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Chest x-ray obtained during the emergency department visit 2. No acute cardiopulmonary process found.
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COVID-19 antibodies IgG and IgM. CXR showed no acute pulmonary findings (Figure 1).
(a-d): Computed tomography angiograms depicting extensive fulminant multifocal bacterial pneumonia with small-moderate bilateral pleural effusions (note the normal appearance of contrast mixing with unopacified inflowing blood in the superior vena cava).
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Computed tomography angiogram (CTA) chest excluded pulmonary embolism, but the imaging was evident of multifocal lower lobe opacities with a rapid onset consolidative pattern concerning for fulminant multifocal bacterial pneumonia superimposed on COVID-19 pneumonia (Figures 2(a)-2(d)).