Fig. 1 Chest CT scan revealed multiple vessel-related nodular opacities with grand glass halo with central and peripheral distribution, bilateral pleural effusion.

His laboratory clinical results are shown in Table 1. Briefly, we found an increased white blood cell count (17.22x10³/µL), a hemoglobin level of 13.8g/dl, a variable low P O2 (from 82 to 78 /mm³), elevated transaminases, and a high D-dimer concentration (580 ng/L). On day 6^th he was admitted to the intensive care unit (ICU) requiring endotracheal intubation and mechanical ventilation for refractory hypoxia.

Table 1. Clinical laboratory results (hospitalization days)