PMC9729033_01
Chest X-ray of the patient from the day he was admitted to the hospital.
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The initial X-ray of the chest revealed bilateral diffuse infiltrations in the middle and lower pneumonic fields, more so on the right lung (Figure 1).
Chest CT shows pathology typical for SARS-COV-2.
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The first CT scan did not show any abdominal pathology, but the pulmonary findings of infiltrations, pyknosis, diffuse ground-glass opacities, and diffuse alveolar damage were typical of a SARS-COV-2 infection (Figure 2).
Abdominal CT shows artery occlusion and complete absence of blood circulation on the spleen. White arrow shows the infract after the enhancement of contrast material at the (a) arterial and (b) venous phase.
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A second CT scan of the abdomen was done on day 14 which revealed a complete obstruction of the splenic artery from a large splenic infract and complete absence of blood circulation in the spleen (Figure 3).
Abdominal CT shows a large collection of liquid on the left subdiaphragmatic space that contains solid material and is encapsulated.
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On the 11th postoperative day (day 32 of admission), he again complained of abdominal pain and was scheduled for a CT scan of the lungs and abdomen, which revealed a large fluid collection in the left subdiaphragmatic space that contained a solid encapsulated lesion with peripheral enhancement using intravenous contrast material and left pleural effusion accompanied by atelectasis of the left lung (Figure 4).
Chest CT showing permanent damage to the lungs by the coronavirus.
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Three days before his discharge, another CT scan of the chest was done, which confirmed permanent damage to his lungs caused by the coronavirus, a small residual hematoma in the left upper abdomen, and two small encapsulated collections at the base of the left lung (Figure 5).