PMC7658592_01
Chest X-ray posterior-anterior view on admission(24 June, 2020) showing bilateral extensive pulmonary infiltration mostly in the periphery of both lungs.
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Fig. 1)., Electrocardiogram (ECG) and Computed tomography of brain(CT brain) was un remarkable. Further workup revealed low normal blood urea which was 11.6mg/dl(normal range 10-50mg/dl), low serum uric acid 2.4mg/dl(normal range 2.4-5.7mg/dl in female), urine osmolality of 353mOsm/kg(reference value 60-1400 mOsm/kg), low plasma osmolality which was 219 mOsm/kg(reference value 275-295) (275-295, urinary sodium was 34 mEq/L(around 20 mEq/L), random serum cortisol at 8 a.m. was 14mcg/dl(normal ranges:10-20mcg/dl),
Follow up X ray (9 July 2020) Chest P/A view still showing bilateral pulmonary infiltration.
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Follow up investigation report(see Table 2) and Chest X ray posterior anterior view showing(see Fig. 2) still bilateral infiltration that is radiological improvement lagged behind the clinical improvement.