Late 2019 Chest X-ray
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Late 2019 Chest X-ray
- Prior chest X-ray shown for comparison
- All areas of the lungs appear normal
- Specifically the peripheries of the lung bases are clear
Admission chest X-ray (April 2020)
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Clinical information - day 1
- 70-year-old male
- Chronic lymphocytic leukaemia (CLL) in remission
- Being investigated for per rectal bleeding and iron deficiency anaemia
- Acute onset shortness of breath at rest
- O2 saturation 85% on 15 litres of O2
- Bilateral basal crackles
- Tested swab positive for COVID-19 earlier on the same day
Admission chest X-ray (April 2020)
- AP chest
- Nasogastric tube in situ
- Bilateral patchy airspace shadowing
- The pattern is asymmetric with peripheral shadowing on the left and more perihilar shadowing on the right
- Although not very dense the shadowing is extensive - compare with the previous image above
- Classification: Severe
CPAP commenced
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Clinical information - day 5
- Worsening of respiratory failure
- Continuous Positive Airway Pressure (CPAP) started
- This patient died two days later
CPAP commenced
- The lung shadowing is denser and more extensive
- Classification: Severe