Bilateral acute pulmonary embolism and Covid-19 pneumonia: CT findings

Since the widespread of acute respiratory syndrome infection caused by coronavirus-19, unenhanced computed tomography (CT) was considered a useful imaging tool commonly used in early diagnosis and monitoring of patients with complicated Covid-19 pneumonia. If there is clinical or laboratory suspicion of pulmonary embolism complicating Covid-19 pneumonia, CT angiogram of the pulmonary arteries may be necessary. Here we describe the case of a 52 years old man, affected by a high-risk myelodysplastic syndrome patient, with Covid-19 pneumonia, complicated by a bilateral massive acute pulmonary embolism. An unenhanced CT and then a CT pulmonary angiography were made, and the patient was immediately hospitalized and treated.