This suspected COVID-19 patient was admitted for not maintaining oxygen saturations. The patient was put on 6L oxygen/min. He developed left lower limb swelling on the 2nd day of admission. Lower limb Doppler showed extensive venous thrombosis involving deep as well as superficial veins of the lower limb. CTPA showed thrombus in right inferior pulmonary lobar and segmental branches on a background of COVID-19 lung parenchymal changes as well as pneumomediastinum and pneumopericardium. PCR returned positive for COVID-19.