COVID-19 Pneumonia

Bilateral interstitial pneumonia with posterior consolidation due to COVID-19 infection.

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Clinical information

The patient presented to the our Emergency Department with a chief complaint of fever, cough and dyspnea. Tested positive for COVID-19 on day 3 from admission due to lack of swabs.

Brief description

Analyzing the images we can see all the main features of interstitial pneumonia:

1. B lines: the B lines are well represented but are not confluent in a “white lung” appearance but rather clustered with some spared areas. B lines are distributed randomly.
2. Pleural line: the pleural line is thickened and shredded.
3. Posterior consolidations: some patients present with significant posterior consolidation, usually if late presentation to the ED as seen on clip 1.

Ultrasound Images & Clips

B-lines in waterfall fashion with evident spared area. As easily identified, there is a segment of normal pleural line with no artifact arising from it.

An enlarged view showing a minor subpleural consolidation. Note the interruption of the pleural line.

Large consolidation. this scan was taken in basal posterior area, where such consolidations are more frequent.

case 3.jpg

evident interstitial involvement.

Conclusion

Bilateral interstitial pneumonia with posterior consolidation due to COVID-19 infection.

Details

Sex: Male
Age: 50
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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