text: Post covid 19 pulmonary fibrosis Is it real threat After the COVID 19 outbreak increasing number of patients worldwide who have survived COVID 19 continue to battle the symptoms of the illness long after they have been clinically tested negative for the disease As we battle through this pandemic the challenging part is to manage COVID 19 sequelae which may vary from fatigue and body aches to lung fibrosis This review addresses underlying mechanism risk factors course of disease and treatment option for post covid pulmonary fibrosis Elderly patient who require ICU care and mechanical ventilation are at the highest risk to develop lung fibrosis Currently no fully proven options are available for the treatment of post inflammatory COVID 19 pulmonary fibrosis 