COVID-19 pneumonia - rapid progression

Case contributed by Dr Ian Bickle

Presentation

Breathless.

Patient Data

Age: 50 years
Gender: Male

Moderate peripheral airspace change in the mid and lower zones marginally worse on the left.

No pleural effusions.

1 day later. Increasing oxygen requirements

CT

No pulmonary emboli.

Severe bilateral ground-glass change in both lungs. This is centered on the lung peripheries and is panlobular.

Case Discussion

Rapid progression in 24 hours demonstrating the rapidity in which COVID-19 pneumonia can progress and the severity of radiological findings that occur.

In the many hundreds of cases, I have been privy to in the last 11 months, this peripheral bilateral appearance, typically starting in the mid zones is by far the commonest and most specific I have observed from an anecdotal perspective.

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