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CT angiogram with PE protocol demonstrating large left pleural effusion at time of COVID-19 pneumonia diagnosis.
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COVID-19 unit due to elevated clinical suspicion for COVID-19 pneumonia. Computed tomography (CT) chest without contrast demonstrated evidence of diffuse ground-glass opacities, peri-pancreatic inflammation, and a moderate right-sided pleural effusion (Fig. 1).
Computed tomography of the chest demonstrating large left pleural effusion with compressive atelectasis one month after COVID-19 diagnosis.
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PE protocol was again performed demonstrating a large left pleural effusion (Fig. 2).
Diffuse studding of vesicles, papules and plaques on the parietal pleura, visceral pleura, and diaphragm intraoperatively at the time of left video-assisted thoracoscopy.
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Intraoperatively, green-tinted serous pleural fluid with diffuse studding of vesicles papules and plaques on the parietal pleura, visceral pleura, and diaphragm were noted (Fig. 3).