COVID-19: case 65

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

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

74-year-old male patient presented to the ED with chest pain and vomiting for 12 hours. Medical history: chronic myocardial ischemia, astma; in treatment with oral anticoagulants. Epidemiologic risk for SARS-CoV-2 exposure. 

Medical examination: dyspnea, tachypnea, no fever. pO2 94%.

Chest radiography:

Interstitial markings with consolidation at the right basis and opacities in the upper and medium lung regions.

Because of the epidemiologic risk and chest findings, a CT is performed.

Multiple ground-glass opacities associated with areas of GGOs and reticulations in a “crazy-paving pattern”.  Consolidation at the right posterior base. Fibrotic bands at the left posterior base. Features consistent with Covid-19 pneumonia. RT-PCR test on nasopharyngeal swab was positive.