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.