonia/Viral/COVID-19,Unclear,,,,,,,,,,,,,AP,X-ray,2020,UK,images,be835db3a56b5f76d607061dbb82a5_jumbo.jpeg,,https://radiopaedia.org/cases/covid-19-pneumonia-108?lang=us,CC BY-NC-SA,High risk occupation. Acute shortness of breath. Bilateral mid and lower zone peripheral airspace opacification.  No lobar consolidation. No pleural effusions. Heart size normal.,"Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 77351",
+445,,F,50,Pneumonia/Viral/COVID-19,Unclear,,,,,,,,,,,,,AP,X-ray,2020,United Kingdom,images,be835db3a56b5f76d607061dbb82a5_jumbo.jpeg,,https://radiopaedia.org/cases/covid-19-pneumonia-108?lang=us,CC BY-NC-SA,High risk occupation. Acute shortness of breath. Bilateral mid and lower zone peripheral airspace opacification.  No lobar consolidation. No pleural effusions. Heart size normal.,"Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 77351",
 446,,M,65,Pneumonia/Viral/COVID-19,Y,,Y,N,Y,,Y,,,,,,,AP,X-ray,2020,Pakistan,images,3c48faa5dc2f1540fda696bae045ba_jumbo.jpeg,,https://radiopaedia.org/cases/post-intubation-pneumomediastinum-and-pneumothorax-background-covid-19-pneumonia?lang=us,CC BY-NC-SA,Increasing lethargy and flu-like symptoms. New oxygen requirement. Crackles on both bases No collapse or consolidation. No pleural effusion. ,"Case courtesy of Dr. Muhammad Imran Khan, Radiopaedia.org, rID: 75526",
 446,,M,65,Pneumonia/Viral/COVID-19,Y,,Y,Y,Y,Y,Y,,,,,,,AP,X-ray,2020,Pakistan,images,447d65b38231a1031586b304bc5837_jumbo.jpeg,,https://radiopaedia.org/cases/post-intubation-pneumomediastinum-and-pneumothorax-background-covid-19-pneumonia?lang=us,CC BY-NC-SA,Increasing lethargy and flu-like symptoms. New oxygen requirement. Crackles on both bases ETT and NG tube placed. New air-space shadowing with air bronchogram in left lower zone . New pneumomediastinum demonstrated.,"Case courtesy of Dr. Muhammad Imran Khan, Radiopaedia.org, rID: 75526",
 446,,M,65,Pneumonia/Viral/COVID-19,Y,,Y,Y,Y,Y,Y,,,,,,,AP,X-ray,2020,Pakistan,images,81af553601a1bc1fdf81c99436a50b_jumbo.jpeg,,https://radiopaedia.org/cases/post-intubation-pneumomediastinum-and-pneumothorax-background-covid-19-pneumonia?lang=us,CC BY-NC-SA,Increasing lethargy and flu-like symptoms. New oxygen requirement. Crackles on both bases ETT and NG tube in place. Right-sided intercostal drain with bilateral small pneumothorax and pneumomediastinum with diffuse air space in both lungs typical for COVID.,"Case courtesy of Dr. Muhammad Imran Khan, Radiopaedia.org, rID: 75526",
 446,,M,65,Pneumonia/Viral/COVID-19,Y,,Y,Y,Y,Y,Y,,,,,,,AP,X-ray,2020,Pakistan,images,f46a9bfc7222e61e099a25ab9267da_jumbo.jpeg,,https://radiopaedia.org/cases/post-intubation-pneumomediastinum-and-pneumothorax-background-covid-19-pneumonia?lang=us,CC BY-NC-SA,"Increasing lethargy and flu-like symptoms. New oxygen requirement. Crackles on both bases ETT, NG tube and right sided intercostal drain in place. Interval increase in size of left pneumothorax with persistent right pneumothorax and pneumomediastinum with diffuse air space in both lungs. No pleural effusion.","Case courtesy of Dr. Muhammad Imran Khan, Radiopaedia.org, rID: 75526",
-447,,M,70,Pneumonia/Viral/COVID-19,Unclear,,,,,,,,,,,,,AP,X-ray,2020,UK,images,882fd7ec99b523aead995d78f3129f_jumbo.jpeg,,https://radiopaedia.org/cases/covid-19-pneumonia-progressive?lang=us,CC BY-NC-SA,Transplant patient. Shortness of breath. Median sternotomy. Subtle peripheral airspace opacification in both mid zones.,"Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 76643",
-447,,M,70,Pneumonia/Viral/COVID-19,Unclear,,,,,,Y,,,,,,,AP,X-ray,2020,UK,images,4cb2f877226f5e02b3064e1e52075f_jumbo.jpeg,,https://radiopaedia.org/cases/covid-19-pneumonia-progressive?lang=us,CC BY-NC-SA,"Transplant patient. Shortness of breath. Median sternotomy. Subtle bilateral airspace change in both mid zones, which is a little more pronounced than on the prior radiograph.","Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 76643",
-447,,M,70,Pneumonia/Viral/COVID-19,Unclear,,,,,,Y,,,,,,,AP,X-ray,2020,UK,images,556e19b9d38e2199dfa8722ddff25f_jumbo.jpeg,,https://radiopaedia.org/cases/covid-19-pneumonia-progressive?lang=us,CC BY-NC-SA,Transplant patient. Shortness of breath. Median sternotomy. Moderate bilateral peripheral airspace opacification in both lungs with only the apices spared.  This has progressed since the prior film. No pleural effusion.,"Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 76643",
-448,3,M,,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP,X-ray,2020,UK,images,8781ac6b9589f3646d2bbfff8f9015_jumbo.jpeg,,https://radiopaedia.org/cases/covid-19-pneumonia-76?lang=us,CC BY-NC-SA,The patient presented on account of fever and urine symptoms 3 days ago. Currently on antibiotics noted to start coughing with drop in his saturations today. Also having high grade fever COVID 19 swab taken today Subtle bilateral mid and lower lung zones peripheral ground-glass opacities. No pleural effusion.,"Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 76643",
-449,,M,,Tuberculosis,,,,,,,,,,,,,,PA,X-ray,,"Edinburgh, UK",images,7185bd4a8cc3280902117d034c7653_jumbo.jpg,,https://radiopaedia.org/cases/tuberculosis-with-consolidation?lang=us,CC BY-NC-SA,Increasing shortness of breath (short history) .,"Case courtesy of Dr Jeremy Jones, Radiopaedia.org, rID: 13241",
+447,,M,70,Pneumonia/Viral/COVID-19,Unclear,,,,,,,,,,,,,AP,X-ray,2020,United Kingdom,images,882fd7ec99b523aead995d78f3129f_jumbo.jpeg,,https://radiopaedia.org/cases/covid-19-pneumonia-progressive?lang=us,CC BY-NC-SA,Transplant patient. Shortness of breath. Median sternotomy. Subtle peripheral airspace opacification in both mid zones.,"Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 76643",
+447,,M,70,Pneumonia/Viral/COVID-19,Unclear,,,,,,Y,,,,,,,AP,X-ray,2020,United Kingdom,images,4cb2f877226f5e02b3064e1e52075f_jumbo.jpeg,,https://radiopaedia.org/cases/covid-19-pneumonia-progressive?lang=us,CC BY-NC-SA,"Transplant patient. Shortness of breath. Median sternotomy. Subtle bilateral airspace change in both mid zones, which is a little more pronounced than on the prior radiograph.","Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 76643",
+447,,M,70,Pneumonia/Viral/COVID-19,Unclear,,,,,,Y,,,,,,,AP,X-ray,2020,United Kingdom,images,556e19b9d38e2199dfa8722ddff25f_jumbo.jpeg,,https://radiopaedia.org/cases/covid-19-pneumonia-progressive?lang=us,CC BY-NC-SA,Transplant patient. Shortness of breath. Median sternotomy. Moderate bilateral peripheral airspace opacification in both lungs with only the apices spared.  This has progressed since the prior film. No pleural effusion.,"Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 76643",
+448,3,M,,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP,X-ray,2020,United Kingdom,images,8781ac6b9589f3646d2bbfff8f9015_jumbo.jpeg,,https://radiopaedia.org/cases/covid-19-pneumonia-76?lang=us,CC BY-NC-SA,The patient presented on account of fever and urine symptoms 3 days ago. Currently on antibiotics noted to start coughing with drop in his saturations today. Also having high grade fever COVID 19 swab taken today Subtle bilateral mid and lower lung zones peripheral ground-glass opacities. No pleural effusion.,"Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 76643",
+449,,M,,Tuberculosis,,,,,,,,,,,,,,PA,X-ray,,"Edinburgh, United Kingdom",images,7185bd4a8cc3280902117d034c7653_jumbo.jpg,,https://radiopaedia.org/cases/tuberculosis-with-consolidation?lang=us,CC BY-NC-SA,Increasing shortness of breath (short history) .,"Case courtesy of Dr Jeremy Jones, Radiopaedia.org, rID: 13241",
 450,,F,62,Pneumonia/Bacterial/Klebsiella,,,,,,,,,,,,,,AP,X-ray,,"Melbourne, Australia",images,4c8dee3d9fe81567b98ed1b0b2b4c6_jumbo.JPG,,https://radiopaedia.org/cases/klebsiella-pneumonia-1?lang=us,CC BY-NC-SA,"Tachypneic and febrile Extensive right upper lobe consolidation, with bulging of the horizontal fissure.","Case courtesy of Dr Yune Kwong, Radiopaedia.org, rID: 29375",
 451,14,M,18,Pneumonia,,Y,,,,,,,,,,,,PA,X-ray,,"Netanya, Israel",images,75fb7cd80d5ca4074c474f93471ad4_jumbo.jpeg,,https://radiopaedia.org/cases/acute-eosinophilic-pneumonia-1?lang=us,CC BY-NC-SA,"Fever, productive cough, shortness of breath for past two weeks. Unresponsive to antibiotic treatment. Asthmatic, smoker. PA upright: Basal-predominant patchy alveolar opacities superimposed on reticular opacities. The patient had been on empiric antibiotic treatment prescribed at the health maintenance clinic for a presumptive diagnosis of bacterial pneumonia. Complete blood count on hospital admission was remarkable for eosinophilia (10,000/µL, with the normal range being 0-400/µL). The patient was treated with ceftriaxone, clarithromycin, and prednisone, with a complete resolution of symptoms within a single day. The symptomatology, prononuced eosinophilia, chest radiograph findings, and prompt resolution of symptoms after treatment which involved steroids, all point to acute eosinophilic pneumonia.","Case courtesy of Dr Yair Glick, Radiopaedia.org, rID: 53840",
 451,16,M,18,Pneumonia,,Y,,,,,,,,,,,,PA,X-ray,,"Netanya, Israel",images,01ec02c48ce0120d57456b2ee2d02f_jumbo.jpeg,,https://radiopaedia.org/cases/acute-eosinophilic-pneumonia-1?lang=us,CC BY-NC-SA,"Fever, productive cough, shortness of breath for past two weeks. Unresponsive to antibiotic treatment. Asthmatic, smoker. PA upright: Complete resolution of alveolar opacities, with the persistence of reticular opacities. The patient had been on empiric antibiotic treatment prescribed at the health maintenance clinic for a presumptive diagnosis of bacterial pneumonia. Complete blood count on hospital admission was remarkable for eosinophilia (10,000/µL, with the normal range being 0-400/µL). The patient was treated with ceftriaxone, clarithromycin, and prednisone, with a complete resolution of symptoms within a single day. The symptomatology, prononuced eosinophilia, chest radiograph findings, and prompt resolution of symptoms after treatment which involved steroids, all point to acute eosinophilic pneumonia.","Case courtesy of Dr Yair Glick, Radiopaedia.org, rID: 53840",
@@ -929,14 +929,3 @@ patientid,offset,sex,age,finding,RT_PCR_positive,survival,intubated,intubation_p
 469,,F,25,Pneumonia,,,,,,,,,,,,,,L,X-ray,,"Calgary, Canada",images,800f798a58d0cbcc72eb234f192461_jumbo.jpeg,,https://radiopaedia.org/cases/silhouette-sign-of-felson-right-middle-lobe-pneumonia-1?lang=us,CC BY-NC-SA,"A young woman is sent with a diagnosis of pneumonia. Consolidation of the anterior segment of the RUL and the middle lobe of the right lung. Moderate volume loss of the middle lobe. Demonstration of Felson's silhouette sign. On the PA view, the anterior segment consolidation is seen superior to the minor fissure of the right lung.","Case courtesy of Dr Garth Kruger, Radiopaedia.org, rID: 21938",
 470,,M,55,Pneumonia,,,,,,,,,,,,,,PA,X-ray,,"Melbourne, Australia",images,55f5189d2c23688ac8dc1d58eb65cf_jumbo.jpg,,https://radiopaedia.org/cases/left-lower-lobe-pneumonia-3?lang=us,CC BY-NC-SA,Productive cough and fever Region of consolidation with air bronchograms in the left lower lobe posterobasal segment identified.  No other abnormality seen. It is important to remember that left lower lobe pulmonary vessels should be able to be traced through the cardiac shadow on a PA chest x-ray. In this case the vessels cannot be traced and instead air bronchograms are seen consistent with consolidation (left lower lobe pneumonia). The medial portion of the left hemidiaphragm is also obscured.,"Case courtesy of Dr Andrew Dixon, Radiopaedia.org, rID: 35424",
 470,,M,55,Pneumonia,,,,,,,,,,,,,,L,X-ray,,"Melbourne, Australia",images,d2cdf41a662113279d2ec21af3a4e2_jumbo.jpg,,https://radiopaedia.org/cases/left-lower-lobe-pneumonia-3?lang=us,CC BY-NC-SA,Productive cough and fever Region of consolidation with air bronchograms in the left lower lobe posterobasal segment identified.  No other abnormality seen. It is important to remember that left lower lobe pulmonary vessels should be able to be traced through the cardiac shadow on a PA chest x-ray. In this case the vessels cannot be traced and instead air bronchograms are seen consistent with consolidation (left lower lobe pneumonia). The medial portion of the left hemidiaphragm is also obscured.,"Case courtesy of Dr Andrew Dixon, Radiopaedia.org, rID: 35424",
-471,0,M,20,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,AP,X-ray,2020,UK,images,16953_1_1.jpg,,https://www.eurorad.org/case/16953,CC BY-NC-SA 4.0,"A 20-year-old male with a history of asthma presented with cough and fever. He was diagnosed with COVID-19 pneumonia (positive throat PCR swab) and pulmonary emboli. He was treated with Apixaban, Piperacillin-Tazobactam and Continuous Positive Airway Pressure (CPAP). He represented one month later with pleuritic chest pain and exertional breathlessness. Fungal (Beta-D Glucan and Aspergillus serology), atypical bacterial and vasculitic screens were negative in our patient. The initial AP CXR shows patchy, bilateral consolidation in a lower zone distribution.",,
-471,30,M,20,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,PA,X-ray,2020,UK,images,16953_3_1.jpg,,https://www.eurorad.org/case/16953,CC BY-NC-SA 4.0,"A 20-year-old male with a history of asthma presented with cough and fever. He was diagnosed with COVID-19 pneumonia (positive throat PCR swab) and pulmonary emboli. He was treated with Apixaban, Piperacillin-Tazobactam and Continuous Positive Airway Pressure (CPAP). He represented one month later with pleuritic chest pain and exertional breathlessness. The PA CXR shows the right mid zone cavity with a clear air-fluid level. Other small cavities are seen bilaterally. There is patchy opacification within both lower zones.",,
-471,51,M,20,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,PA,X-ray,2020,UK,images,16953_4_1.jpg,,https://www.eurorad.org/case/16953,CC BY-NC-SA 4.0,"A 20-year-old male with a history of asthma presented with cough and fever. He was diagnosed with COVID-19 pneumonia (positive throat PCR swab) and pulmonary emboli. He was treated with Apixaban, Piperacillin-Tazobactam and Continuous Positive Airway Pressure (CPAP). He represented one month later with pleuritic chest pain and exertional breathlessness. Fungal (Beta-D Glucan and Aspergillus serology), atypical bacterial and vasculitic screens were negative in our patient. On this three week follow up PA CXR, there has been a reduction in the size of the cavities, particularly the right mid zone cavity, with minimal fluid present in the dependent portion of the cavity. There is significant improvement in the consolidative shadowing in the periphery of both lungs.",,
-471,72,M,20,Pneumonia/Viral/COVID-19,Y,,,,,,,,,,,,,PA,X-ray,2020,UK,images,16953_5_1.jpg,,https://www.eurorad.org/case/16953,CC BY-NC-SA 4.0,"A 20-year-old male with a history of asthma presented with cough and fever. He was diagnosed with COVID-19 pneumonia (positive throat PCR swab) and pulmonary emboli. He was treated with Apixaban, Piperacillin-Tazobactam and Continuous Positive Airway Pressure (CPAP). He represented one month later with pleuritic chest pain and exertional breathlessness. Fungal (Beta-D Glucan and Aspergillus serology), atypical bacterial and vasculitic screens were negative in our patient. At six weeks, there is further reduction in the size of the cavities with new atelectatic scarring in the right mid zone.",,
-472,7,M,47,Pneumonia/Viral/COVID-19,Y,Y,N,N,N,N,,,37.9,,,,0.8,AP,X-ray,2020,"California, USA",images,16892_2_1.png,,https://www.eurorad.org/case/16892,CC BY-NC-SA 4.0,"A previously healthy 47-year-old male presented with a 1-week history of fever, vomiting, nausea, and epigastric pain. Laboratory studies were notable for lymphopenia (0.8×103/µL, normal range 0.9×103/µL – 3.3×103/µL). Vitals signs were remarkable only for low-grade fever (37.9°C). He reported no respiratory complaints or known sick contacts. Portable AP chest x-ray demonstrates diffuse peri-bronchial thickening and faint nodular opacities without focal consolidation.",,
-473,7,M,71,Pneumonia/Viral/COVID-19,Y,,,,,,,,39.1,,,,0.4,AP,X-ray,2020,"California, USA",images,16883_1_1.png,,https://www.eurorad.org/case/16883,CC BY-NC-SA 4.0,"A 71-year-old male with no known past medical history presented to the emergency department with fever (39.1°C), cough, shortness of breath, and myalgias for one week. Laboratory studies were remarkable for lymphopenia (0.4´103/mL, normal range 0.9´103/mL – 3.3´103/mL), elevated c-reactive protein, elevated ferritin, elevated interleukin-6, elevated d-dimer, and elevated procalcitonin. Portable semi-upright AP chest x-ray on admission demonstrated bilateral perihilar and peribronchial thickening with perihilar opacities.",,
-474,,M,55,Pneumonia/Viral/COVID-19,Unclear,,,,,,,,,,,,,PA,X-ray,2020,"Al Hasa, Saudi Arabia",images,2edb88df42cab5e5fbc18b3965e0bd_jumbo.jpeg,,https://radiopaedia.org/cases/covid-19-pneumonia-139?lang=us,CC BY-NC-SA,"Fever, abdominal pain and diarrhea. No cough or shortness of breath. Scattered air space opacities in bilateral lungs. No pneumothorax is seen. No sizable pleural effusion. This patient tested positive for COVID-19. No history of contact with positive COVID-19 cases or traveling to pandemic areas.","Case courtesy of Dr  Osama Rizk, Radiopaedia.org, rID: 80318",
-475,0,M,50,Pneumonia/Viral/COVID-19,Y,,N,N,Y,N,Y,,,,,,0.6,AP,X-ray,2020,"California, USA",images,16858_1_1.png,,https://www.eurorad.org/case/16858,CC BY-NC-SA 4.0,"A 50-year-old male with recent positive coronavirus disease-19 RT-PCR and obesity (BMI 31.7) presented with dyspnea, myalgias, nausea and persistent dry cough. Laboratory studies were remarkable for lymphopenia (0.6×103/µL), elevated c-reactive protein, ferritin, procalcitonin, interleukin-6, and d-dimer. A respiratory antigen panel was obtained and was positive for Mycoplasma IgM antibodies. Portable, semi-upright AP chest x-ray on admission demonstrated multifocal bilateral, peripheral-predominant patchy solid and ground-glass opacities, compatible with atypical viral pneumonia.",,
-475,2,M,50,Pneumonia/Viral/COVID-19,Y,,N,N,Y,Y,Y,,,,,,,AP,X-ray,2020,"California, USA",images,16858_3_1.png,,https://www.eurorad.org/case/16858,CC BY-NC-SA 4.0,"A 50-year-old male with recent positive coronavirus disease-19 RT-PCR and obesity (BMI 31.7) presented with dyspnea, myalgias, nausea and persistent dry cough. Laboratory studies were remarkable for lymphopenia (0.6×103/µL), elevated c-reactive protein, ferritin, procalcitonin, interleukin-6, and d-dimer. A respiratory antigen panel was obtained and was positive for Mycoplasma IgM antibodies. Portable, semi-upright AP chest x-ray on day two of admission demonstrated increased bilateral patchy peripheral-predominant, likely associated with a multifocal infectious process such as viral pneumonia. Bilateral low lung volumes were noted.",,
-476,3,M,25,Pneumonia/Viral/COVID-19,Y,Y,,,,,,,38,,,,,PA,X-ray,2020,"Hospital Universitario Severo Ochoa, Madrid, Spain",images,16865_1_1.jpg,,https://www.eurorad.org/case/16865,CC BY-NC-SA 4.0,"A 25 year-old male resident presented with a 72 h history of fever up to 38 ºC, odynophagia, myalgia and general malaise. Laboratory studies only showed increased C-reactive protein (23 mg/L, normal range 0-5 mg/L). D-dimer was 0,23 μg / ml which is normal. A chest X-ray was performed due to a suspicion of a COVID-19 infection. PA (a) and lateral (b) chest radiograph evidenced a consolidation (arrow) in the posterior region of the left lower lobe.",,
-476,3,M,25,Pneumonia/Viral/COVID-19,Y,Y,,,,,,,38,,,,,L,X-ray,2020,"Hospital Universitario Severo Ochoa, Madrid, Spain",images,16865_1_2.jpg,,https://www.eurorad.org/case/16865,CC BY-NC-SA 4.0,"A 25 year-old male resident presented with a 72 h history of fever up to 38 ºC, odynophagia, myalgia and general malaise. Laboratory studies only showed increased C-reactive protein (23 mg/L, normal range 0-5 mg/L). D-dimer was 0,23 μg / ml which is normal. A chest X-ray was performed due to a suspicion of a COVID-19 infection. PA (a) and lateral (b) chest radiograph evidenced a consolidation (arrow) in the posterior region of the left lower lobe.",,