Figure 4.

A 19-year-old woman with cystic fibrosis and Pseudomonas spp. colonisation was admitted with small bowel obstruction requiring laparotomy. During admission she developed fever, hypoxia, and tested positive for COVID-19. She was treated in the ICU with continuous positive airway pressure (CPAP) and intravenous antibiotics in view of her Pseudomonas lung infections. (a) Admission CXR (left) compared to baseline (right) showing new bilateral lower lobe consolidation and features of cystic fibrosis. (b) CTPA to investigate acute desaturation shows bronchiectasis with bronchial wall thickening, mucous plugging, and tree-in-bud changes in keeping with cystic fibrosis together with bilateral peripheral, basal predominant consolidation, and GGO with peri-lobular opacities in keeping with COVID-19.