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COVID-19 pneumonia

Case contributed by Dr Antonio Rodrigues de Aguiar Neto

Presentation

This patient presented a history of high fever, cough, difficulty expanding the lungs, and dyspnea for eight days.

Patient Data

Age: 35 years
Gender: Male
CT

Large area of ground-glass opacity with thickening of the interlobular and intralobular septa, which represents the crazy-paving pattern, with superimposed air space consolidations, at the right upper lobe. There are also discrete bilateral ground-glass opacities with round morphology.

There is no mediastinal, hilar or axillary lymphadenopathy, nor pleural effusion.

This patient tested positive for coronavirus disease-19 and had typical CT findings of this disease - COVID-19 pneumonia.

Case Discussion

Coronavirus disease-19 or Covid-19 is a viral pandemic infectious disease caused by SARS-CoV-2 1, in which most patients present with respiratory symptoms. The prevalent CT features of COVID-19 pneumonia are ground-glass opacity (GGO), GGO with reticular and interlobular septal thickening (crazy-paving pattern), and GGO with consolidation 1,2,3. This case illustrates a patient with laboratory-confirmed SARS-CoV-2 and the CT features of COVID-19 pneumonia. The patient recovered from the disease and was discharged well.

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