SUSPECTED COVID 19 PNEUMONITIS

50 years old female presented with Fatigue, weakness, malaise, mild fever, anorexia, dyspnoea on exertion for last 7 days. No history of cough, cold. Her vitals including saturation (97% on room air) were normal. Chest examination reveals bilateral lower zone CREPITATIONS. Her CBC was WNL. ESR was 57, CRP was 5(normal). RFT n LFT were normal, d dimer 224, FERRITIN is awaited. Report of RT PCR for SARS COV 2 is pending. Kindly go through HRCT Thorax images n discuss further management plan.

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Bil mid basal sub pleural fluffy infiltrations with ground glass opacities seen. Findings sugg of cryptogenic organising pneumonia. Needs covid 19 RT PCR to identity the etiology. Further management accordingly.
Tree bird appearance it is restrictive or obstructive alveoli do pft covid doubtful do pft Rx lawa lama ICS is advised
What about bilateral peripherally based GGOs??
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Typical basal GGOs with floppy infiltrates are suggestive of covid19 pneumonitis Concomitant with history
Thanx dr Dinesh Gupta
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SUGGESTIVE OF CRYPTOGENIC ORGANIZING PNEUMONIA... NEEDS. FURTHER EVALUATION

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