case_images: PMC5439064_01
case_images: Portable chest X-ray, supine.
case_images: CRIID2017-7074508.001.jpg
case_images: PMC5439064_01_CRIID2017-7074508.001.jpg
case_images: fig1
case_images: The patient subsequently required mechanical ventilation secondary to worsening hypoxemic respiratory failure as evidenced by a low partial pressure of oxygen on arterial blood gas monitoring (Figure 1).
case_images: Transthoracic echocardiogram, apical four-chamber view.
case_images: CRIID2017-7074508.002.jpg
case_images: PMC5439064_01_CRIID2017-7074508.002.jpg
case_images: fig2
case_images: These findings were consistent with a transthoracic echocardiogram, which showed an estimated ejection fraction of 10-15% (Figure 2).
case_images: Portable chest X-ray, supine.
case_images: CRIID2017-7074508.003.jpg
case_images: PMC5439064_01_CRIID2017-7074508.003.jpg
case_images: fig3
case_images: Follow-up chest X-ray showed improvement in the interstitial edema pattern previously noted on prior imaging (Figure 3).
case_images: Transthoracic echocardiogram, apical four-chamber view.
case_images: CRIID2017-7074508.004.jpg
case_images: PMC5439064_01_CRIID2017-7074508.004.jpg
case_images: fig4
case_images: Transthoracic echocardiogram performed seven days after admission demonstrated continued reduction in systolic function with an ejection fraction of 20-25% (Figure 4).
case_images: Transthoracic echocardiogram, apical four-chamber view.
case_images: CRIID2017-7074508.005.jpg
case_images: PMC5439064_01_CRIID2017-7074508.005.jpg
case_images: fig5
case_images: Follow-up echocardiogram showed improvement in his ejection fraction to 35-40% (Figure 5).