COVID-19: case 55

UOC di Radiologia Diagnostica e Interventistica

Direttore Dott. Stefano Colopi, Ospedale Carlo Poma ASST Mantova.

female patient presented to the ED for cough and chest oppression, no fever.
The patient denied COVID-19 positive contacts. Medical history: previous
bariatric surgery, bipolar disorder. Non-smoker.

Arterial Blood Gas
(ABG):  PaO2 69 mmHg, pH 7.4, pCO2 37

Blood test: WBC:
12.420/ul, Hb 9,8G/dl,C-RP 178 mg/L.

Nasal swab was not

Chest radiography:

Bilateral interstitial thickening and scattered alveolar consolidations in the right lung. No pleural effusion.

CTA for suspected pulmonary embolism was performed due to the clinical worsening:

Diffuse scattered
ground-glass opacities in all segments. No pleural effusion. No pulmonary embolism.

RT-PCR on a
nasopharyngeal swab was the obtained, and SARS-CoV-2 was confirmed

HRCT performed 10 days after:

Significative regression of the bilateral GGOs. No pleural effusion.