Case Study:
A 40-year-old male patient presented to the emergency department with a chief complaint of fatigue, mild fever, dyspnea, dry cough, chest, and muscle pain. He states that he returned from overseas a couple of days ago and is concerned he may have been exposed to the COVID-19 virus. He has no significant past medical history and is not a known smoker. On physical exam, he had mild fever (99.6 degrees F) and an increased respiratory rate of 30 breaths per minute. A nasopharyngeal swab was collected and sent for PCR test for COVID-19. The following POCUS lung images were obtained in the intercostal space in zone 1 on his chest. What is your clinical diagnosis?
The image shows:
- Normal lung ultrasound
- B. Multiple B-lines seen – possibility of COVID-19 infection (to be confirmed on PCR)
- Pneumothorax
- A-lines seen
Answer:
2. B. Multiple B-lines seen – possibility of COVID-19 infection (to be confirmed on PCR)