PMC10411203_01
(
A-D
) Diagnostics via axial computed tomography (CT). COVID-19 was diagnosed on December 21, 2021. The next available CT is dated January 7, 2022 and thus does not correspond to COVID-19 pneumonia. The CT (
C
) from January 7, 2022 corresponds to the condition after COVID-19 infection with the question for possible surgery planning. Except for the known aspergilloma for 7 years, no other previous lung diseases are known. (
A
) Preoperative CT. (
B
) Postoperative CT. (
C
) CT before intrapleural lavage with vancomycin. (
D
) CT after removal of the thoracic drainage.
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PMC10411203_01_10-1055-s-0043-1771197-i1120220455crt-1.jpg
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A 58-year-old patient with a history of seminoma, lymphoma, hepatitis C infection, and heavy nicotine abuse underwent a right-sided pneumonectomy due to a destroyed lung syndrome after invasive pulmonary aspergillosis ( Fig. 1A ; July 3, 2021). In addition to left-sided pneumonia, the computed tomography (CT) images ( Fig. 1B ) showed subcutaneous emphysema and a slight mediastinal shift to the left.  Due to COVID-19 pneumonia, reduced performance status, and morphologic changes of the lung parenchyma, seen in the computed tomography (CT) scans ( Fig. 1C ), we considered the patient inoperable for a thoracoplasty. After germ-free swabs of the chest tube, final irrigation with vancomycin, caspofungin, and gentamycin was performed, and the chest tube was subsequently withdrawn ( Fig. 1D ).