COVID-19 Pneumonia

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

Bookmark

Clinical information

The patient presented to the Emergency Department with a chief complaint of fever and dyspnea.

Brief description

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. Subpleural consolidations: very often present in COVID-19 patients, usually with a diameter below 1 cm. 4. Effusion: a very rare finding, scanning wasn’t included since most likely this patient effusion (as seen on CT scan) was due to LV dysfunction. 5. Left ventricular dysfunction: not uncommonly, these patients have myocarditis with left ventricular impairment.

Ultrasound Images & Clips

Typical aspect featuring irregular pleural line and subpleural consolidation.

Same aspect. Markedly congested lung with abundant B lines

Subplueral consolidation, typically around 1 cm diameter

Shredded pleural line, diffuse B lines with some spared areas

Low quality clip due to electrical interference showing left ventricular dysfunction, most likely due to myocarditis

Conclusion

Bilateral interstitial pneumonia and myocarditis due to COVID-19 infection

Details

Sex: Male
Age: 77
Body part: Lung

Looking for MSK Ultrasound Education? Visit Sonoskills.com

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.

More Cases from Marco Garrone

[{"listLocation":"abdomen-and-retroperitoneum","icon":"001-abdomen-white.svg","header":"Abdomen and retroperitoneum","id":63},{"listLocation":"urinary-tract-and-male-reproductive-system","icon":"002-urinary-tract-white.svg","header":"Urinary Tract and male reproductive system","id":64},{"listLocation":"gynaecology","icon":"003-gynaecology-white.svg","header":"Gynaecology","id":65},{"listLocation":"head-and-neck","icon":"004-head-neck-white.svg","header":"Head and Neck","id":66},{"listLocation":"breast-and-axilla","icon":"005-breast-white.svg","header":"Breast and Axilla","id":67},{"listLocation":"musculo-skeletal-joints-and-tendons","icon":"006-msk-joints-white.svg","header":"Musculoskeletal Joints and Tendons","id":68},{"listLocation":"musculo-skeletal-bone-muscle-nerves-and-other-soft-tissues","icon":"007-msk-bones-white.svg","header":"Musculoskeletal, bone, muscle, nerves and other soft tissues","id":69},{"listLocation":"thorax","icon":"008-thorax-white.svg","header":"Thorax","id":70},{"listLocation":"pediatrics","icon":"009-pediatrics-white.svg","header":"Pediatrics","id":71},{"listLocation":"peripheral-vessels","icon":"010-peripheral-vessels-white.svg","header":"Peripheral vessels","id":72}]