Congenital pulmonary airway malformation (CPAM) is most common congenital lung anomaly of lower respiratory tract accounting for approximately 25% of all congenital pulmonary malformations. It is usually unilateral and involves single lobe of lung. It is usually diagnosed prenatally; rarely found in children and adults. We report a rare case of 14-year-old male presented with sudden onset breathlessness secondary to right sided pneumothorax associated with right lower lobe cystic lesion; successfully managed with multidisciplinary approach involving tube thoracostomy and non-anatomical wedge resection of right lower lobe cystic lesion (using VATS). Adults diagnosed with CPAM usually present with breathlessness, fever, recurrent pulmonary infection, pneumothorax, and haemoptysis. For definitive treatment of symptomatic CPAM cases, surgical resection at the time of diagnosis is recommended in view of possible risk of malignant transformation and recurrent respiratory tract infections. Considering the mild but definitive risk of malignancy, it is advocated to closely monitor the individuals with CPAM even after the surgical resection.

Background: SARS CoV-2 has affected more than 494 millions of people all over across the globe till date. Most lethal infection of SARS-CoV-2 is highly representative of  patients suffering with idiopathic pulmonary fibrosis (IPF) [1]. Interstitial thickening, irregular interface, coarse reticular pattern, and parenchymal bands manifesting in the course of the disease might be predictors of pulmonary fibrosis in these  patients [2].  Objectives and Methods: Objective of the study is to identify the prevalence and   predictive factors of post covid lung fibrosis in covid-19 patients. The study was conducted in a retrospective manner and included 100 patients in our tertiary care center. HRCT thorax conducted in all patients were evaluated on admission, one month, 3 month and 6 months whereever indicated. Results: The prevalence of post covid lung fibrosis was 2 % at 6 months , with CT severity score more for elderly male population. In our study we found a significant corelation between clinical severity and post covid fibrosis. Conclusion: From our study, the post COVID lung changes are reversible, with only 2 % developing  the  post  covid lung fibrosis.