PMC7261438_01
Chest computed tomography (CT) images. (A-B) Images taken on SOD#9. (A) Ground-glass opacities (GGOs) in the anterior segment of the right upper lobe. (B) Partial consolidation and GGOs in the right middle and lower lobes and distribution of lesions in the subpleural area and periphery of the lung, showing "crazy-paving" pattern. (C-D) Images taken on SOD#33. (C) Subpleural consolidation in the right lung. (D) Posterior consolidation with air bronchogram in the posterior segments of the lower lobes of both lungs.
gr1.jpg
PMC7261438_01_gr1.jpg
fig1
Chest CT scans obtained on HD#22 (SOD#33) showed enlarged abnormal shadows, GGOs, and consolidation in the upper lobe of the right lung, suggesting organizing pneumonia (Fig. 1C and D), which could result in chronic respiratory failure after ECMO cessation.
(A-C) Chest X-rays showing the progression of ground-glass opacification with consolidative abnormalities. (D-F) Slow improvement of shadows.
gr2.jpg
PMC7261438_01_gr2.jpg
fig2
On HD#25 (SOD#36), the patient was started on methylprednisolone 250 mg daily for three days with improvement of her organizing pneumonia on chest x-ray (Fig. 2E and F).