Figure 1 a-f
Chest radiograph series in a 4 year 11-month-old boy COVID-19 encephalitis who was admitted to ICU with depressed conscious and requiring ventilation.
Frontal chest radiographs from day 1 of presentation today 6 of presentation demonstrate, in sequence, atelectasis of the right lower and middle lobes, atelectasis of the whole right lung and then atelectasis of the right upper lobe and right lower lobe, all while the patient was intubated with appropriate positioning of the tip of the endotracheal tube, above the level of the carina. The right hemidiaphragm is not visible on these radiographs.
Frontal and lateral chest radiographs on day 18 demonstrate an ‘apparently’ elevated right hemidiaphragm, in keeping with phrenic nerve palsy, while follow-up chest radiograph at day 56 demonstrates a normal position of the right hemidiaphragm, indicating resolution.