COVID-19: case 21

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Izzo Andrea, D’Aversa Lucia, Cerimoniale Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Di Pastena Francesca

U.O.C.  Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina

71-year-old male patient admitted to the ED with fever (37.8°C) and cough. Medical history: croonic myocardial ischemia. pO2: 97%

Portable chest film (performed in a tent set up outside the ED):

L’indagine radiografica dimostra un diffuso incremento della trama interstiziale peribroncovascolare con associate multiple zone di addensamento parenchimale disposte prevalentemente a livello del campo superiore di entrambi i polmoni. Cuore aumentato di volume; seni costofrenici ipoespansi ma liberi da versamento.

Il Pz viene sottoposto a tampone naso-faringeo (risultato positivo al COVID-19) e ricoverato per l’assistenza e le cure necessarie.

Diffuse interstitial markings with ill-defined alveolar consolidations especially in the upper lobes.

The RT-PCR test on nasopharyngeal swab turned positive.

The patient recovered; a CT was performed 3 days after the hospitalization.

Ground-glass opacities with predominant subpleural distribution in upper lobes and in the apical segment of the lower lobes.