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Post COVID-19 lung fibrosis and pleural effusion in geriatric patient

Post COVID-19 lung fibrosis and pleural effusion in geriatric patient

Rashmi Ramesh Walke1,&, Deepak Kumar Jain2

 

1Department of Cardiovascular and Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Wardha, Maharashtra, India, 2Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

 

 

&Corresponding author
Rashmi Ramesh Walke, Department of Cardiovascular and Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Wardha, Maharashtra, India

 

 

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An 81-year-old male who has hypertension in the last 15 years coming to our hospital with a chief complaint of severe breathlessness, chest pain with a history of fever spike in the last 20 days. When he underwent real-time reverse transcription-polymerase chain reaction (RT-PCR) test, the test comes positive with SARS COVID-19. Routine test high-resolution computed tomography (HRCT) showed approximately 75% of the left side and 50% of right lung involvement with CO-RAD 6 and HRCT severity score 20. HRCT showed multiple ill-defined patchy ground-glass opacity with consolidation and septal thickening in the bilateral lung field. There is a finding of fibrotic changes with tractional bronchiectasis in bilateral lung field with minimal pleural effusion.

 

 

Figure 1: A) HRCT report showing fibrosis over the right lung; B) fibrosis over the left lung; C) bilateral consolidation; D) patchy ground glass opacity