PATIENT 3
A 71-year old patient was transferred to our institution for cerebral vascular ischemia. During the hospitalization was diagnosed of COVID-19 on the basis of typical clinical and chest x-ray findings (nasopharyngeal swabs were negative). Two days after his admission a surge in D-dimer levels was noted (>2200 ng/ml) and, to rule out pulmonary embolism, a CT was performed: imaging was negative for pulmonary embolism but demonstrated a hypodense lesion in the left ventricle indicative of thrombus (confirmed echocardiographically) and a hypodense, infarctual area in the splenic parenchyma (Figure 3). These findings were not detectable in a previous follow-up CT performed in January 2020.