case_images: PMC6450229_01
case_images: Chest X-ray showing asymmetric lobar opacities
case_images: JCE-29-20-g001.jpg
case_images: PMC6450229_01_JCE-29-20-g001.jpg
case_images: F1
case_images: Arterial blood gas revealed a severe hypoxemia, and chest X-ray confirmed the presence of asymmetric lobar opacities [Figure 1].
case_images: Transthoracic echocardiography. (a) Four-chamber view showing a tricuspid annular plane systolic excursion of 16 mm. (b) Four-chamber view showing a mildly dilated right ventricle, with a telediastolic basal diameter of 42 mm
case_images: JCE-29-20-g002.jpg
case_images: PMC6450229_01_JCE-29-20-g002.jpg
case_images: F2
case_images: A transthoracic echocardiogram (TTE) revealed a preserved left ventricular ejection fraction with a hypokinetic and mildly dilated [Figure 2a and b] right ventricle (RV), a moderate tricuspid regurgitation with severe pulmonary hypertension, and a dilated inferior vena cava with no respiratory collapse.
case_images: Right ventricle global longitudinal strain of -6.2% showing a right ventricle dysfunction
case_images: JCE-29-20-g003.jpg
case_images: PMC6450229_01_JCE-29-20-g003.jpg
case_images: F3
case_images: Computed tomography showing a prominent hilar pulmonary vasculature and pulmonary ground-glass opacities
case_images: JCE-29-20-g004.jpg
case_images: PMC6450229_01_JCE-29-20-g004.jpg
case_images: F4
case_images: A computed tomography (CT) was performed showing the absence of pulmonary vessel occlusion with the presence of ground-glass opacities similar to the early stage of ARDS, with a prominent hilar pulmonary vasculature [Figure 4].