Figure 1b. Chest X-ray showing bilateral lung opacities (before
pneumothorax)
The patient was managed with a non-rebreather face mask with an oxygen
flow rate of 15 L/minute, and a chest tube was inserted at the fourth
intercostal space to drain the pneumothorax. Despite those measures, he
deteriorated, for which an HRCT chest was ordered. HRCT scan (Figure 2a,
Figure 2b.) revealed a right hydropneumothorax with passive right lung
atelectasis and an intermediate walled cavity in the right lower lobe
with bronchopleural fistula. Also, multifocal ground glass
consolidations were seen predominantly in bilateral peripheral lung
fields with fibro-bronchiectatic changes with crazy pavement patterns
suggesting sequelae of COVID-19 pneumonia.