COVID-19 pneumonia - serial radiographs

Case contributed by Ian Bickle
Diagnosis certain


Short of breath. No history of respiratory disease.

Patient Data

Age: 50 years
Gender: Male

Minor bilateral mid zone airspace opacification in a peripheral distribution.

ITU admission


Endotracheal tube and right internal jugular lines.

Unchanged airspace opacification in the lungs.

Clinical deterioration


Endotracheal tube, right internal jugular line and nasogastric tubes suitably sited.

Bilateral peripheral airspace opacification which has progressed since the prior radiograph.

No pleural effusions.

ET tube and bilateral internal jugular lines.

Further progression in the bilateral airspace opacification with a more peripheral distribution than on the prior radiograph.

Tracheostomy and left internal jugular line.

Minor regression of the left sided airspace opacification.

Case Discussion

This is a series of chest radiographs to demonstrate the longitudinal imaging appearances of COVID-19.  

As in this case, a significant number of long stay ICU patients end up with tracheostomy insertion.

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