CTICasesCOVID-19 Positive with Aspiration Bronchiolitis
Imaging findings
CT chest shows small centrilobular nodules, tree-in-bud opacities, and consolidations predominantly in the dependent portions of the right upper and lower lobes, consistent with aspiration bronchiolitis. Nasopharyngeal swab PCR was positive for COVID-19.
Key takeaways
COVID-19 can be an incidental or co-existing infection in patients presenting with other acute pulmonary pathologies. The presence of tree-in-bud nodules and dependent consolidations is characteristic of aspiration bronchiolitis, and these findings should not be mistakenly attributed to COVID-19 simply because the patient is PCR positive.
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