COVID-19 pneumonia

Case contributed by Antonio Rodrigues de Aguiar Neto


Myalgia, nasal congestion, dry cough, shortness of breath, pain, and tightness in the chest over the last 6 days.

Patient Data

Age: 35 years
Gender: Male

Day 6 from symptoms onset


There are bilateral, multilobar areas of ground-glass opacities with round morphology, associated with superimposed inter and intralobular septal thickening resulting in the crazy-paving pattern. The lesions are mostly in the peripheral parts of the lungs.

No pleural effusion, neither enlarged mediastinal lymph nodes.

Case Discussion

COVID-19 is a disease caused by the virus SARS-CoV-2 1-5. Chest CT may provide information about the severity of the infection and determine the disease's temporal stage 1-5. Chest CT findings in stage 2 (progressive stage, 5-8 days from symptoms onset), characterizes by enlargement of the ground-glass opacities (GGOs) with crazy-paving pattern, occasionally with emerging consolidation. The distribution is predominantly in the posterior and peripheral parts of the lungs 1-5.

This case shows a patient with laboratory-confirmed SARS-CoV-2 and the CT temporal findings of the progressive stage (stage 2) of COVID-19 pneumonia.

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