Pneumomediastinum
Presentation
Supraclavicular emphysema after slingshot ride.
Patient Data
Age: 20
Gender: Male
From the case:
Pneumomediastinum
X-ray
Frontal
There is a moderate pneumomediastinum with evidence of subcutaneous emphysema involving the supraclavicular fossae bilaterally. No pneumothorax. The lungs and pleural spaces are clear.
From the case:
Pneumomediastinum
CT
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Axial lung window
Pneumomediastinum with gas tracking into the base of the neck, both supraclavicular fossae, the right axilla and down the anterior chest wall.
Case Discussion
Spontaneous pneumomediastinum, likely related to Valsalva maneuver during the high-velocity slingshot ride.