add https://www.sirm.org/2020/03/21/covid-19-caso-56/

metadata.csv

@@ -151,3 +151,4 @@ Patientid,offset,sex,age,finding,survival,view,modality,date,location,filename,d
 79,10,M,33,COVID-19,,AP,X-ray,2020,,figure1-5e73d7ae897e27ff066a30cb-98.jpeg,,https://app.figure1.com/images/5e73d7ae897e27ff066a30cb,,"A 33 year old male presented to ED with 10 days of malaise and dry cough then 3 days of Haemoptysis, shortness of breath, pleuritic chest pain and dizziness. He has no past medical history but he is morbidly obese (BMI 58.1 kg/m2). No family or travel history. His O2 saturation was initially 58% on room air and 89% on 15 litres of Oxygen via non-rebreather mask, Heart rate of 146 and Blood pressure of 143/81. Chest X-Ray shows extensive bilateral inflammatory changes. Basic blood tests show raised inflammatory markers (CRP 135), raised D-dimers and normal lymphocytes. CT Pulmonary Angiography revealed Widespread patchy airspace change likely pulmonary haemorrhages. Patient was admitted to ITU and had full immunology , virology, microbiology and rheumatology screens done. He tested negative for all investigations done including HIV, HCV, HBV, TB and connective tissue diseases. Patient tested positive of COVID-19. He later deteriorated and required invasive support. Patient is currently still in ITU.",Image originally shared on Figure 1.,
 80,2,M,84,COVID-19,Y,PA,X-ray,2020,,figure1-5e75d0940b71e1b702629659-98-right.jpeg,,https://app.figure1.com/images/5e75d0940b71e1b702629659,,"84M with COPD, HFpEF, and BPH with recurrent UTIs. Was in his USOH and recovering from recent admission for UTI and subsequent stay in short-term rehab 2 weeks ago. Found unresponsive by wife at home with labored breathing. Afebrile, hypoxic and tachycardic in the field, arrived to ED on non-rebreather satting well but altered and in respiratory distress, intubated for airway protection. CBC/BMP completely unremarkable aside from anion gap of 19 and leukocytosis 16. CXR (image 1) showed some questionable linear opacities compared to recent prior, and there was concern for infection given #COVID-19 epidemic and respiratory distress. However further labs revealed POC trop 2.16, BNP 4K, VBG pH 7.37, lactate 4.3. EKG showed new RBBB and S1Q3T3 pattern (image 2, right). Echo (image 2, left) showed severely dilated RV, apical hypokinesis and McConnell's sign. PERT code was activated and pt was taken for stat CTA (image 3) revealing massive #Pulmonaryembolism (?saddle) but predominately occluding the entire R side. Systemic thrombolysis was considered, however, pt had known meningioma, which showed interval growth on stat CT head, raising concern for bleed. Within 4h of presentation, pt was taken to IR suite for embolectomy, which was successful at restoring flow to entire R lung field (image 4). Involvement of L pulmonary artery was non-occlusive and not intervened on. After the procedure, pt was taken for LE dopplers (image 5), which identified residual clot burden in the L profunda femoral vein. The following day, pt was extubated to room air and made a full recovery.",Image originally shared on Figure 1.,
 81,7,M,44,COVID-19,,PA,X-ray,2020,,figure1-5e71be566aa8714a04de3386-98-left.jpeg,,https://app.figure1.com/images/5e71be566aa8714a04de3386,,"44M untreated DM2 (A1C 11), no other medical issues or comorbidities, now confirmed #COVID-19 Presented with 1 week of GI-predominate symptoms (epigastric pain, poor PO, 1 episode of vomiting at onset). Progressed to myalgias and non-productive cough but really presented for GI symptoms. Hypoxic to low 90s on RA at presentation, febrile to 101. Rapidly devloped hypoxemic respiratory failure over course of several hours, RA -> max NC -> non-rebreather. So far not requiring intubation. Started on trial of liponavir/ritonavir. L CXR at presentation, R several months prior.",Image originally shared on Figure 1.,
+82,4,F,52,COVID-19,,AP Supine,X-ray,2020,Italy,1F6343EE-AFEC-4B7D-97F5-62797EE18767.jpeg,,https://www.sirm.org/2020/03/21/covid-19-caso-56/,,"Cuneo 52 year old female patient, for about 4 days fever and malaise, worsening. He enters DEA for syncope after urination with head trauma and left hemicostat trauma. APR: asthma, in therapy with Montelukast in the evening, Beclometasone + Formoterol 1 puff x 4. Normal blood count, PCR 10.12 mg / L, PCT 0.13 ng / mL; LDH 279 U / L. Research SARS-CoV-2 (COVID-19) RNA on nasopharyngeal swab: DETECTED. No radiographic images of pleuro-pulmonary lesions in activity. Cardio-vasal shadow within the limits.","Credit to Gallarato Gabriele, Demaria Paolo, Negri Alberto, Baralis Ilaria, Cerutti Andrea, Priotto Roberto, Violino Paolo.",