Presentation
Shortness of breath. O2 requirement. Rule out consolidation/ COVID.
Patient Data
Bilateral multifocal peripheral patchy consolidations. No pleural effusion.
Segmental left pulmonary emboli with likely left basal pulmonary infarct. Diffuse bilateral infiltrates with mediastinal lymphadenopathy and a left basal pleural effusion.
Case Discussion
This is a PCR proven COVID-19 pneumonia. Although pleural effusion and mediastinal lymphadenopathy are less common and are not typical findings in COVID-19 pneumonia. A coexistent bacterial infection should be considered and interval imaging to ensure resolution of the lymphadenopathy would be required with a followup scan in 6-8 weeks time.
I am thankful to Dr. Shahid Hussain (Consultant Radiologist) for his input.