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CASE 1: Tension Pneumothorax with surgical emphysema
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High-resolution computed tomography (HRCT) revealed that the patient had mediastinal emphysema with ground-glass opacity, for which an interventional radiologist inserted a mediastinal drain and subsequently, her oxygen requirement reduced (Figure 1).
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CASE 2: Pneumopericardium in spontaneously breathing patient
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HRCT revealed a chest computed tomography (CT) severity score (CTSS) of 40/40 with minimal bilateral pneumothorax and small pneumomediastinum (Figure 2). He was managed conservatively and then discharged on day 34 of his illness without any complication.
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CASE 3: A: minimal pneumomediastinum, B: right Pneumothorax
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HRCT revealed a CTSS of 36/40 along with pneumomediastinum and minimal right-sided pneumothorax, which was managed conservatively (Figure 3a and Figure 3b).
CASE 4: Right pneumomediastinum with pneumothorax
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His baseline HRCT revealed a CTSS of 32/40 with right-sided pneumothorax, which was managed conservatively (Figure 4).
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CASE 5: Right Pneumothorax in chest X-ray
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COVID-19. Chest X-ray showed bilateral pneumothorax, for which a bilateral intercostal drain was inserted (Figure 5).
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CASE 6: A: right pneumothorax in CT, B: subcutaneous emphysema with drain in situ
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Lung ultrasound and chest X-ray revealed right pneumothorax, for which a right-sided intercostal drain was inserted (Figure 6a and Figure 6b).
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CASE 7: bilateral pneumothorax with mediastuinal emphysema
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However, the patient developed subcutaneous emphysema over the chest and face, and a chest X-ray was suggestive of mediastinal emphysema; thus, a drain was inserted (Figure 7).
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CASE 8: Pneumopericardium extending along the great vessels into the left carotid sheath
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Computed tomography pulmonary angiogram (CTPA) showed no features of pulmonary embolism; however, mild pneumopericardium was observed, which was managed conservatively (Figure 8).
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CASE 9: left pneumothorax in chest X-ray
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Chest X-ray confirmed the presence of a left-sided pneumothorax, for which an intercostal drain was inserted (Figure 9).
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CASE 11: left pneumothorax with pneumomediastinum
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Repeat HRCT on day 30 showed new pneumomediastinum with the consolidation of the right lower lobe and a CTSS of 38/40 (Figure 10).
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CASE 12: pneumopericardium on CT image
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Pneumopericardium was also noted with a maximum thickness of 12.7 mm extending into the arch of the aorta, which was managed conservatively (Figure 11a and Figure 11b).