PMC6450229_01
Chest X-ray showing asymmetric lobar opacities
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F1
Arterial blood gas revealed a severe hypoxemia, and chest X-ray confirmed the presence of asymmetric lobar opacities [Figure 1].
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
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F2
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.
Right ventricle global longitudinal strain of -6.2% showing a right ventricle dysfunction
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F3
Computed tomography showing a prominent hilar pulmonary vasculature and pulmonary ground-glass opacities
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F4
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].