COVID pneumonia and recovery

Case contributed by Dr Ian Bickle

Presentation

Shortness of breath. COVID?

Patient Data

Age: 70 years
Gender: Male
X-ray

Median sternotomy.

Minor peripheral airspace change in both mid zones.

X-ray

3 days later. More breathless.

Median sternotomy.

Minor peripheral airspace change in both mid and lower zones.  It is a little more pronounced than on the film 3 days prior.

X-ray

Another 3 days later. Increasing oxygen requirements.

Median sternotomy.

The peripheral airspace changes have progressed further with now only the lung apices spared.

CT

Another 10 days later

Extensive parenchymal changes are seen bilaterally, predominantly in both lower lobes and peripherally with a pattern predominantly of organizing pneumonia (lobular sparing and fuzzy arcades in patches with distortion of airways). The apical segments of both upper lobes are relatively spared.

No pleural effusion or empyema. No significant mediastinal lymphadenopathy.

 

X-ray

3 months later

Median sternotomy.

Lungs clear.

Case Discussion

A longitudinal radiographic illustration of COVID-19 pneumonia from the initial admission and progressive changes in the lungs to complete resolution more than 3 months later.

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Case information

rID: 80602
Published: 28th Jul 2020
Last edited: 30th Jul 2020
System: Chest
Inclusion in quiz mode: Included

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