{"id":4760,"date":"2026-04-26T20:15:57","date_gmt":"2026-04-26T18:15:57","guid":{"rendered":"http:\/\/www.internalmed-journal.in.ua\/?p=4760"},"modified":"2026-05-15T22:21:46","modified_gmt":"2026-05-15T20:21:46","slug":"%d0%ba%d0%bb%d1%96%d0%bd%d1%96%d1%87%d0%bd%d0%b0-%d0%b7%d0%bd%d0%b0%d1%87%d0%b8%d0%bc%d1%96%d1%81%d1%82%d1%8c-%d1%82%d0%b0-%d0%bf%d0%be%d0%b4%d0%b0%d0%bb%d1%8c%d1%88%d0%b5-%d1%81%d0%bf%d0%be%d1%81","status":"publish","type":"post","link":"http:\/\/www.internalmed-journal.in.ua\/en\/archives\/4760","title":{"rendered":"Clinical relevance and follow-up of incidental computed tomography imaging and magnetic resonance imaging findings for COVID-19 diagnosis"},"content":{"rendered":"

A.<\/b><\/strong>Y. Mehtiyeva <\/b><\/strong><\/p>\n

Azerbaijan Medical University, Department of Radiology <\/b><\/strong><\/p>\n

Imaging plays a central role in the detection and monitoring of pulmonary involvement in COVID-19<\/p>\n

Aim: To assess the clinical significance and follow-up implications of incidental findings detected on computed tomography (CT) and magnetic resonance imaging (MRI) in patients with COVID-19. Materials and Methods: Retrospective analysis of 107 patients (25\u201371 years). Chest CT examinations were performed using multidetector scanners. A subset of 32 patients underwent additional magnetic resonance imaging examination as part of follow-up assessment<\/p>\n

Results: Typical CT findings in 62.6%; incidental findings in 18.7%. MRI follow-up showed significant reduction of lesions (p<0.05, Cohen’s d=0.72). Follow-up CT (n=68 patients) at 3-6 months demonstrated complete resolution in 33 patients (48.5%), residual abnormalities in 26 patients (38.2%) and fibrotic-like changes in 9 patients (13.2%). Patients with initial severe lung involvement were significantly more likely to develop residual abnormalities (OR = 3.12; 95% CI: 1.41-6.89; p = 0.004). Multivariate regression confirmed baseline extent of lung involvement as an independent predictor of residual changes (adjusted OR = 2.87; 95% CI: 1.25-6.54; p = 0.01)<\/p>\n

Conclusion: Thus, the integration of CT and MRI findings provides a more comprehensive understanding of disease evolution. CT remains indispensable for acute assessment, while MRI offers a valuable radiation-free alternative for follow-up, particularly in younger or vulnerable populations<\/p>\n

Key words: <\/b><\/strong>COVID-19, computed tomography, magnetic resonance imaging, follow-up<\/p>\n

https:\/\/doi.org\/10.15407\/internalmed2026.01.100<\/strong><\/p>\n

Download.PDF (eng)<\/a><\/strong><\/p>\n

Cite:<\/strong><\/p>\n

\u041c\u0435\u0445\u0442\u0456\u0454\u0432\u0430, \u0410.\u042f. \u041a\u043b\u0456\u043d\u0456\u0447\u043d\u0430 \u0437\u043d\u0430\u0447\u0438\u043c\u0456\u0441\u0442\u044c \u0442\u0430 \u043f\u043e\u0434\u0430\u043b\u044c\u0448\u0435 \u0441\u043f\u043e\u0441\u0442\u0435\u0440\u0435\u0436\u0435\u043d\u043d\u044f \u0437\u0430 \u0432\u0438\u043f\u0430\u0434\u043a\u043e\u0432\u0438\u043c\u0438 \u0437\u043d\u0430\u0445\u0456\u0434\u043a\u0430\u043c\u0438, \u0432\u0438\u044f\u0432\u043b\u0435\u043d\u0438\u043c\u0438 \u043f\u0440\u0438 \u043a\u043e\u043c\u043f’\u044e\u0442\u0435\u0440\u043d\u0456\u0439 \u0442\u043e\u043c\u043e\u0433\u0440\u0430\u0444\u0456\u0457 \u0442\u0430 \u043c\u0430\u0433\u043d\u0456\u0442\u043d\u043e-\u0440\u0435\u0437\u043e\u043d\u0430\u043d\u0441\u043d\u0456\u0439 \u0434\u0456\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u0446\u0456, \u0434\u043b\u044f \u0434\u0456\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0438 COVID-19 \/ \u0410.\u042f. \u041c\u0435\u0445\u0442\u0456\u0454\u0432\u0430 \/\/ \u0421\u0445\u0456\u0434\u043d\u043e\u0454\u0432\u0440\u043e\u043f\u0435\u0439\u0441\u044c\u043a\u0438\u0439 \u0436\u0443\u0440\u043d\u0430\u043b \u0432\u043d\u0443\u0442\u0440\u0456\u0448\u043d\u044c\u043e\u0457 \u0442\u0430 \u0441\u0456\u043c\u0435\u0439\u043d\u043e\u0457 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0438. \u2014 2026. \u2014 \u2116 1. \u2014 \u0421. 100-103. (English) doi: 10.15407\/internalmed2026.01.100<\/p>\n

Mehtiyeva AY. Clinical relevance and follow-up of incidental computed tomography imaging and magnetic resonance imaging findings for COVID-19 diagnosis. Shidnoevr. z. vnutr. simejnoi med. 2026;1:100-103. doi: 10.15407\/internalmed2026.01.100<\/p>\n

References:<\/strong><\/p>\n

    \n
  1. \n

    Cucinotta D, Vanelli M. WHO Declares COVID-19 a Pandemic. Acta Biomed. 2020;91(1):157-160. https:\/\/doi.org\/10.23750\/abm.v91i1.9397<\/a><\/p>\n<\/li>\n

  2. \n

    Ochani R, Asad A, Yasmin F, Shaikh S, Khalid H, Batra S, et al. COVID-19 pandemic: from origins to outcomes. A comprehensive review of viral pathogenesis, clinical manifestations, diagnostic evaluation, and management. Infez Med. 2021;29(1):20-36.<\/p>\n<\/li>\n

  3. \n

    Filchakova O, Dossym D, Ilyas A, Kuanysheva T, Abdizhamil A, Bukasov R. Review of COVID-19 testing and diagnostic methods. Talanta. 2022;244:123409. https:\/\/doi.org\/10.1016\/j.talanta.2022.123409<\/a><\/p>\n<\/li>\n

  4. \n

    Darwish HS, Habash MY, Habash WY. Chest computed tomography imaging features in patients with coronavirus disease 2019 (COVID-19). J Int Med Res. 2021;49(5):3000605211010631. https:\/\/doi.org\/10.1177\/03000605211010631<\/a><\/p>\n<\/li>\n

  5. \n

    Zhao W, Zhong Z, Xie X, Yu Q, Liu J. Relation Between Chest CT Findings and Clinical Conditions of Coronavirus Disease (COVID-19) Pneumonia: A Multicenter Study. AJR Am J Roentgenol. 2020;214(5):1072-1077. https:\/\/doi.org\/10.2214\/AJR.20.22976<\/a><\/p>\n<\/li>\n

  6. \n

    Marty M, Kerber B, Abel F, Kroschke J, Frauenfelder T, Franckenberg S. Clinical Relevance and Follow-Up of Incidental CT Imaging Findings for COVID-19 Diagnosis: A Retrospective Analysis. Diagnostics (Basel). 2025;15(22):2832. https:\/\/doi.org\/10.3390\/diagnostics15222832<\/a><\/p>\n<\/li>\n

  7. \n

    Ai T, Yang Z, Hou H, Zhan C, Chen C, Lv W, et al. Correlation of Chest CT and RT-PCR Testing for Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases. Radiology. 2020;296(2):E32-E40. https:\/\/doi.org\/10.1148\/radiol.2020200642<\/a><\/p>\n<\/li>\n

  8. \n

    Kwee TC, Kwee RM. Chest CT in COVID-19: What the Radiologist Needs to Know. Radiographics. 2020;40(7):1848-1865. Erratum in: Radiographics. 2022;42(1):E32. https:\/\/doi.org\/10.1148\/rg.2020200159<\/a><\/p>\n<\/li>\n

  9. \n

    Sobhanardekani M, Ameri Ahmad Z, Shokrolahi M, Ghasemipour S. MRI Findings in Covid-19 Patients With Lung Involvement Before and After the Treatment: Comparative Study. South East Eur J Public Health. 2024;2024:1587-1595. https:\/\/doi.org\/10.70135\/seejph.vi.2929<\/a><\/p>\n<\/li>\n

  10. \n

    Yoon SH, Kanne JP, Ashizawa K, Biederer J, Casta\u00f1er E, Fan L, et al. Best Practice: International Multisociety Consensus Statement for Post-COVID-19 Residual Abnormalities on Chest CT Scans. Radiology. 2025;316(1):e243374. https:\/\/doi.org\/10.1148\/radiol.243374<\/a><\/p>\n<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    A.Y. Mehtiyeva Azerbaijan Medical University, Department of Radiology Imaging plays a central role in the detection and monitoring of pulmonary involvement in COVID-19 Aim: To assess the clinical significance and follow-up implications of incidental findings detected on computed tomography (CT) and magnetic resonance imaging (MRI) in patients with COVID-19. Materials and Methods: Retrospective analysis of…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[39,17,137],"tags":[],"translation":{"provider":"WPGlobus","version":"2.12.2","language":"en","enabled_languages":["uk","en","ru"],"languages":{"uk":{"title":true,"content":true,"excerpt":false},"en":{"title":true,"content":true,"excerpt":false},"ru":{"title":false,"content":false,"excerpt":false}}},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/4760"}],"collection":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/comments?post=4760"}],"version-history":[{"count":4,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/4760\/revisions"}],"predecessor-version":[{"id":4826,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/4760\/revisions\/4826"}],"wp:attachment":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/media?parent=4760"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/categories?post=4760"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/tags?post=4760"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}