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Lung ultrasound showed diffuse bilateral B lines with unusual pleural thickening, and consolidation with air bronchogram and small pleural effusion within the lower remaining lobe. Chest HRCT and abdominal CT scanning with comparison unveiled diaphragmatic rupture with gastric perforation, and atelectasis of the left pulmonary lobe with unilateral pleural effusion, diffuse ground-glass opacities and multiple tiny consolidations in both lobes. A nasopharyngeal swab