einstein (São Paulo). 05/Mar/2021;19:eRW5772.

Differential diagnoses of acute ground-glass opacity in chest computed tomography: pictorial essay

Marina Justi Rosa de Matos ORCID logo , Marcela Emer Egypto Rosa ORCID logo , Vanessa Mizubuti Brito ORCID logo , Lucas Tadashi Wada Amaral ORCID logo , Gabriel Laverdi Beraldo ORCID logo , Eduardo Kaiser Ururahy Nunes Fonseca ORCID logo , Rodrigo Caruso Chate ORCID logo , Rodrigo Bastos Duarte Passos ORCID logo , Murilo Marques Almeida Silva ORCID logo , Patrícia Yokoo ORCID logo , Roberto Sasdelli Neto ORCID logo , Gustavo Borges da Silva Teles ORCID logo , Marina Carolina Bueno da Silva ORCID logo , Gilberto Szarf ORCID logo

DOI: 10.31744/einstein_journal/2021RW5772

ABSTRACT

Ground-glass opacity is a very frequent and unspecified finding in chest computed tomography. Therefore, it admits a wide range of differential diagnoses in the acute context, from viral pneumonias such as influenza virus, coronavirus disease 2019 and cytomegalovirus and even non-infectious lesions, such as vaping, pulmonary infarction, alveolar hemorrhage and pulmonary edema. For this diagnostic differentiation, ground glass must be correlated with other findings in imaging tests, with laboratory tests and with the patients’ clinical condition. In the context of a pandemic, it is extremely important to remember the other pathologies with similar findings to coronavirus disease 2019 in the imaging exams.

Differential diagnoses of acute ground-glass opacity in chest computed tomography: pictorial essay