Presentation
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
From the case:
COVID-19 pneumonia
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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.\u003c/p\u003e\u003cp\u003eNo significant mediastinal lymphadenopathy.\u003c/p\u003e\u003cp\u003eNo pericardial or pleural effusion.\u003c/p\u003e\u003cp\u003eThis CT shows the typical CT findings of \u003cstrong\u003eCOVID-19 pneumonia\u003c/strong\u003e, which was confirmed by a nasopharyngeal swab.\u003c/p\u003e","gb":"\u003cp\u003eCT 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.\u003c/p\u003e\u003cp\u003eNo significant mediastinal lymphadenopathy.\u003c/p\u003e\u003cp\u003eNo pericardial or pleural effusion.\u003c/p\u003e\u003cp\u003eThis CT shows the typical CT findings of \u003cstrong\u003eCOVID-19 pneumonia\u003c/strong\u003e, which was confirmed by a nasopharyngeal swab.\u003c/p\u003e"},"contributor_login":"aguiar","case_id":77067,"case_key_image_id":null,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false}}
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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