Post COVID-19 pneumatocele

Case contributed by Domenico Nicoletti , 14 Apr 2021
Diagnosis certain
Changed by Bálint Botz, 16 Apr 2021

Updates to Case Attributes

Age changed from 65 to 65 years.
Presentation was changed:
APrior COVID-19 infection. The middle aged COVID-19 male patient presented 2 weeks after discharge with new onset of dyspnea, chills, sweating and malaise.
Body was changed:

Pneumatoceles may complicate the course of COVID-19 infection. Corona virusThis coronavirus targets alveolar epithelial cells which together with the associated cytokine storm make the alveoli liableprone to rupture with subsequent air leakage and formation of cystic air space lesions. The majority of pneumatoceles usually resolve spontaneously within few weeks of onset, and the treatment is mainly directed towards the underlying infection. Sometimes in a special situation with compression of the surrounding lung and cardiorespiratory compromise or accumulation of pus inside, image-guided catheter drainage is advocated as a first-line strategy.

Case courtesy: Dr.ssa Laura Venerandi

Radiographer: TSRM Fabio Imola

  • -<p>Pneumatoceles may complicate the course of COVID-19 infection. Corona virus targets alveolar epithelial cells which together with the associated cytokine storm make the alveoli liable to rupture with subsequent air leakage and formation of cystic air space lesions. The majority of pneumatoceles usually resolve spontaneously within few weeks of onset, and the treatment is mainly directed towards the underlying infection. Sometimes in special situation with compression of the surrounding lung and cardiorespiratory compromise or accumulation of pus inside, image-guided catheter drainage is advocated as a first-line strategy.</p><p>Case courtesy: Dr.ssa Laura Venerandi</p><p> </p><p>Radiographer: TSRM Fabio Imola</p>
  • +<p>Pneumatoceles may complicate the course of COVID-19 infection. This coronavirus targets alveolar epithelial cells which together with the associated cytokine storm make the alveoli prone to rupture with subsequent air leakage and formation of cystic air space lesions. The majority of pneumatoceles usually resolve spontaneously within few weeks of onset, and the treatment is mainly directed towards the underlying infection. Sometimes in a special situation with compression of the surrounding lung and cardiorespiratory compromise or accumulation of pus inside, image-guided catheter drainage is advocated as a first-line strategy.</p><p>Case courtesy: Dr.ssa Laura Venerandi</p><p> </p><p>Radiographer: TSRM Fabio Imola</p>

Updates to Study Attributes

Findings was changed:

Rx chest

Chest radiography showed an air-cyst and air fluid level in the right lower lunglobe.

Updates to Study Attributes

Findings was changed:

CT chest

There is a rounded, thin-walled, air-filled cavity measuring 9 x 5 x 8 cm in the apical segment of the right lower lobe that containcontains gas-fluid level. There are also multi focal bilateral ground-glass opacities with crazy-paving pattern near the pneumatocele in the right lower lobe.

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