PMC9811899_01
a-d. a). The patient's CXR on admission, D1. b). CXR on D10. c). CXR obtained on D13 to confirm placement of right internal jugular central venous catheter placed at time of patient's decompensation, which unexpectedly showed near white-out of the right hemithorax with only a small amount of the right upper lobe remaining aerated. The CXR was also concerning for mediastinal shift to the left. d). CXR obtained later on D13 after an emergent chest tube was placed showing interval improvement in right-side opacification.
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fig1
His initial chest radiograph (CXR) showed bilateral airspace opacities consistent with COVID-19 (Fig. 1a). An example is seen in Fig. 1b. The procedure went smoothly without any complications, and a post-procedure CXR confirmed correct placement of the CVC but unexpectedly demonstrated near complete opacification of the right hemithorax with mediastinal shift to the left (Fig. 1c). The next CXR obtained approximately 2 h after surgical chest tube placement showed interval decrease in the right pleural effusion with improved aeration of the right lung (Fig. 1d).