Concluded Case

COVID 19 CASE

55yrs/M patient with confirmed case of COVID 19 can explain the Chest x ray?

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Xray chest presenting classical picture of PAH as dialated vessels Bilateral basal opacities and GGOs Suggesting pulmonary oedema Cardiomegaly Covid19 positive Need D-dimer and sr ferritin to corelate

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Xray chest presenting classical picture of PAH as dialated vessels Bilateral basal opacities and GGOs Suggesting pulmonary oedema Cardiomegaly Covid19 positive Need D-dimer and sr ferritin to corelate

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Bil prominent bronchovascular marking and prominent Pulmonary arteries sugg of pulmonary hypertension. Adv Echo CD

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This X ray chest picture of not classical of COVID 19 But it is portraying the classical effect of COVID 19 on cardiovascular system COViD 19 is known to cause myocarditis and reduced functioning of heart X ray chest shows prominent bronchovascular marking in both lung fields In fact pulmonary vessels are grossly dilated in both lung field, it is suggestive of very weak left side of heart and left ventricular failure There is cardiomegaly which is pointing to cardiac failure

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X- ray findings are 1.PULMONARY arterial hypertension 2.Prominent broncho - Pulmonary markings 3.Cardiomegaly 4.Few ground - glass opacities seen in bilateral basal areas 5.Early CCF

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Cardiomegaly B/l prominent bronchovascular markings Pulmonary hypertension Bil basal consolidation s/o pneumonitis/ pulmonary oedema Adv: ECG, 2d echo, HRCT

SUGGESTIVE. OF C. H. F SECONDARY. INFECTION PNEUMONITIS.... CARDIOMEGA@LY SECONDARY. TO .. .P. A. H. ..

Cardiomegaly with pulmonary hypertension with CCF with super added infection

Cardiomegaly with massive lung tissue damages

CXR.. CARDIOMEGALY.. PHTN ..

Tnx Dr Shivraj Agarwal sir
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Pationt having known case of COPD and HTN D/M are not noted in your case,as well as in xray all patches shows pt is both lungs are biletraly infected ,and high gread pnemonitis .

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