LAUSR

We report a 65-year-old man with hypertension, obesity and intermittent cocaine use who presented with two weeks of dyspnea and exertional chest tightness who was admitted for observation and inpatient stress testing. Given clinical suspicion for CAD, an exercise stress single-photon emission-computed tomography (SPECT) with low-energy (120 kV, 30 mA) CT attenuation correction study was performed. Stress ECG and myocardial perfusion imaging were normal and CT for attenuation correction (CTAC) showed no coronary calcifications. However, the CTAC demonstrated abnormal pulmonary patchy ground glass opacities (GGOs) in the bilateral lower lobes that have been described in patients infected with novel COVID-19 infection (Figure 1). As a result of the identified GGOs, COVID-19 testing was performed and was positive. The patient received a 5-day course of hydroxychloroquine (Plaquenil) with subsequent improvement of exertional dyspnea. He was discharged home with return precautions, self-isolation counseling and telehealth follow-up.