PMC6325082_01
A CT scan the day after admission showing multiple nodular infiltrates. Mediastinal abscess not visible in this slide.
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A computed tomography (CT) scan showed widespread nodular infiltrates and signs of an abscess in the mediastinum (Fig. 1).
A CT scan after 18 days in the ICU. The patient developed bilateral pneumothoraces, pneumopericardium and pneumomediastinum after a trans-bronchial biopsy. Bilateral pleural tubes in-situ.
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Shortly after that intervention the patient developed bilateral tension pneumothoraces, pneumopericardium and subcutant emphysema (Fig. 2).
A CT scan after two weeks on VV-ECMO. Both lungs show numerous bullae and there were persistent bilateral pneumothoraces despite pleural tubes in-situ.
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During the ECMO treatment the patient's lungs developed multiple bullae and he had persistent pneumothoraces where the lungs did not expand despite patent pleural tubes (Fig. 3).
A CT scan after 46 days on ECMO. Both lungs have expanded with functional lung tissue visible again. This correlated with improvement clinically.
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After 45 days on ECMO the patient started to show signs of recovery with increasing lung compliance and re-expansion of the lungs (Fig. 4).