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

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.
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.