Presentation
COVID-19 pneumonia with worsening breathlessness.
Patient Data
Age: 75 years
Gender: Male
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Subtle airspace changes peripherally in the mid and lower zones.
No pneumothorax, pneumomediastinum or pleural effusion.
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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
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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.