A Case of Traumatic Pneumatocele: A Challenging Road to Recovery

irregular thick wall and the possibility of a single large air-fluid level (Figs 1A and B).He also had a right femur shaft fracture.Coronavirus disease of 2019 (COVID-19) reverse transcription polymerase chain reaction (RT-PCR) done as a part of the preprocedure protocol was positive; however, CT chest was not suggestive of COVID-19 pneumonia.He underwent closed reduction and internal fixation and intramedullary interlocking nailing under general anesthesia (GA).Intraoperatively he had desaturation, which worsened in the postoperative period ratio of partial pressure of oxygen to fraction of inspired oxygen (P/F) of <100, for which proning was initiated.After four cycles of extended proning, his P/F ratios improved.On day 7 of intubation expecting a prolonged weaning course, tracheostomy was done.Endotracheal culture grew multidrugresistant (MDR) organism for which antibiotics were modified as per sensitivity, despite which the patient had continuous fever spikes and failed weaning trials.Hence, contrast-enhanced CT chest was done, which showed areas of patchy consolidation in the right lung and left lung showed a large area of homogeneous fluid densities 1-