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. 2020 Apr 28;30(9):4930–4942. doi: 10.1007/s00330-020-06863-0

Table 2.

The proposed lexicon for description of chest CT imaging findings in coronavirus disease 2019 (COVID-19)

Findings Important definitions
Distribution pattern of lesion

Unilateral/bilateral

Anterior/posterior

Peripheral predominant/central predominant

Focal/multifocal

Round/linear/wedge-shaped/irregular opacity

Right upper/right middle/right lower/left upper/left lower lobe

One lobe/two lobes/three lobes/four lobes/five lobes involved

The outermost one-third of the lung field is considered peripheral and the rest is considered central

Posterior/anterior is determined according to the mid-axillary line

Type of lesion

Pure GGO

GGO with superimposed consolidation

Reticulation

Consolidation without GGO

Predominant consolidation pattern

Air bronchogram

Crazy paving pattern

White lung stage

Melted sugar sign

Parenchymal fibrotic bands

Pleural effusion

Cavity

Pulmonary nodules

Nodular pattern

Lymphadenopathy

Peribronchovascular distribution

Bronchial wall thickening

Halo sign

Tree-in-bud pattern

Bronchiectasis

Airway secretions

Interstitial emphysema

Pulmonary fibrosis

Pleural thickening

Pneumothorax

Pericardial effusion

Vascular enlargement

Pure GGO: A hazy intensification in lung attenuation without obscuration of the underlying vessels

GGO with consolidation: A central opacification with obscuring the underlying vessels surrounded by GGO

Melted sugar sign: Gradual decrease in density of consolidation and turning into GGO

Halo sign: Pulmonary nodule surrounded by GGO, representative of hemorrhage

Tree-in-bud pattern: Multiple sites of centrilobular nodules along with branching linear opacities [29]