Q. I have a fever with CT showing viral pneumonia. Kindly advise management.

Answered by
Dr. Zubayeralam
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Nov 29, 2020

Hello doctor,

I am a 59-year-old male. I have Covid-19 symptoms such as fever and weakness.

My CT scan shows bilateral polysegmental lesion - viral pneumonia (CT-1). Coronary calcification in all lobes of the lungs. But with a predominance in the lower lobes, multiple areas of compaction of the lung tissue of the ground glass type are determined, the volume of the lesion is up to 10%, the localization is subpleural and peribronchial.

Consolidation and thickening of the structures of the secondary pulmonary lobule is noted. Areas of linear seals. There is no effusion in the pleural and pericardial cavities. The shape of the chest is normal.

In the cardio-diaphragmatic angles, formations were not detected. All pulmonary fields have small fibrous adhesions and foci of focal pneumofibrosis. The diaphragm is normal. The mediastinum is not displaced. The pulmonary parenchyma is unevenly compacted, the pulmonary pattern is deformed in places. The internal contours of the chest wall are even and clear in all parts. Mediastinal lymph nodes up to 9 mm. No calcification inclusions were found. Calcium deposits in coronary arteries. No other changes were found.

Conclusion: Bilateral polysegmental lesion - viral pneumonia (CT-1). Coronary calcification.

#

Hi,

Welcome to icliniq.com.

I can understand your concern. According to your statement, you have been suffering from fever, cough, and weakness. You have recently become COVID-19 positive. Your recent HRCT (high-resolution computed tomography) of the chest shows bilateral polysegmental lesion- viral pneumonia caused by COVID-19 or as a complication of the infection.

As you have COVID-19 pneumonia, you can take antiviral medications and antibiotics to prevent any secondary infections, Fexofenadine and Montelukast for controlling the cough.

You can gurgle with salt mixed with warm water three to four times daily. Monitor your oxygen saturation rate by a pulse oximeter. If your oxygen saturation declines below 92℅, immediately get admitted to the hospital.


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