COVID-19 Pneumonia

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

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

CT

Conclusion

Bilateral interstitial pneumonia and myocarditis due to COVID-19 infection

Details

  • Sex: Male
  • Age: 77
  • Body part: Lung