Coronavirus related respiratory illness usually
manifests clinically as pneumonia with predominant
imaging findings of an atypical or organizing
pneumonia. Plain radiography is very helpful for the
assessment and follow-up of COVID-19 disease. It
provides an accurate insight into the disease course.
We aimed at determining the course of COVID-19
disease and it's severity by using chest X-ray (CXR)
scoring system and correlate these with age, sex, and
outcome of the patients.
Results: In our study, 98 patients with COVID-19
diseasewere enrolled; out of that 70 patients (71.4%) had
abnormal chest x-ray and 28 patients (28.57%) had
normal chest xray. In the course of follow-up, 55 patients
(56.12%) of the normal baseline CXR showed CXR
abnormalities. Among the abnormal chest X-ray, ill
defined opacity with an air bronchogram features
suggestive of consolidation were the most common
finding seen in 45 patients (45.91%), followed by ground
glass opacity(GGO) seen in 37 patients (37.75%) &
reticular interstitial thickening seen in 30 patients
(30.61%). Out of 98 patients, Pleural effusion were seen
in 19 patients (19.38%). Bilateral lung was involved
around (48 patients, 48.97%) with peripheral
distribution (33 patients, 33.67%) and lower zone
affection (28 patients, 28.57%).
The total severity score (TSS) on follow up with
CXRranged from 0 to 8. The outcome of COVID-19
disease was significantly related to the age, sex, and TSS
of the patients. Male patients older than 40 years
especially had higher TSS. They had significantly higher
mortality rate than the female patients (P value 0.025).
Conclusion: Radiographic findings are very good
predictors forthe assessment of the course of COVID-19
disease and it could be used to monitor long-term
consequences. Our study showed a positive correlation
between the patients age and total severity score to the
final disease outcome
Keywords : Covid pneumonia, consolidation, ground glass opacity, central and peripheral.