They reviewed the chest imaging reports of 2211 patients with ARDS due to COVID-19 and 5522 with ARDS of different origin and found that the incidence of pneumothorax or pneumomediastinum in the two groups was similar, 24% and 22.5%. Comparison of radiographic pneumothorax and pneumomediastinum in COVID-19 vs. non-COVID-19 acute respiratory distress syndrome. Since the late 90s, pulmonary air leak, including pneumothorax and pneumomediastinum, has been considered an uncommon complication of invasive mechanical ventilation, occurring in < 10% of patients with acute respiratory distress syndrome (ARDS) [[1]]. [Extracted from the article]