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{
    "pk": 837,
    "title": "Crazy-Paving: A Computed Tomographic Finding of Coronavirus Disease 2019",
    "subtitle": null,
    "abstract": "Introduction:\n Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2. COVID-19 first occurred in Wuhan, China, in December 2019, and by March 2020 COVID-19 was declared a global pandemic.\nCase Presentation:\n We describe a case of a 52-year-old female with past medical history of asthma, type 2 diabetes, and previous tobacco use who presented to the emergency department with dyspnea and was found to be positive for COVID-19. We discuss the computed tomographic finding of “crazy-paving” pattern in the patient’s lungs and the significance of this finding in COVID-19 patients.\nDiscussion:\n Emergency providers need to be aware of the different imaging characteristics of various stages of COVID-19 to appropriately treat, isolate, and determine disposition of COVID-19 infected patients. Ground-glass opacities are the earliest and most common imaging finding for COVID-19. Crazy-paving pattern is defined as thickened interlobular septa and intralobular lines superimposed on diffuse ground-glass opacities and should be recognized by emergency providers as a radiographic finding of progressive COVID-19.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Coronavirus disease 2019"
        },
        {
            "word": "COVID-19"
        },
        {
            "word": "crazy-paving"
        }
    ],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/82d0t6h5",
    "frozenauthors": [
        {
            "first_name": "Megan",
            "middle_name": "",
            "last_name": "Gillespie",
            "name_suffix": "",
            "institution": "Jefferson Health - Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Patrick",
            "middle_name": "",
            "last_name": "Flannery",
            "name_suffix": "",
            "institution": "Jefferson Health - Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Jessica",
            "middle_name": "A.",
            "last_name": "Schumann",
            "name_suffix": "",
            "institution": "Jefferson Health - Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Nathan",
            "middle_name": "",
            "last_name": "Dincher",
            "name_suffix": "",
            "institution": "Jefferson Health - Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania; Jefferson Health - Northeast, Department of Critical Care, Philadelphia, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Rebecca",
            "middle_name": "",
            "last_name": "Mills",
            "name_suffix": "",
            "institution": "Jefferson Health - Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Argun",
            "middle_name": "",
            "last_name": "Can",
            "name_suffix": "",
            "institution": "Jefferson Health - Northeast, Department of Critical Care, Philadelphia, Pennsylvania",
            "department": "None"
        }
    ],
    "date_submitted": "2020-05-19T03:47:04+08:00",
    "date_accepted": "2020-05-19T03:47:04+08:00",
    "date_published": "2020-05-19T03:56:02+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/837/galley/589/download/"
        }
    ]
}