Pneumomediastinum

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis certain

Presentation

Right sided pleuritic chest pain, shortness of breath, diminished breath sounds at right lower zone - ?LRTI.

Patient Data

Age: 15 years
Gender: Male
x-ray

Linear radiolucencies are noted along left mediastinal borders.

No evidence of pneumothorax or pleural effusion.

Lung fields appear clear.

No concerning bony abnormality identified.

ct

The lungs are clear. No pneumothorax or pleural effusion.

There is evidence of mild to moderate pneumomediastinum extending to neck superiorly and up to distal para-esophageal region inferiorly. No esophageal defect is seen. No pulmonary interstitial emphysema.

Major airways appear normal.

Case Discussion

This is a classical case of pneumomediastinum and its presentation.

Asthma is the most common cause.

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