Page 60 - Living-on-the-frontline-of-COVID-19-in-MCO-and-CMCO

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CT scan at 4 and 6 week of illness
The CT scan was done at the fourth week of illness and another one at six weeks

later. The first CT scan at 4th week, there was a reticulation at the peripheries
(fibrosis). At 6th week, the lines were finer when compared to 4th week.

Subsequent sections of CT scan of 4th week showed the ground glass opacity with
dense, perhaps dense consolidation. At 6th week, we can see even fine fibrosis with
perhaps a small fraction of bronchiectasis and all these are evidence of a significant

fibrosis. At the bases, we could even see more pronounced fibrosis here on the
latest (6th week) CT scan.

If you look at the pattern of the fibrosis and compared to the other four patients,
the three of them had almost complete radiological resolution. Only one patient in
between. But, this patient (case 5) has worsened in terms of the fibrosis. We

hypothesized that he might have a pre-existing interstitial lung fibrosis to begin
with and on further questioning with him, he did experience breathlessness since
2018 with the dry cough. However, he went to a hospital to be investigated for a

heart problem, but he was told his heart was okay, but was not told that he had a
lung problem.

So, these are the five patients, a small limited experience by the local.