case_images: PMC7333050_01
case_images: PMC7333050_02
case_images: Cardiac silhouette is enlarged and vascular calcifications are present; increased central vascular lung markings; and no pulmonary edema, lobar consolidation, effusion, or pneumothorax.
case_images: CRIID2020-1070249.001.jpg
case_images: PMC7333050_02_CRIID2020-1070249.001.jpg
case_images: fig1
case_images: Admission chest X-ray was unremarkable for acute changes when compared to studies from previous admission (Figure 1).
case_images: PMC7333050_03
case_images: (a) Subpleural and peripheral interstitial infiltrate which is worrisome for coronavirus or other viral or atypical infections. (b) Computed tomography angiography showed negative for pulmonary embolus but showed signs of subpleural and peripheral interstitial infiltrate suggestive of COVID-19 vs. other viral infections. However, prior chest X-ray on admission was negative for any acute changes when compared to previous studies.
case_images: CRIID2020-1070249.002.jpg
case_images: PMC7333050_03_CRIID2020-1070249.002.jpg
case_images: fig2
case_images: Due to concerns for additional complications including differential such as a pulmonary embolism, the patient was sent for a CT angiography of the chest (Figures 2(a) and 2(b)), which was negative for pulmonary embolism but did show findings consistent with COVID-19-positive patients.
case_images: PMC7333050_04
case_images: A significant gross increase in diffuse bilateral infiltrates with some sparing of the right upper lobe, which had worsened when compared to previous chest X-rays.
case_images: CRIID2020-1070249.003.jpg
case_images: PMC7333050_04_CRIID2020-1070249.003.jpg
case_images: fig3
case_images: He was found to have acute respiratory distress syndrome (ARDS) secondary to COVID-19 (Figure 3).
case_images: PMC7333050_05