PMC7996709_01
A-C: NCCT topographical, axial mediastinal and lung window images at thoracic inlet of rRT-PCR confirmed COVID patient (Case1 on day 10 of admission) developed sudden onset swelling and tightness in chest, neck and difficulty in swallowing, showing subcutaneous and soft tissue emphysema (star mark) and pneumomediastinum (white arrow)
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F1
Additionally, pneumomediastinum, extensive subcutaneous emphysema in the neck, chest wall and proximal upper extremity were seen [Figures 1 and 2].
A-C: NCCT Coronal and axial lung window of rRT-PCR confirmed COVID patient (case1 on day 10 of admission, same patient as in Figure 1), showing subcutaneous and soft tissue emphysema (star mark) and pneumomediastinum (white arrow) along with extensive GGO, septal thickening and consolidations (Black arrow)
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F2
Additionally, pneumomediastinum, extensive subcutaneous emphysema in the neck, chest wall and proximal upper extremity were seen [Figures 1 and 2].
A-C: NCCT Coronal and axial lung window of follow up rRT-PCR confirmed COVID patient (case 1 on day 19 of admission) showing significant decrease in subcutaneous emphysema (star mark) and pneumomediastinum (white arrow) along with decrease in GGO, septal thickening and consolidations and initial development of mild parenchymal bands (Black arrow)
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F3
On day 19 of admission patient again complained of excessive pain in the neck region however with normal vitals and Spo2 for which repeat CT scan done for chest and neck region which reveal significant decrease in the size of GGO, pneumomediastinum and subcutaneous emphysema as compared to previous scan with development of parenchymal bands [Figure 3].
PMC7996709_02
A-C: NCCT Coronal and axial lung window of rRT-PCR confirmed COVID patient (case2 on day 4 of admission) in ICU, having worsening of breathlessness showing subcutaneous emphysema (star mark) and pneumomediastinum (white arrow) along with extensive ground glass opacities, septal thickening and consolidations (Black arrow)
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F4
Patient still complain of mild shortness of breath On day 4 of admission breathlessness increased and no significant improvement in other parameters noted for which CT scan was done to look for complication which revealed multiple extensive GGOs, interlobular septal thickening with parenchymal consolidation, combined with pneumomediastinum and subcutaneous emphysema with high CT severity score of 18/25 [Figure 4].