Weekly Chest CasesCOVID-19 Cases

Case No : 6 Date 2020-03-10

  • Courtesy of Joo Sung Sun, MD / Ajou University School of Medicine
  • Age/Sex 70 / F
  • Chief ComplaintSx: nausea (for 4 days) and progressed dyspnea (for 1 day) / Exposure history: living with daughter who was diagnosed with COVID-19 pneumonia 3 days before patient presented symptoms
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initial chest X-ray

Diagnosis
A woman in 70s with Coronavirus disease (COVID-19)
Radiologic Findings
Initial chest PA (Figure 1) shows multifocal consolidation and ground glass opacities in both lung fields which show decreased extent and opacities on serial follow up images (Figure 2-3).

Chest CT images on HD-2 (Figure 4 and 6) show well demarcated ground glass attenuated lesions in both lungs with peripheral predominance. A remarkable finding is that some lesions are distributed with subpleural area sparing and through the bronchovascular bundle. Follow up chest CT scans on HD-5 (Figure 5 and 6) demonstrate decreasing densities and extent of the lesions.
Brief Review
Treatment: aniretroviral (Kaletra) and antiviral medication (ribavirin) with steroid
Prognosis: stable state with improving symptoms

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