EURORAD ESR

Case 15352

Atypical chest pain caused by spontaneous pneumomediastinum

Author(s)
Gasim Ahmed, Aneeq Ahmed, Sami Nour, Mudathir Mohamed

University Hospital Limerick; St Nessan Road v94f858 Limerick, Ireland; Email:gasimsalaheldin@yahoo.com
 
Patient
male, 17 year(s)
 
 
  • Figure 1
    Chest x-ray

    A plain chest x-ray showing pneumomediastinum, pneumopericardium, supraclavicular, axillary and neck surgical emphysema.

     
    Area of Interest: Education; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 2
    CT-Thorax
     

    Axial computed tomographic image of the neck. There is diffuse supraclavicular, axillary, pre-tracheal and carotid surgical emphysema.

     
    Area of Interest: Education; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;

    Axial computed tomographic image of the thorax showing pneumomediastinum and pneumopericardium with axillary and pretracheal surgical emphysema.

     
    Area of Interest: Cardiac; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;

    Axial computed tomographic image of the thorax showing pneumomediastinum and pneumopericardium.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;

    Axial computed tomographic image of the thorax showing pneumomediastinum and pneumopericardium.

     
    Area of Interest: Thorax; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 3
    A fluoroscopic water soluble contrast swallow scan
     

    A fluoroscopic water soluble contrast swallow scan showing no evidence of extravasation of contrast indicating no oesophageal tear or rupture.

     
    Area of Interest: Oesophagus; Imaging Technique: Fluoroscopy; Procedure: Diagnostic procedure; Special Focus: Acute;

    A fluoroscopic water soluble contrast swallow scan showing no evidence of extravasation of contrast indicating no oesophageal tear or rupture.

     
    Area of Interest: Oesophagus; Imaging Technique: Fluoroscopy; Procedure: Diagnostic procedure; Special Focus: Acute;

    A fluoroscopic water soluble contrast swallow scan showing no evidence of extravasation of contrast indicating no oesophageal tear or rupture.

     
    Area of Interest: Oesophagus; Imaging Technique: Fluoroscopy; Procedure: Diagnostic procedure; Special Focus: Acute;

    A fluoroscopic water soluble contrast swallow scan showing no evidence of extravasation of contrast indicating no oesophageal tear or rupture.

     
    Area of Interest: Oesophagus; Imaging Technique: Fluoroscopy; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
A plain chest x-ray showing pneumomediastinum, pneumopericardium, supraclavicular, axillary and neck surgical emphysema.
 
Axial computed tomographic image of the neck. There is diffuse supraclavicular, axillary, pre-tracheal and carotid surgical emphysema.
 
Axial computed tomographic image of the thorax showing pneumomediastinum and pneumopericardium with axillary and pretracheal surgical emphysema.
 
Axial computed tomographic image of the thorax showing pneumomediastinum and pneumopericardium.
 
Axial computed tomographic image of the thorax showing pneumomediastinum and pneumopericardium.
 
A fluoroscopic water soluble contrast swallow scan showing no evidence of extravasation of contrast indicating no oesophageal tear or rupture.
 
A fluoroscopic water soluble contrast swallow scan showing no evidence of extravasation of contrast indicating no oesophageal tear or rupture.
 
A fluoroscopic water soluble contrast swallow scan showing no evidence of extravasation of contrast indicating no oesophageal tear or rupture.
 
A fluoroscopic water soluble contrast swallow scan showing no evidence of extravasation of contrast indicating no oesophageal tear or rupture.
 
 
 
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