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E1022. Tip of the Iceberg: The Challenges to Radiology When Dealing With the Lingering Effects of COVID-19
Authors
  1. Lillian Chiu; New York Medical College
  2. Daniella Herman; New York Medical College
  3. Jared Meshekow; Westchester Medical Center
  4. Joseph Dobtsis; NYC Health + Hospitals / Harlem - Columbia College of Physicians and Surgeons
  5. Perry Gerard; Westchester Medical Center
Background
Although most individuals with COVID-19 recover without further symptoms within a few weeks, there are increasing numbers of individuals who continue to experience symptoms following recovery. These individuals are sometimes referred to collectively as "long haulers" who complain of significant symptoms post COVID-19 disease. Individuals that experienced mild symptoms to those with more serious medical conditions have reported lingering symptoms including fatigue, headache, shortness of breath, joint pain, brain fog, difficulty in concentration and cough. COVID-19 is a multi-organ disease which has the potential risk for causing long term medical issues including such organs as the brain, heart and lungs. As more cases occur, there is the potential for the increasing utilization of radiology imaging examinations and resources to assist in diagnosis and potential treatments. The radiology workplace and administration must be prepared to deal with potential increases in caseload of these patients, respond to consults by referring physicians and make diagnosis on a condition that we still have little understanding with mysteries of the short and long term effects.

Educational Goals / Teaching Points
-Elaborate on the increasing number of individuals who have recovered from COVID-19 and those who experienced more severe medical conditions who have lingering symptoms and effects -Discuss the potential referrals for ongoing medical problems and the impact on the radiology and administrative workplace -Although we continue to know little of this disease and the short and long term effects, we expect there will be increased utilization of radiology imaging studies to help define complications and long term sequela of COVID-19. These may include brain and cardiac imaging studies as well as imaging followup for complication of lung disease. -Explore the administrative impact and preparation of the radiology workforce with respect to the various long-term ailments which may occur.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
n/a

Conclusion
With the increasing numbers of COVID-19 cases and those who have recovered from the disease, there have been increasing numbers of cases where patients complain of more chronic type symptoms. Many patients face a long recovery and present with longer term ailments that they are seeking help from their physicians. Even though we are dealing with one virus, it has produced a large variety of symptoms in individuals. We discuss the prospect of more patients presenting with symptoms requiring radiology imaging studies and evaluation, some of which could overwhelm the system. We elaborate on how the radiology workplace can prepare with respect to staffing, availability of equipment and collaborating with other departments to stay on top of rapidly developing information and findings concerning this most deceptive disease. We discuss the issues being able to identify appropriate studies and guidelines in patients, understanding the lack of information available due to short time COVID-19 has been present.