Pneumomediastinum

Case contributed by Mahmoud Yacout Alabd
Diagnosis certain

Presentation

Known NSCLC with mediastinal infiltration with suspicious esophageal fistulation.

Patient Data

Age: 45 years old
Gender: Male
x-ray
Frontal
Lateral
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Info

Right lower basal opacity representing the known lung tumor and distal collapse/consolidation. There is fine lucency along the inferior aspect of the cardiac shadow (continuous diaphragm sign) and linear air lucencies along the left side of the mediastinum representing pneumomediastinum tracking up to cause surgical emphysema in the left supraclavicular area.  

Right sided portocath.

ct
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Info

Right basal and medial infiltrative lung tumor. Surrounding tree-in-bud and reticulonodular lung opacities represent further lung infiltration. Mediastinal and esophageal invasion with esophageal-pulmonary fistulation.

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