RT Journal Article SR Electronic T1 Fatal pulmonary fibrosis: a post-COVID-19 autopsy case JF Journal of Clinical Pathology JO J Clin Pathol FD BMJ Publishing Group Ltd and Association of Clinical Pathologists SP 400 OP 402 DO 10.1136/jclinpath-2020-206879 VO 74 IS 6 A1 Schwensen, Hanna Ferløv A1 Borreschmidt, Line Kristine A1 Storgaard, Merete A1 Redsted, Søren A1 Christensen, Steffen A1 Madsen, Line Bille YR 2021 UL http://jcp.bmj.com/content/74/6/400.abstract AB There is growing evidence of histopathological changes in autopsied individuals infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); however, data on histopathological changes in autopsied patients with eradicated COVID-19 are limited. We performed an autopsy on a Caucasian female in her 80s, who died due to severe, bilateral pulmonary fibrosis after eliminated SARS-CoV-2 infection. In addition, CT scans from 2 months before infection and from 6 days prior to death were compared. Comparison of the CT scans showed bilateral development of widespread fibrosis in previously healthy lungs. Microscopic examination showed different areas with acute and organising diffuse alveolar damage and fibrosis with honeycomb-like remodelling and bronchial metaplasia. We here report a unique autopsy case with development of widespread pulmonary fibrosis in a woman in her 80s with previous COVID-19 and no history of pulmonary illnesses.