FIG 2.

A 60-year-old male patient with a history of asthma and hypertension presented to an outside hospital with fever, dyspnea, and chest imaging demonstrating multifocal pneumonia. The patient tested positive for COVID-19. The patient was intubated, but his condition worsened despite mechanical ventilation, and he was subsequently placed on VV-ECMO. Three days later, the patient demonstrated anisocoria on physical examination, prompting a CT scan of the head. There was diffuse cerebral edema with sulcal and cisternal effacement and multiple intraparenchymal hemorrhages (solid arrows) resulting in left-to-right midline shift, intraventricular extension (dotted arrow), and subfalcine and uncal herniations.