Presentation
Dry cough and fever. On arrival to Emergency Room, SpO2 of 89% and lymphopenia.
Patient Data
Age: 70 years
Gender: Male
From the case:
COVID-19 pneumonia
{"study":{"id":86275,"case_slug":"covid-19-pneumonia-20","modality":"X-ray","series":[{"id":52197344,"content_type":"image/jpeg","frames":[{"id":52197344,"width":1044,"height":945,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"61c6828be4bb24b9e29e6ebfcfec0a_tiny.jpeg","jumbo":"61c6828be4bb24b9e29e6ebfcfec0a_jumbo.jpeg","small":"61c6828be4bb24b9e29e6ebfcfec0a_small.jpeg","thumb":"61c6828be4bb24b9e29e6ebfcfec0a_thumb.jpeg","medium":"61c6828be4bb24b9e29e6ebfcfec0a_medium.jpeg","gallery":"61c6828be4bb24b9e29e6ebfcfec0a_gallery.jpeg","big_gallery":"61c6828be4bb24b9e29e6ebfcfec0a_big_gallery.jpeg","original":"61c6828be4bb24b9e29e6ebfcfec0a.jpg"}]},"perspective":"Frontal","specifics":null}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"edlomar","case_id":75187,"case_key_image_id":52197344,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
Bilateral ground-glass alveolar consolidation with peripheral distribution.
Two days earlier the patient present to ED.
{"study":{"id":86279,"case_slug":"covid-19-pneumonia-20","modality":"X-ray","series":[{"id":52197345,"content_type":"image/jpeg","frames":[{"id":52197345,"width":703,"height":666,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"e493ebb5ce513a0ad49237f008595b_tiny.jpeg","jumbo":"e493ebb5ce513a0ad49237f008595b_jumbo.jpeg","small":"e493ebb5ce513a0ad49237f008595b_small.jpeg","thumb":"e493ebb5ce513a0ad49237f008595b_thumb.jpeg","medium":"e493ebb5ce513a0ad49237f008595b_medium.jpeg","gallery":"e493ebb5ce513a0ad49237f008595b_gallery.jpeg","big_gallery":"e493ebb5ce513a0ad49237f008595b_big_gallery.jpeg","original":"e493ebb5ce513a0ad49237f008595b.jpg"}]},"perspective":"Frontal","specifics":null},{"id":52197346,"content_type":"image/jpeg","frames":[{"id":52197346,"width":704,"height":722,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"a2585e6be8e5ee4af3f5303be3b388_tiny.jpeg","jumbo":"a2585e6be8e5ee4af3f5303be3b388_jumbo.jpeg","small":"a2585e6be8e5ee4af3f5303be3b388_small.jpeg","thumb":"a2585e6be8e5ee4af3f5303be3b388_thumb.jpeg","medium":"a2585e6be8e5ee4af3f5303be3b388_medium.jpeg","gallery":"a2585e6be8e5ee4af3f5303be3b388_gallery.jpeg","big_gallery":"a2585e6be8e5ee4af3f5303be3b388_big_gallery.jpeg","original":"a2585e6be8e5ee4af3f5303be3b388.jpg"}]},"perspective":"Lateral","specifics":null}],"caption":{"us":"Two days earlier","gb":"Two days earlier"},"findings":{"us":"","gb":""},"contributor_login":"edlomar","case_id":75187,"case_key_image_id":52197344,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
No significant findings reported. In retrospect, a subtle ground-glass pattern can be seen in both lungs, with peripheral distribution.
Case Discussion
Microbiologic test was positive to SARS-CoV-2.
This case shows how fast COVID-19 can progress, with typical radiological findings of patchy, bilateral alveolar consolidations with peripheral distribution and ground-glass density in early stages.