COVID-19 pneumonia

Case contributed by Antonio Rodrigues de Aguiar Neto
Diagnosis almost certain


This patient presented to the emergency department with a six-day history of flu-like symptoms, persistent fever, cough, and respiratory distress.

Patient Data

Age: 60 years
Gender: Male

CT demonstrates multifocal and bilateral ground-glass opacities scattered in both lungs, predominantly at peripheral, and posterior regions. An associated overlying intralobular septal line is giving a crazy-paving pattern.

No significant mediastinal lymphadenopathy.

No pericardial or pleural effusion.

This CT shows the typical CT findings of COVID-19 pneumonia, which was confirmed by a nasopharyngeal swab.

Case Discussion

Covid-19 is a viral disease caused by SARS-CoV-2 1. Chest CT is recommended in patients with suspected COVID-19 pneumonia because it may show characteristics findings and extent of the infection, as well as follow up of the disease 1,2,3,4. This case illustrates a patient with confirmatory laboratory testing and the typical CT features of COVID-19 pneumonia. The patient evolved with a worsening of the clinical symptoms, requiring hospitalization.

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