PMC8635639_01
Representative CT images of the chest. (A) During acute COVID-19 infection, CT chest with intravenous (IV) contrast revealed diffuse ground glass with consolidative changes and no evidence of bullous lung disease (BLD). (B) Three-month post-infection, a repeat CT chest with IV contrast showed right-sided bullous lesions with mediastinal shift. (C) The right lower lobe lung section stained with Elastic Van Gieson (EVG) was used to identify the pleural elastic membrane (arrow) to confirm the presence of the bullae (star) localized within the lung parenchyma.
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F1
PCR, alpha-1 antitrypsin, and angiotensin-converting enzyme levels, were unremarkable. Cardiothoracic surgery was consulted, and he successfully underwent Video-Assisted Thoracoscopic surgery with wedge resection of the right lower lobe and chemical pleurodesis. Pathology ruled out a loculated pneumothorax and confirmed the presence of bullae localized within the lung parenchyma (Figure 1).