Presentation
Chest wall spontaneous swelling with development of shortness of breath.
Patient Data
Age: 10 years
Gender: Male
From the case:
Subcutaneous emphysema and pneumomediastinum
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Widespread subcutaneous emphysema tracks around the chest wall and neck.
Pneumomediastinum and gas in the inferior pulmonary ligament.
No pneumothorax is seen.
No bony fracture line or evidence of surgical intervention is noted.
Case Discussion
Current imaging findings are of subcutaneous emphysema along with pneumomediastinum as detailed above.
In the absence of iatrogenic cause it is most likely spontaneous in etiology.
Case co-author: Dr. Anwar-ul-Haq Zadran.