Abstract

Purpose. To demonstrate MRI signs of COVID-19-associated lung damage in a patient with atypical clinical symptoms. Materials and methods. The analysis of literature data, the results of clinical examination, magnetic resonance imaging, using various pulse sequences, and computed tomography data are presented. The analysis of the features of the clinical picture and comparison of changes in the lungs detected using two different methods of tomographic imaging were performed. Results. MRI showed signs of parenchymal infiltration with pleural effusion in both lungs. Computed tomography confirmed a high likelihood of lung damage associated with COVID-19, coinciding in extent and location with MRI data. A feature of the presented observation is the dominance in the clinical picture of symptoms from the upper floor of the abdominal cavity, the absence of an increase in temperature and respiratory complaints. Infection of the patient with COVID-19 was confirmed by a reference test. MR imaging made it possible to promptly start treatment for pneumonia caused by COVID-19 and achieve the patient's recovery. Conclusion. MRI can detect changes characteristic of COVID-19-associated pneumonia. The vigilance of the radiologist regarding possible infiltrative changes in the lungs, which often covers the scan area with an MRI of the abdominal cavity, allows a timely targeted examination for COVID-19 and the initiation of patient treatment. It is advisable to study in more detail the possibilities of MRI as an alternative test in case of contraindications for ionizing imaging of the lungs in a pandemic of a new coronavirus infection.

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