Presentation
COVID-19 pneumonia with worsening breathlessness.
Patient Data
Age: 75 years
Gender: Male
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/101528/annotated_viewer_json?_c=1699858428\u0026lang=us"}
Subtle airspace changes peripherally in the mid and lower zones.
No pneumothorax, pneumomediastinum or pleural effusion.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/101527/annotated_viewer_json?_c=1699858428\u0026lang=us"}
2 days later Worsening shortness of breath
Pneumomediastinum.
Surgical emphysema in the neck. No pneumothorax.
Bilateral peripheral consolidation, worse than on the prior radiograph.
From the case:
COVID-19 pneumonia with pneumomediastinum
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/101681/annotated_viewer_json?_c=1699858428\u0026lang=us"}
Pneumomediastinum remains and evident along the left heart border.
Surgical emphysema in the neck. No pneumothorax.
Bilateral peripheral consolidation.
Case Discussion
This is a case of pneumomediastinum on background of COVID-19 pneumonia and most likely due to ventilator-related barotrauma 1.
Unable to process the form. Check for errors and try again.