PMC7678424_01
Preoperative chest tomography shows a cystic image with heterogeneous content and a thickened wall that compromises the lower left lobe.
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At the beginning, he was treated with ciprofloxacin + cephalosporins, without remitting symptoms, so he underwent a chest tomography in the third week of illness, which revealed a "cystic" image with heterogeneous content in the left lower lobe, suggestive of lung abscess versus Complicated pulmonary hydatid cyst (see Fig. 1, Fig. 2).
Postlobectomy surgical specimen shows hepatized left lower lobe.
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The surgery performed: lower left lung lobectomy; the findings were: pleuroparenchymal adhesions and the lower lobe of the left lung was "hepatized" (see Fig. 3, Fig. 4); bleeding approximately 100cc so it was not necessary transfusion of blood components.
Chest X-ray on the second postoperative day shows left lung reexpansion, no signs of pneumonia in the lung parenchyma, chest drainage directed towards the lung dome.
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In addition, chest radiograph shows atelectasis of the left upper lobe (see Fig. 5); therefore, it is intensified in respiratory physiotherapy.
Tomography of the chest on the fourth postoperative day shows a ground glass pattern, compatible with SARS-COV-2 pneumonia. Note the involvement of both lungs, but predominantly the right lung.
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In this examination, the right lung presents a "ground glass" image in the three lobes associated with areas of multiple consolidation compatible with the Crazy Paving pattern of SARS-COV-2 (see Fig. 6, Fig. 7).