Ginkgo leaf sign

Case contributed by Ian Bickle
Diagnosis certain


Left sided pneumothorax. Drain inserted.

Patient Data

Age: 65 years
Gender: Male


Left basal pleural drain.

Extensive bilateral surgical emphysema in the chest wall and neck.

The air outlines the muscle striations in a ray-like fashion of a Ginkgo leaf.

Case Discussion

Bilateral Ginkgo leaf appearances due to extensive surgical emphysema.

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