Ginkgo leaf sign of surgical emphysema

Case contributed by Dr Ian Bickle

Presentation

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

Patient Data

Age: 70 years
Gender: Male

CABG.

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.

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