Wuhan, the capital city of Hubei in China, reported the earliest cases that were treated as an unusual pneumonia. The numbers of cases exponentially increased with no specific treatment or promising vaccine in sight, creating havoc for the health and financial systems of the world. The pandemic related to the coronavirus is now considered one of the deadliest epidemics. Radiographic findings are very good predictors for assessing the course of COVID-19 disease and it could be used as long-term consequences monitoring. Also, the mortality rate was higher in patients older than 40 years especially with higher TSS. Male patients showed significantly higher mortality rate as compared to the female patients ( P value 0.025). The outcome of COVID-19 disease was significantly related to the age, sex, and TSS of the patients. The total severity score was estimated in the baseline and follow-up CXR and it was ranged from 0 to 8. Most of the patients showed bilateral lung affection (181 patients, 67.5%) with peripheral distribution (156 patients, 58.2%) and lower zone affection (196 patients, 73.1%). Pulmonary nodules were found 25 patients (9.3%) and pleural effusion was seen in 20 patients (7.5%). In abnormal chest X-ray, consolidation opacities were the most common finding seen in 218 patients (81.3%), followed by reticular interstitial thickening seen in 107 patients (39.9%) and GGO seen in 87 patients (32.5%). During follow-up chest X-ray studies, 48 patients (13.7%) of the normal baseline CXR showed CXR abnormalities. In our study, there were 350 patients proven with positive COVID-19 disease 220 patients (62.9%) had abnormal baseline CXR and 130 patients (37.1%) had normal baseline CXR. We aimed to determine the COVID-19 disease course and severity using chest X-ray (CXR) scoring system and correlate these with patients’ age, sex, and outcome. It gives an accurate insight into the disease course. Plain radiography is very helpful for COVID-19 disease assessment and follow-up. Coronavirus related respiratory illness usually manifests clinically as pneumonia with predominant imaging findings of an atypical or organizing pneumonia.
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