PMC9314003_01
HRCT illustrating severe organising pneumonia with fibrotic-like changes.
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A high-resolution chest computed tomography (HRCT) with pulmonary angiography acquisitions (CTPA) on day 26 of illness showed features typical of COVID-19 pneumonia with evidence of ground glass opacities of central and peripheral distribution in all lung lobes (Figure 1).
(a) A massive left sided pleural effusion with right mediastinal shift. (b) A marked improvement in left haemothorax.
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Repeated chest radiograph showed massive left sided pleural effusion with right mediastinal shift (Figure 2(a)). Repeated chest radiograph showed a marked improvement in left haemothorax (Figure 2(b)).
CT angiography of the thorax demonstrating a streak of contrast extravasation arising from 4th intercostal space on portovenous phase with further pooling of contrast into pleural cavity at a 3-minute delayed phase (shown by the arrow).
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fig3
A subsequent CT angiography thorax confirmed a massive left haemothorax, causing mediastinal shift with contrast extravasation in keeping with active bleeding arising from the left fourth intercostal vessel (Figure 3).