COVID-19 pneumonia fibrotic outcomes with pneumothorax

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Respiratory failure in COVID-19 pneumonia outcomes (two months ago).

Patient Data

Age: 55 years
Gender: Female

CT chest without contrast

Pharyngeal swab COVID-19 negative. On the right lung, in the upper lobe and in the lower lobe, there are coarse fibrotic bands that extend to the visceral pleura with retractable scars like a "crumpled newspaper" with pneumothorax and modest pleural effusion. Bilaterally are also visible ground‐glass opacities. There is a solid lesion in the anterior mediastinum.

Case Discussion

Some lung damage can heal or evolve into retractable fibrotic scar tissue with shortness of breath and possible appearance of secondary pneumothorax.

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