VB
Vikas Bhardwaj
Medical Technologist, AIIMS New Delhi
Updated: Apr 17, 2026
**Core Concept**
The patient's symptoms of breathlessness, fever, dry cough, and recent travel history to China are suggestive of a viral respiratory infection, specifically COVID-19, caused by the SARS-CoV-2 virus. The chest CT findings will likely reflect the pathophysiological changes in the lungs due to this viral infection.
**Why the Correct Answer is Right**
In COVID-19, the virus causes inflammation and damage to the lung tissue, leading to ground-glass opacifications and consolidation, particularly in the peripheral and basal regions of the lungs. These findings are due to the viral replication and subsequent immune response, which results in the release of inflammatory mediators and the recruitment of immune cells to the affected areas. The ground-glass appearance is a result of the interstitial edema and the presence of inflammatory cells.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect as it describes a feature more typical of pulmonary embolism, which would not be the primary concern in a patient with a travel history to China and symptoms suggestive of a viral infection.
**Option B:** This option is incorrect as it describes a feature more typical of pneumonia due to a bacterial infection, which would not be the primary concern in a patient with a travel history to China and symptoms suggestive of a viral infection.
**Option C:** This option is incorrect as it describes a feature more typical of a tumor or a cystic lesion, which would not be consistent with the patient's acute presentation and travel history.
**Clinical Pearl / High-Yield Fact**
In patients with suspected COVID-19, the chest CT findings can be used to guide treatment and management decisions, and the presence of ground-glass opacifications and consolidation can be an indicator of the severity of the disease.
**Correct Answer:** C. Bilateral ground glass opacities.