COVID-19 pneumonia

Case contributed by Dr Domenico Nicoletti

Presentation

Marked dyspnea with dry cough and high fever for about nine days

Patient Data

Age: 50 years
Gender: Male

Chest

X-ray

Examination within the limits of the norm.

On the same day, the patient performed a chest CT scan.

Chest

CT

There are large bilateral pure ground-glass opacities in the upper and lower lobes prevalent in the dorsal region, with peripheral distribution and slightly dilated vessels in the affected area. Ground-glass opacities with a rounded morphology are also present in the middle lobe and lingula. 

On the right, there is a modest amount of pleural effusion in the inter-lobar fissure with thin fibrous bands in the medial segment of the ipsilateral lower lobe. No pathological adenopathies.

Nasopharyngeal swab report

Pathology

Nasopharyngeal swab report revealed positive for Coronavirus SARS-CoV-2.

Case Discussion

The chest film may be insensitive at the beginning of the disease. The main CT findings in pneumonia COVID-19 are ground-glass and consolidative pulmonary opacities, and these findings are more frequent with longer time from symptom onset.

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