Pneumomediastinum: with continuous diaphragm sign

Case contributed by Mohamed El Deen
Diagnosis certain


Acute chest pain since 24 hours. History of corona viral infection x 3 weeks.

Patient Data

Gender: Female

Chest x ray showing continuous lucent line above the central portion of the diaphragm. A sign suggesting pneumopericardium or pneumomediastinum.

Confirmatory CT scan of the chest shows bilateral surgical emphysema and air leakage into the mediastinum and pleural fissure spaces. Bilateral pulmonary congestion is also noted.

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