PMC10171982_01
Scattered bilateral consolidations with an area of cavitation in the right upper lobe and left pectoral AV graft with skin thickening.
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fig1
The chest CT obtained was remarkable for multilobar pneumonia with solitary focal area of cavitation in the right upper lobe (Figure 1).
(a) Perivascular abscess (a) of right coronary artery adjacent to stent. (b) 2x, H&E right coronary artery immediately distal to stent with abscess, thrombus and wall destruction without aneurysm (T: thrombus; A: abscess; *transmural inflammation).
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fig2
A perivascular abscess was present involving the RCA, near the origin of the stent and showed thrombosis with focal vessel wall destruction (Figures 2(a) and 2(b)).
RNAscope for SARS-CoV-2 spike protein was negative in the RCA abscess (a). Positive control is shown (b).
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fig3
SARS-CoV-2 spike protein (Bio-Techne, Cat# 848561). SARS-CoV-2 spike protein RNA was not detected by this method in the RCA abscess (Figure 3).
Transmural acute inflammation and intraluminal organizing thrombus (T) in the stented RCA. H&E 2x ground section.
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fig4
Myocyte hypertrophy in the heart (a) and hyaline arteriolosclerosis (arrows) (b) 10x H&E.
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fig5
Histologically, significant hypertensive and atherosclerotic cardiovascular disease were present in the heart and kidneys consisting of cardiomyocyte hypertrophy without acute hypoxic changes and renal arteriolosclerosis with a hyaline change (Figure 5).