Presentation
Left sided pneumothorax. Drain inserted.
Patient Data
Age: 65 years
Gender: Male
From the case:
Ginkgo leaf sign
{"study":{"id":55676,"case_slug":"ginkgo-leaf-sign-1","modality":"X-ray","series":[{"id":27373335,"content_type":"image/jpeg","frames":[{"id":27373335,"width":2937,"height":2359,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"33e6f720284a48ae2bd078bab3741b_tiny.jpeg","jumbo":"33e6f720284a48ae2bd078bab3741b_jumbo.jpeg","small":"33e6f720284a48ae2bd078bab3741b_small.jpeg","thumb":"33e6f720284a48ae2bd078bab3741b_thumb.jpeg","medium":"33e6f720284a48ae2bd078bab3741b_medium.jpeg","gallery":"33e6f720284a48ae2bd078bab3741b_gallery.jpeg","big_gallery":"33e6f720284a48ae2bd078bab3741b_big_gallery.jpeg","original":"33e6f720284a48ae2bd078bab3741b.jpg"}]},"perspective":"Frontal","specifics":null}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"clonvara","case_id":50314,"case_key_image_id":null,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
CABG.
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.