Ginkgo leaf sign of surgical emphysema

Case contributed by Dr Ian Bickle


Left pleural drain insertion. Surgical emphysema developed in proceeding days.

Patient Data

Age: 70 years
Gender: Male


Left pleural drain.

Extensive bilateral surgical emphysema with air tracking between the muscle fibers giving striations which form the ginkgo leaf sign.

Case Discussion

Bilateral ginkgo leaf signs due to extensive surgical emphysema.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.