COVID-19 pneumonia

Case contributed by Dr Derek Smith

Presentation

Recent travel from endemic COVID-19 region. 24 hours confusion with new temperature and desaturation on assessment.

Patient Data

Age: 70 years
Gender: Male

Index CXR

X-ray

Supine study. Patchy consolidation in peripheral right midzone.

No pleural abnormality.

Day 3 CXR

X-ray

Progressive right mid and lower zone consolidation. Left lung and pleural spaces remains clear.

Worsening oxygenation - day 9 CXR

X-ray

Diffuse patchy airspace consolidation in the mid/lower zones bilaterally.

ET tube, right jugular central line and NG tube in situ.

No pleural abnormality.

Day 13 - performed to assess degree of lung injury

CT

Multifocal regions of consolidation and ground-glass opacifications.

These have a peripheral and basal predominance.

No pleural or pericardial effusion.

Case Discussion

Serial imaging demonstrating progressive changes in a patient with PCR confirmed COVID-19 infection.

There can be a rapid deterioration in imaging findings.

Please read the COVID-19 article linked below for further information and examples.

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