Pediatric COVID-19: Correlations between Clinical and Imaging Perspectives

Figure 3

Chest X-rays of three patients with COVID-19 having pleural disease which is an atypical finding for pediatric COVID-19 infection that required intervention. (a) A 5-year-old female with a history of fever and cough. Chest X-ray shows bilateral pleural effusion. The patient was discharged after 12 days. (b) A 14-year-old female with associated tuberculous enteritis and tuberculous lymphadenitis was presented with fever and acute shortness of breath. Chest X-ray shows bilateral pneumothoraces; no parenchymal lung abnormality was detected on CT (not shown). The intercostal tube is also noted. The patient severely deteriorated and was transferred to the intensive care unit, was mechanically ventilated, and died. (c) A 5-year-old female was presented with fever, cough, and respiratory distress. Chest X-ray shows a homogenous opacity involving the left hemithorax associated with a marked mediastinal shift to the contralateral side in keeping with the left-sided pleural effusion. The patient underwent intercostal tube insertion, clinically improved, and was discharged after 15 days.

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