PMC7333050_01
PMC7333050_02
Cardiac silhouette is enlarged and vascular calcifications are present; increased central vascular lung markings; and no pulmonary edema, lobar consolidation, effusion, or pneumothorax.
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fig1
Admission chest X-ray was unremarkable for acute changes when compared to studies from previous admission (Figure 1).
PMC7333050_03
(a) Subpleural and peripheral interstitial infiltrate which is worrisome for coronavirus or other viral or atypical infections. (b) Computed tomography angiography showed negative for pulmonary embolus but showed signs of subpleural and peripheral interstitial infiltrate suggestive of COVID-19 vs. other viral infections. However, prior chest X-ray on admission was negative for any acute changes when compared to previous studies.
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fig2
Due to concerns for additional complications including differential such as a pulmonary embolism, the patient was sent for a CT angiography of the chest (Figures 2(a) and 2(b)), which was negative for pulmonary embolism but did show findings consistent with COVID-19-positive patients.
PMC7333050_04
A significant gross increase in diffuse bilateral infiltrates with some sparing of the right upper lobe, which had worsened when compared to previous chest X-rays.
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fig3
He was found to have acute respiratory distress syndrome (ARDS) secondary to COVID-19 (Figure 3).
PMC7333050_05