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COVID-19 pneumonia

Case contributed by Derek Smith
Diagnosis certain

Presentation

Recent travel from endemic COVID-19 region. 24 hours confusion with new temperature and desaturation on assessment.

Patient Data

Age: 70 years
Gender: Male

Index CXR

x-ray

Supine study. Patchy consolidation in peripheral right midzone.

No pleural abnormality.

Day 3 CXR

x-ray

Progressive right mid and lower zone consolidation. Left lung and pleural spaces remains clear.

Worsening O2 day 9 CXR

x-ray

Diffuse patchy airspace consolidation in the mid/lower zones bilaterally.

ET tube, right jugular central line and NG tube in situ.

No pleural abnormality.

Day 13 performed to assess...

ct

Day 13 performed to assess degree of lung injury

Multifocal regions of consolidation and ground-glass opacifications.

These have a peripheral and basal predominance.

No pleural or pericardial effusion.

Case Discussion

Serial imaging demonstrating progressive changes in a patient with PCR confirmed COVID-19 infection.

There can be a rapid deterioration in imaging findings.

Please read the COVID-19 article linked below for further information and examples.

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