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Q. My dad has caught COVID-19. Would you please give an opinion on how his lungs are doing?

Answered by
Dr. Muhammad Zubayer Alam
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Feb 17, 2021 and last reviewed on: Mar 15, 2021

Hi doctor,

My dad is living away from us and he got a COVID-19. I have attached the reports. Please give your opinion regarding the health of his lungs.

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Hi,

Welcome to icliniq.com.

I understand your concern. According to the statement, your dad is suffering from a COVID-19 (severe acute respiratory syndrome coronavirus 2) infection. According to the X-ray, (attachment removed to protect patient identity), there is slight development of consolidation at the right lower lobe. His clinical features are important to correlate with this X-ray report. In COVID-19 infections, initially, the respiratory tract gets affected badly. After that, fever and mild cough occur after a few days.

The cough can become intractable and shortness of breath or breathlessness can occur. After this condition, COVID pneumonia can get developed. It is better to undergo HRCT (high-resolution computed tomography) of the chest to exclude the causes of the lungs. Monitor his oxygen saturation rate by pulse oximeter regularly along with blood sugar levels. Kindly provide some more information regarding his present health status or clinical features with X-rays on the follow-up and it helps to guide you further.

.

Thank you doctor,

Does consolidation occur due to fluid build-up? Can he develop pneumonia? Does it look like starting or he is at the tail end of COVID? I will send him to do HRCT soon. At the beginning of this week, he had a cough. On the next day, he got a sore throat. He has similar symptoms as mentioned by you now. He has lost his sleep. Today after sleeping, he feels better.

#

Hi,

Welcome back to icliniq.com.

Consolidation is a symptom of COVID pneumonia. Your father has a slight development of consolidation at the lower part of the right lung. It can occur due to hypodense area or some radiological changes. It can result from an artifact, age-related, and due to previous healing of respiratory infections. I want to know his present clinical signs and symptoms. If there are any respiratory complications, then it can be confirmed by doing an HRCT of the chest. Monitor his oxygen saturation rate regularly and it gives your a prediction regarding his respiratory status. As he is near 60 years, it is good to do a routine HRCT of the chest.

Thank you doctor,

It has been two weeks now. I am attaching his new X-rays. Please mention whether his condition looks better or worse on going through the X-rays. Will it be safe for him to come back home? Now, he got a negative result for COVID-19.

#

Hi,

Welcome back to icliniq.com.

According to the attached X-ray report, the hypodense area present in the previous film has got disappeared on the right lower lobe. His recent radiological films seem to be better than his previous films according to the age. If your father is free from cough, shortness of breath or respiratory distress, any type of COVID-19 complication and oxygen saturation is normal, then he can travel anywhere. If his physical status allows him, then he can travel back home.


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