Pneumomediastinum

Case contributed by Dr Mahmoud Yacout Alabd

Presentation

Known NSCLC with mediastinal infiltration with suspicious esophageal fistulation.

Patient Data

Age: 45 years old
Gender: Male
X-ray

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

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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Case information

rID: 50675
Case created: 16th Jan 2017
Last edited: 18th Jan 2017
System: Chest
Inclusion in quiz mode: Included

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