COVID-19 pneumonia


A second real-time reverse transcriptase-polymerase chain reaction (PCR) test of the pharyngeal flora just after the first CT was positive for SARS-CoV-2 virus RNA. The patient received ERCP and biliary stent placement because of his biliary obstruction.

Subsequent real-time polymerase chain reaction (PCR) tests on days 12 and 15 were also positive.

This case illustrates a progressive course of COVID-19 pneumonia:

In the second CT, there are also bilateral pleural effusions and some mediastinal lymphadenopathy present, although this is rather atypical for COVID-19 pneumonia.