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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 5 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 5

From: Splenomegaly versus pathological lung volume during COVID-19 infection with or without cytokine storm; a linear regression analysis using CT volumetry

Fig. 5

Progressive splenomegaly in a 43-year-old female patient with severe COVID-19 infection and elevated Interleukin-6 (320 pg/ml), consistent with initiation of cytokine storm: A–C Initial baseline study: A Axial HRCT (lung window) showing right posterior segmental upper lobar sub-pleural ground glass patch and left upper lobar confluent ground opacities. Minimal left-sided pneumothorax was noted with an inserted inter-costal tube. B Axial CT (mediastinal window) for the maximum anteroposterior and side-to-side splenic dimensions (12.6 cm and 4.5 cm). C Coronal CT (mediastinal window) for the maximum splenic craniocaudal dimension (11.8 cm). D–F Follow-up of the same patient nine days later: D Axial HRCT (lung window) showing left-sided progressing hydro-pneumothorax with denovo left lingular sub-pleural wedge-shaped patch. E Axial CT (mediastinal window) for the maximum anteroposterior and side-to-side dimensions (14.2 cm and 5 cm). F Coronal CT (mediastinal window) for the maximum craniocaudal dimension (13.1 cm)

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