Presentation
Suspected COVID-19
Patient Data
The scout shows showed abnormal opacity and small size of the left hemithorax with severe ipsilateral mediastinal deviation, rib crowding as well as cystic bronchiectasis. A small area with aerated lung secondary to contralateral lung herniation.
CT shows unilateral left pulmonary destruction with residual cystic bronchiectasis, mediastinal deviation, crowded rib, as well as contralateral hyperinflated lung. The upper ipsilateral ribs are hypertrophic probably secondary to chronic reactive periostitis.
Right upper lobe fibrosis with traction bronchiectatic changes are noted as well.
Annotated image with the arrow points to small localized hyperlucent lesion that represents herniation of the contralateral lung toward the left hemithorax.
Case Discussion
The patient gave a history of TB 30 years ago.
Unilateral tuberculous lung destruction can be classified into unilateral lung destruction with residual cystic bronchiectasis and unilateral lung destruction without residual cystic bronchiectasis. It shows a left-sided predominance 1.
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