Presentation
Breathless.
Patient Data
Moderate peripheral airspace change in the mid and lower zones marginally worse on the left.
No pleural effusions.
1 day later. Increasing oxygen requirements
No pulmonary emboli.
Severe bilateral ground-glass change in both lungs. This is centred on the lung peripheries and is panlobular.
Case Discussion
Rapid progression in 24 hours demonstrating the rapidity in which COVID-19 pneumonia can progress and the severity of radiological findings that occur.
In the many hundreds of cases, I have been privy to in the last 11 months, this peripheral bilateral appearance, typically starting in the mid zones is by far the commonest and most specific I have observed from an anecdotal perspective.