PMC7425767_01
1A: Thoracic X-ray (anterior-posterior) from patient 1, showing a large right-sided pneumothorax with collapsed lung. Bilateral patchy pulmonary infiltrates due to COVID-19 are present. 1B: Imaging obtained a day after chest drainage showing an inflated lung with only a small apical pneumothorax left. Chest tube and infiltrates are still present.
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fig1
Chest X-ray showed a pneumothorax and a persistent perihilar consolidation (Fig. 1A). At readmission, an intercostal thoracic tube was placed, which was removed after pleural talcage five days later (Fig. 1B).
PMC7425767_02
PMC7425767_03
Transversal slides of 2 different CT scans of patient 3, obtained before (2A, 2B) and after (2C, 2D) occurrence of the pneumothorax with 2 weeks in between. Note: the presented slides represent different anatomic landmarks, but the presented lung coupes represent the same area due to shifting of the lung by the pneumothorax. 2A: Severe ground glass opacities (GGO) congruent with COVID-19. 2B: A pre-existent bulla observed in the middle lobe. Pleural effusion is present. 2C: The subsequently performed CT scan shows pneumothorax, atelectasis and subcutaneous emphysema. In comparison to Fig. 2A, progressive fibrotic reaction with honeycombing formation is seen after diminution of the GGO. 2D: Newly formed bullae are present laterobasally in the right lower lobe. Intercostal thorax tube in situ.
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Furthermore, prominent bilateral ground-glass opacifications with consolidations and crazy paving congruent with COVID-19 were observed (Fig. 2A and B).