PMC8799927_01
Chest X-ray on admission to ICU showing bilateral COVID-19 infiltrations.
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Urgent CT scan on day 2 post intubation and during acute deterioration (A) sagittal plane showing stable lung infiltrates and significant subcutaneous emphysema, (B) coronal plan showing an intact airway.
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Clinical examination and urgent chest X-ray did not support any deterioration from the COVID-19 previously noted infiltrates neither provided a plausible cause for the surgical emphysema (Figure 2A). Additionally, no pneumothorax was diagnosed and the previously noted COVID-19 infiltrates were stable (Figure 2B).
Bronchoscopy images showing (A) the laceration at 5 o'clock mid trachea, (B) normal rest of bronchial tree.
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No other signs of penetration through the airways were noted (Figure 3).