PMC7443235_01
Electrocardiogram with tall ST-segment elevations in leads V3-V6, I, II, and aVL with ST-segment depressions in V1, aVR, and III.
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ECG confirmed tall ST-segment elevations in leads V3-V6, I, II, and aVL with ST-segment depressions in V1, aVR, and III (Figure 1).
Transthoracic echocardiogram showed a small left ventricular cavity, thick left ventricular walls, and trivial pericardial effusion.
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Formal echocardiogram was obtained the following morning, confirming earlier findings (Figure 2).
CT chest shows left-sided pleural effusion with loculations and atelectasis. Nodular groundglass opacities are present in the right upper and middle lobes. There is a demonstration of a small pericardial effusion.
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A repeat CT of the chest was obtained revealing increasing size of a left-sided pleural effusion and interval development of nodular, ground glass opacities in the right upper and middle lobes (Figure 3).
PMC7443235_02
Electrocardiogram exhibiting ST-segment elevations in both the anterolateral and inferior leads.
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ECG revealed ST-segment elevations in both the anterolateral and inferior leads (Figure 4).
Chest X-ray revealing normal cardiac silhouette size. Mild interstitial edema bilaterally suggestive of CHF. No large effusion or dense consolidation.
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Chest X-ray revealed a normal cardiac silhouette, with bilateral interstitial opacities felt to represent pulmonary edema (Figure 5).
Coronary angiogram revealing mid-LAD stenosis.
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COVID-19 catheterization lab with infection control precautions. Coronary angiography revealed severe stenosis of the mid-left anterior descending artery (Figure 6).
Chest X-ray showing interval development of right middle lobe airspace opacity concerning for pneumonia. There are diffusely increased interstitial markings, which may be seen with mild pulmonary edema.
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Chest X-ray revealed interval development of a right middle lobe airspace opacity consistent with pneumonia (Figure 7).