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case_images: (A) non-contrast CT Head demonstrates left middle cerebral artery territory infarct with pressure effect effacing cortical sulci and ipsilateral lateral ventricle anterior horn; (B) AP chest X-ray revealed features of right lung pneumonia seen as patchy peripheral faint ground glass shadowing in the right lower zone
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case_images: A). A chest x-ray done on admission revealed patchy peripheral faint ground glass shadowing (Figure 1 B).
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case_images: (A) GRE Haem sequence demonstrates low signal intensity in the region of right basal ganglia representing haemorrhagic transformation; (B) MRI DWI shows multiple hyperintense areas of restricted diffusion in the cerebellum in keeping with acute infarctions; (C): chest X-ray, AP reveals poorly defined infiltrates in the right upper zones suggestive of pneumonic changes
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case_images: Patient s brain magnetic resonance imaging (MRI) showed right temporal-parietal ischemic stroke with hemorrhagic transformation (Figure 2 A) as well as cerebellar infarcts (Figure 2 B). An x-ray of the chest revealed poorly defined infiltrates in the right upper zone suggestive of pneumonic changes (Figure 2 C).
case_images: PMC7880116_03
case_images: (A) MRI DWI revealed hyperintense signal in the right MCA territory which involved right fronto parietal temporal lobes as well as capsuloganglionic region, indicating abnormal fluid restriction in those areas; (B) 3D TOF MRA revealed extended right internal carotid (intracranial portion) stenosis with near-total occlusion of the right middle cerebral artery; (C) portable chest X-ray shows cardiomegaly and features of interstitial edema seen as bilateral parahilar and lower zone infiltrates
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case_images: A) and extensive right internal carotid artery stenosis (Figure 3 B) Laboratory work up (Table 1) was significant for neutrophylic leucocytosis, increased ferritin and lactate dehydrogenase. An x-ray of the chest (Figure 3 C) was suggestive of interstitial edema, while echocardiography on admission revealed features suggestive of left ventricular hypertrophy and global hypokinesia with ejection fraction of 40%. A nasopharyngeal swab for SARS-Cov-2 PCR was taken on admission, which came back positive.