Elsevier

Heart & Lung

Volume 49, Issue 6, November–December 2020, Pages 864-868
Heart & Lung

Unusual presentations of COVID-19 pneumonia on CT scans with spontaneous pneumomediastinum and loculated pneumothorax: A report of two cases and a review of the literature.

https://doi.org/10.1016/j.hrtlng.2020.06.005Get rights and content

Highlights

  • Coronavirus Disease 2019 is a newly discovered viral disease whose knowledge is constantly evolving.

  • Spontaneous pneumomediastinum and pneumothorax are rarely found in COVID-19 pneumonia.

  • Computed Tomography is the modality of choice in the evaluation of Meckline effect.

Abstract

Spontaneous pneumomediastinum (SPM) and Loculated pneumothorax (LPNX) are both generally rare clinical and radiological conditions associated with Coronavirus Disease 2019 (COVID-19). We report for the first time clinical data and radiological chest CT imaging of two patients affected by COVID-pneumonia associated with early radiological findings of SPM and LPNX.

Keywords

COVID-19
CT
Spontaneous pneumomediastinum
Loculated pneumothorax

Abbreviations

ARDS
Acute distress respiratory syndrome
ACE2
Angiotensin-converting enzyme 2
COVID-19
Coronavirus Disease 2019
CT
Chest computed tomography
DPP4
Dipeptidyl peptidase 4
GGO
Ground glass opacities
LPNX
Loculated pneumothorax
MERS
Middle East respiratory syndromes
NIV
Non-invasive respiratory support
PNX
Pneumothorax
RT-PCR
Real-time reverse transcriptase polymerase chain reaction
SARS
Severe acute respiratory syndrome
SPM
Spontaneous pneumomediastinum
H1N1
Swine-Origin Influenza A

Cited by (0)

1

Authors contributed equally, both first authors.

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