%0 Journal Article %A Fernández-Pérez, G C %A Oñate Miranda, M %A Fernández-Rodríguez, P %A Velasco Casares, M %A Corral de la Calle, M %A Franco López, Á %A Díez Blanco, M %A Cuchat, J M Oñate %T SARS-CoV-2: what it is, how it acts, and how it manifests in imaging studies. %D 2020 %U http://hdl.handle.net/10668/16781 %X COVID-19 is a disease with many clinical, biochemical, and radiological signs that has a predilection for the lungs, probably because of the high number of ACE-2 receptors in this organ. The infection of cells activates proinflammatory substances, causing diffuse alveolar damage, which is the histopathological basis of ARDS. The exudative phase would manifest as ground-glass opacities and consolidation, and the proliferative phase would manifest as a tendency toward a more linear morphology. Both CT and PET/CT findings support the inflammatory character of the lung lesions in the initial phase of the disease and in patients with mild-moderate disease. Severe cases have pulmonary hypoperfusion that is likely due to abnormal alveolar ventilation and perfusion. On the other hand, a prothrombotic state increases the risk of thromboembolic disease through the activation of coagulation and platelet pathways with the production of fibrin degradation products (D-dimer) and consumption of platelets. %K COVID-19 %K PET/TC %K Percusión pulmonar PBV %K SARS-2 %K SARS-CoV-2 %K TC alta resolución %K TC doble energía %K dual-energy CT %K high-resolution CT %K lung perfusion blood volume %~