COVID-19: case 44
Federico Paltenghi, Giuseppe Bandi, Laura Nano, Vellini Silvia
ASST Pavia, presidio Ospedaliero di Vigevano, direttore ff reparto di radiologia Elena Belloni
patient presented to the ED with fever and cough.
Blood test: C-PR 70,99 (< 5) LDH 326 (< 225).
Portable chest film February 28:
Riscontro di lieve ipotrasprenza dell’emitorace sn in torace ipoespanso. Non altri reperti di rilievo.
Opacities in the
The day after a chest radiography (2p) is performed due to the low SpO2 (84%) and discrepancy between clinical-radiological findings:
Blurred consolidations especially in the left lung with atelectasis at the bases.
Unenhanced CT on February 29:
Diffuse ground-glass attenuation in the dependent regions of the lungs, with consolidations in the subpleural posterior regions. The antero-posterior extension in 6 -9 cm, sparing the apex. Emphysematous bullae in the left lung base. No pleural or pericardial effusion.
A nasopharyngeal swab was performed: positive.