CTICasesSevere COVID-19 Pneumonia on ECMO
Imaging findings
Chest radiograph shows diffuse, bilateral consolidative lung injury with confluent opacities and bilateral pleural effusions. The patient is a 46-year-old male on the brink of extracorporeal membrane oxygenation (ECMO).
Key takeaways
Severe COVID-19 pneumonia can rapidly progress to severe ARDS requiring mechanical ventilation and ECMO. The imaging findings at this stage represent diffuse alveolar damage with extensive alveolar collapse and consolidation, carrying a high risk of barotrauma and superinfection.
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