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A 61-year-old male with history of multiple myeloma presents with 2-day history of fever, dyspnea and dry cough. Initial computed tomography (CT) chest indicated bilateral ground glass opacities with peripheral and upper lobe predominance. Despite broad spectrum antibiotics, he deteriorated clinically. Bronchoalveolar lavage (BAL) was inconclusive. Nasopharyngeal swab returned positive for Coronavirus HKU1, a known  seasonal  circulating coronavirus. Repeat CT revealed new areas of consolidation with organizing pneumonia features. The patient clinically improved with oral prednisone treatment, with eventual clinical and radiological resolution. In this clinical imaging report, we present a complication of  seasonal  coronavirus infection in the context of the current novel coronavirus pandemic.

Organizing pneumonia secondary to seasonal coronavirus infection