CO-RADS groups | Level of suspicion | Features |
---|---|---|
CO-RADS 1 | Highly unlikely | Normal or non-infectious such as malignancy, congestive heart failure, and sarcoidosis |
CO-RADS 2 | Very low | Typical for infections that are incompatible with COVID-19 pneumonia, such as bronchitis, bronchiolitis, bronchopneumonia with patchy opacities, and pulmonary abscess. Features include tree-in-bud sign, centrilobular nodular pattern, lobar or segmental consolidation, and lung cavitation |
CO-RADS 3 | Indeterminate | Findings can be compatible with various viral pulmonary infections, including COVID-19 pneumonia, like widespread bronchopneumonia consolidations with GGO |
CO-RADS 4 | High | Similar to those found in CO-RADS 5 but are not located in contact with the pleura or located unilaterally. This category also encompasses multifocal consolidations without any other typical findings |
CO-RADS 5 | Very high | Multifocal bilateral GGO with or without consolidations, close to the pleura / the interlobar fissures. Rounded and unsharp demarcated GGO and sharply delineated GGO outlining the secondary pulmonary lobules, indicating early involvement of the lungs The “crazy paving” pattern appears later in the course of the disease, with visible interlobular lines and increasing consolidations within the GGO areas Opacities resembling organizing pneumonia, reverse halo sign and GGO with subpleural consolidations in the late course of the disease. Subpleural bands with thickened vessels |