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Imaging Findings: 48/53 patients underwent CT 100% of these had abnormal findings: 48 had opacities in both lungs 4 had pneumomediastinum 5 had pleural effusions 1 had pneumothorax Syndromic Surveillance: Mean monthly visits to ED for respiratory illness June 1-August 15, 2019 was twice the monthly rate that occurred between the same dates in 2018