COVID-19 Pneumonia

Bilateral interstitial pneumonia due to COVID-19 infection tested + for COVID-19 on day 1

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Clinical information

82 yrs old female, overweight and hypertensive, PM for SSS. The patient presented to our Emergency Department with a chief complaint of fever, cough and dyspnea. No clinical response on CPAP. The patient passed away on day 6 from admission.

Brief description

Analyzing the images we can see all the main features of interstitial pneumonia.
1. B lines: the B lines are well represented, clustered but not confluent, with some spared areas. B lines are distributed randomly. Most B lines originate from small subpleural consolidations.
2. Pleural line: the pleural line is thickened and shredded.
3. Subpleural consolidations: very often present in COVID-19 patients, usually.
CXR non descriptive.

Ultrasound Images & Clips

Subpleural consolidations

B lines with some spared areas

A thickened pleural line. Note the shredding of the line.

B lines originating from small subpleural consolidations.

The x-ray shows no major findings if any at all

Conclusion

Bilateral interstitial pneumonia due to COVID-19 infection.

Details

Sex: Female
Age: 82
Body part: Lung

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Author

Dr. Marco Garrone

Emergency Physician, A.O. Mauriziano

Next to his work as Emergency Physician, Marco is also Course Director at Ultrasonica Emergency Ultrasound School and Founding member of Winfocus.

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