The patient is a 63-year-old male kidney and liver transplant recipient who presented to the Emergency Department (ED) after developing symptoms of mild fever, shortness of breath, and cough. His vitals and physical exam in the Emergency Department were within normal limits, except for a temperature of 38 degrees Celsius. His initial chest x-ray on the day of admission (Day 1) was unremarkable. He tested negative for influenza and COVID-19 via polymerase chain reaction (PCR) and was admitted to the hospital. At the time of admission, he had a normal white blood cell count (6.94 × 109/liter), decreased absolute lymphocyte count (2.9 %), and normal liver function tests. Cytomegalovirus and Bordetella PCR serology were also negative. His home immunosuppressant regimen consisted of mycophenolic acid 500 milligrams daily, prednisone 5 milligrams daily, tacrolimus 2 milligrams twice a day.