PMC7501545_01
Admission chest radiograph in the emergency department.
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Chest radiograph on the general intensive care unit. Showing worsening of bilateral patchy changes which is worse on the left. Nasogastric tube, central line, and Vas Cath are noted.
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Additionally, primers and probes for the World Health Organisation E gene assay (including an internal positive amplification control from extraction) was also used to enhance the sensitivity. A repeat chest radiograph showed considerable interval worsening of parenchymal opacification within both lungs (Figure 2).
Chest radiograph and postinsertion of two intercostal chest drains with partial unresolved left-sided pneumothorax.
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She was immediately placed supine and received a needle decompression, followed by insertion of bilateral intercostal chest drains (ICDs) (Figure 3), which improved her respiratory function but with some residual pneumothorax evident in the left hemithorax.
(a-d) Serial axial sections of thorax computed tomography (CT), showing bilateral ground glass opacification and pneumatoceles (white arrows) with large complex left hydropneumothorax (green arrows).
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A thorax CT scan demonstrated a large loculated left hydropneumothorax, bilateral anterior pneumatoceles, widespread bilateral ground glass, and crazy paving appearances with the radiological appearance of classic COVID-19 pneumonia (Figure 4).
Serial axial sections of thorax computed tomography (CT) after tracheostomy decannulation showing bilateral residual scarring from the COVID-19 infection with significant improvement in the left hydropnemothorax and pneumatoceles.
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Her most recent thorax CT showed significant improvement, with a large reduction in the size of her left hydropneumothorax (Figure 5).