Simultaneous presence of the “bullseye” and “reversed halo” sign at CT of COVID-19 pneumonia: A case report

Athanasios Giannakis; Dorottya Móré, Dr.; David Lukas Mangold; Oyunbileg von Stackelberg, Dr.; Roman Rubtsov; Claus Peter Heussel, Prof.; Hans-Ulrich Kauczor, Prof.; Mark Oliver Wielpütz, Prof.; Katharina Hellbach, PD

Radiology Case Reports (Sep 2021)

Simultaneous presence of the “bullseye” and “reversed halo” sign at CT of COVID-19 pneumonia: A case report

Athanasios Giannakis,
Dorottya Móré, Dr.,
David Lukas Mangold,
Oyunbileg von Stackelberg, Dr.,
Roman Rubtsov,
Claus Peter Heussel, Prof.,
Hans-Ulrich Kauczor, Prof.,
Mark Oliver Wielpütz, Prof.,
Katharina Hellbach, PD

Affiliations

Athanasios Giannakis: Department of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; Diagnostic and Interventional Radiology with Nuclear Medicine, Thoraxklinik at University Hospital Heidelberg, Heidelberg, Germany; Translational Lung Research Center (TLRC), German Center for Lung Research (DZL), University of Heidelberg, Heidelberg, Germany; Corresponding author.
Dorottya Móré, Dr.: Department of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; Translational Lung Research Center (TLRC), German Center for Lung Research (DZL), University of Heidelberg, Heidelberg, Germany
David Lukas Mangold: Department of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; Translational Lung Research Center (TLRC), German Center for Lung Research (DZL), University of Heidelberg, Heidelberg, Germany
Oyunbileg von Stackelberg, Dr.: Department of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; Translational Lung Research Center (TLRC), German Center for Lung Research (DZL), University of Heidelberg, Heidelberg, Germany
Roman Rubtsov: Department of Diagnostic and Interventional Radiology, Klinikum Konstanz, Konstanz, Germany
Claus Peter Heussel, Prof.: Department of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; Diagnostic and Interventional Radiology with Nuclear Medicine, Thoraxklinik at University Hospital Heidelberg, Heidelberg, Germany; Translational Lung Research Center (TLRC), German Center for Lung Research (DZL), University of Heidelberg, Heidelberg, Germany
Hans-Ulrich Kauczor, Prof.: Department of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; Translational Lung Research Center (TLRC), German Center for Lung Research (DZL), University of Heidelberg, Heidelberg, Germany
Mark Oliver Wielpütz, Prof.: Department of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; Translational Lung Research Center (TLRC), German Center for Lung Research (DZL), University of Heidelberg, Heidelberg, Germany
Katharina Hellbach, PD: Department of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; Diagnostic and Interventional Radiology with Nuclear Medicine, Thoraxklinik at University Hospital Heidelberg, Heidelberg, Germany; Translational Lung Research Center (TLRC), German Center for Lung Research (DZL), University of Heidelberg, Heidelberg, Germany

Journal volume & issue: Vol. 16, no. 9
pp. 2442 – 2446

Abstract

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The “bullseye” sign has been exclusively reported in patients suffering from coronavirus disease 2019 (COVID-19) pneumonia. It is theorized that this newly recognized computed tomography (CT) feature represents a sign of organizing pneumonia. Well established signs of organizing pneumonia also reported in COVID-19 patients include linear opacities, the “reversed halo” sign (or “atoll” sign), and a perilobular distribution of abnormalities. These findings are usually present on imaging in the intermediate and late stage of the disease. This is a case of simultaneous presence of the “bullseye” and the “reversed halo” sign on chest CT images of a COVID-19 patient examined 22 days after symptom onset.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: http://www.journals.elsevier.com/radiology-case-reports/

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