Ginkgo leaf sign: subcutaneous emphysema
Recent thoracic surgery.
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Right anterior chest wall subcutaneous emphysema outlining the pectoralis major muscle.
Increased opacity at the right base with a small right pleural effusion. No pneumothorax is identified but not excluded. Left lung and pleural spaces are clear.
When subcutaneous emphysema has this pattern, outlining the pectoralis major muscle, it is sometimes called the ginkgo leaf sign.
- Chimutengwende-Gordon M, Khan WS, Sidhu J et-al. Advanced trauma life support radiographic trauma series: part 2-the chest radiograph. J Perioper Pract. 2011;20 (12): 430-5. Pubmed citation