COVID-19 pneumonia

Case contributed by Henri Vandermeulen
Diagnosis certain

Presentation

Fever, cough and dyspnea for 3 days. Tachypnea (30-40/min) and saturation of 70%. CRP 190 mg/L. No relevant medical history.

Patient Data

Age: 35 years
Gender: Female

Unenhanced low dose CT chest

ct
This study is a stack
Axial lung
window
This study is a stack
Coronal
lung window
This study is a stack
Axial medistinal
window
This study is a stack
Coronal
mediastinal window
This study is a stack
360°
VRT
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Info

There are pronounced bilateral confluent ground-glass opacities, mostly in the periphery of the lungs.

No pleural effusion or adenopathy.

The 360° VRT shows extensive bilateral lung damage.

Chest X-ray one day later

x-ray
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Info

AP chest (in intensive care)

Diffuse bilateral lung opacities.

No intubation.

Case Discussion

This patient's nasopharyngeal swab (PCR) was positive for COVID-19

Because of the high need for oxygen (6 L/min) the patient was transferred to the intensive care unit.

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