Presentation
Marked dyspnea with dry cough and high fever for about nine days
Patient Data
Examination within the limits of the norm.
On the same day, the patient performed a chest CT scan.
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 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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