PMC9162840_01
CTA from the outside hospital imaged prior to transfer demonstrating large cystic lesions in the (a) axial, (b) sagittal, and (c) coronal views.
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The imaging also showed bilateral posterior lung lesions with air-fluid levels, suspicious for lung abscesses (Figure 1).
Anteroposterior chest radiographs of the patient during COVID-19 infection approximately 1 month prior to the current hospital admission.
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Compared to his prior imaging from a few weeks ago, these lesions were new (Figure 2).
Anteroposterior chest radiograph confirming chest tube placement.
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Once the diagnosis of loculated hydropneumothoraces was confirmed, bilateral 8.5-French pigtail catheters were placed into the patient's posterior left and right hemithoraces under ultrasound guidance (Figure 3).
Anteroposterior chest radiograph taken 1 week after chest tube placement.
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Repeat imaging was performed at regular intervals using either chest X-ray or CT (Figure 4).
Repeat CT demonstrating resolution of hydropneumothoraces in the (a) axial and (b) coronal views.
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Repeat CT at 6 weeks (2 weeks after tube removal) was similar to that of 4 weeks, and the hydropneumothoraces were considered resolved (Figure 5).