Presumed pulmonary COVID-19 infection detected incidentally on breast MR

Radiology Case Reports
Adam BrownAnmol Malhotra

Abstract

COVID-19 is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). A global pandemic was declared by the World Health Organization on 11 March 2020. Approximately 30% of infected individuals are asymptomatic. We present the case of a 68-year-old female who underwent outpatient breast magnetic resonance (MR) imaging for assessment of a left breast mass. The study demonstrated abnormal sub-pleural high T2 signal intensity change within in the partially visualised lungs, which showed enhancement following administration of contrast. Concern was raised that the pulmonary changes may represent COVID-19 infection. The patient was urgently contacted and denied any current symptoms but reported suffering mild upper respiratory tract symptoms two weeks earlier. An outpatient chest radiograph demonstrated changes consistent with COVID-19 infection and the patient was treated as COVID-19 positive and advised to self-isolate for 7 days as per Public Health England guidance. Due to increasing breathlessness the patient presented to our emergency department the next day and underwent a CT pulmonary angiogram which demonstrated segmental pulmonary emboli and sub-pleural consolidation in keeping with COVI...Continue Reading

Citations

Mar 12, 2021·Lab on a Chip·Qi SongWeijia Wen

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