CTICasesCOVID-19 Pneumonia in an Airline Pilot
Imaging findings
CT chest in a 35-year-old pilot shows classic peripheral, basal-predominant ground-glass opacities and consolidations. The white blood cell count was borderline low (4.1) with mild lymphopenia. Nasopharyngeal PCR testing was initially negative.
Key takeaways
Occupational exposures (such as airline pilots traveling internationally) can be a source of viral transmission. Lower airway-predominant viral infections can show typical CT findings of organizing pneumonia before nasopharyngeal PCR becomes positive. Close contact history and lymphopenia are useful diagnostic clues.
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