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Should I have a CT scan of my lungs if I have COVID?

I have a COVID infection. Should I have a CT scan of my lungs if I have COVID?

3 Answers

CT scans of the lungs are not typically recommended as a routine diagnostic tool for COVID-19. In most cases, a diagnosis of COVID-19 is made based on clinical symptoms, travel history, exposure to confirmed cases, and a PCR or rapid antigen test for the SARS-CoV-2 virus (which causes COVID-19).

CT scans are usually reserved for specific situations, such as when a healthcare provider suspects severe respiratory complications, like pneumonia, in a COVID-19 patient. Common symptoms of severe COVID-19, which may warrant a CT scan, include:

1. **Severe difficulty breathing or shortness of breath.
2. High fever that does not respond to medication.
3. A significant drop in blood oxygen levels (as measured by a pulse oximeter).
4. Signs of pneumonia, like severe cough, chest pain, or rapid breathing.

The decision to perform a CT scan in COVID-19 cases is typically made by a healthcare provider based on a clinical evaluation of the patient's condition. Routine or unnecessary CT scans can expose individuals to ionizing radiation and should be avoided unless they provide essential diagnostic information.

If you suspect you have COVID-19, or if you have tested positive for the virus, it's essential to follow the guidance and recommendations of your healthcare provider and local health authorities. Isolate yourself from others to prevent the spread of the virus, stay hydrated, get plenty of rest, and monitor your symptoms closely.

Always consult with a healthcare professional for guidance on your specific situation, especially if you are experiencing severe symptoms or any concerning health issues related to COVID-19. They can provide appropriate advice and determine if additional diagnostic tests, such as a CT scan, are necessary based on your symptoms and clinical evaluation.
Only if your doctor suggests.
There is no need for a CT scan unless you are very sick and already in the hospital, in which case your doctor would order it for you. So, in short, if you are at home and are not sick enough to be hospitalized, you definitely don't need to have a CT scan.

Randall Fisher, M.D.