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4. 1 and 3
The patient has been recently hospitalized for respiratory failure, is in mild-moderate respiratory distress and has an abnormal chest x-ray. Sending the patient home is inappropriate and she was admitted. Her influenza A/B, Covid and Cocci serologies were all negative. Thoracic CT scan revealed consolidation in the left upper lobe (Figure 2).
Figure 2. Representative view of thoracic CT scan in lung views showing left upper lobe consolidation (red arrow).
Over the next 3 days the patient’s respiratory status rapidly deteriorates. Due to inability to adequately oxygenate on high flow oxygen, patient was intubated and mechanical ventilated.
Chest radiograph and chest CT indicated new diffuse lung opacities, more prominent in upper and mild lung zones. (Figure 3).
Figure 3. A: Portable PA of chest prior to intubation. B &C: Representative images from thoracic CT after intubation showing diffuse consolidation.
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