Ultrasound probe scratches the pleural surface: revealing the shades of COVID-19 (SARS-CoV-2) pneumonia.

We present a case of a patient diagnosed with COVID-19 pneumonia and illustrate the changes observed using thoracic ultrasound alongside disease evolution. The case renders how COVID-19 pneumonia can sonographically correlate with chest radiograph findings and links with the oxygen requirement during different clinical stages of illness. We compare these images as the patient escalates through mild disease on low flow oxygen therapy, moderate disease on high flow oxygen therapy and severe disease requiring mechanical ventilation in the Intensive Care Unit.

Thoracic ultrasonic narration of Covid-19 pneumonia.

Covid-19 (SARS-CoV-2) is a new coronavirus. Since the declaration of a global pandemic, a lot has been learnt about its spread, disease pattern, diagnosis and management. The lungs remain the prime organs to incur serious insult and when lung complications embark, significant morbidity and mortality is observed.

Partial ambulatory management of severe secondary spontaneous pneumothorax.

Secondary spontaneous pneumothorax can be difficult to manage especially in patients with advanced lung disease and respiratory failure. Such patients are unfit for surgery and may endure prolonged hospital stays with chest drains in situ. We describe two such cases where the air leak was persistent despite conventional management.

Metastatic angiosarcoma: a vascular tumour or an intracranial haemorrhage?

A 64-year-old man presented with weakness of his right arm and leg. He had previously had mitral valve replacement, tricuspid annuloplasty, leg deep vein thrombosis (DVT) and femoral embolism. Computed tomography (CT) scan of the brain showed an acute left thalamic haemorrhage.

Non-alcoholic fatty liver disease in a patient with maturity onset diabetes in the young.

We present the case of a 34-year-old man who was first seen in our clinic in 2003. His α-glutamyl transferase (GGT) was raised but the rest of the liver function tests (LFTs) and liver screen were normal. He was diagnosed with maturity onset diabetes of the young (MODY) when he was 21 years old.