Izzo Andrea, D’Aversa Lucia, Cerimoniale Giuseppe, Mazzella Giuseppe, Pergoli Pericle, Faiola Eugenio Leone, Casale Lorenzo, Di Pastena Francesca
U.O.C. Diagnostica per immagini – Ospedale “Dono Svizzero” Formia DEA I livello– Asl Latina
74-year-old male patient presented to the ED with chest pain and vomiting for 12 hours. Medical history: chronic myocardial ischemia, astma; in treatment with oral anticoagulants. Epidemiologic risk for SARS-CoV-2 exposure.
Medical examination: dyspnea, tachypnea, no fever. pO2 94%.
Chest radiography:


Interstitial markings with consolidation at the right basis and opacities in the upper and medium lung regions.
Because of the epidemiologic risk and chest findings, a CT is performed.





Multiple ground-glass opacities associated with areas of GGOs and reticulations in a “crazy-paving pattern”. Consolidation at the right posterior base. Fibrotic bands at the left posterior base. Features consistent with Covid-19 pneumonia. RT-PCR test on nasopharyngeal swab was positive.