COVID-19 - CT progression

Case contributed by Dr Fabio Macori

Presentation

Cough, shortness of breath, anosmia. rt-PCR positive for Sars-CoV-2 infection.

Patient Data

Age: 75 years
Gender: Male

CT performed at admission shows some bilateral, subpleural and peripheral smooth areas of ground-glass opacities (GGO).

After a few days, due to to a worsening of clinical symptoms, another CT is performed. There is a spread of GGO with large areas of inhomogeneous lungs density. Initial septal thickening is seen as well.

CT shows further evolution of findings. There is a crazy-paving appearance due to GGOs and inter-/intra-lobular septal thickening, some air space consolidations and pleural thickening.

Multiple enlarged mediastinal lymph nodes.

Case Discussion

The case illustrates the possible evolution of Sars-CoV-2 infection.

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