PMC8559649_01
Chest X-ray showing pneumopericardium
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F1
In the second chest x-ray, evidence such as mediastinal widening representing pneumopericardium was found (figure 1).
Contrast enhanced chest computed tomography (CT) scan of patient after pericardial catheter and right sided chest tube insertion. Pneumopericardium, right sided pneumothorax as well as bilateral mild pleural effusion and collapse consolidation are evident. A: Axial view. B: Parasagittal view
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F2
Considering her aggravating condition and the results of cardiology consultation on the pneumopericardium as well as the developing pneumothorax and pneumomediastinum, a pericardial window was opened by a heart surgeon Then after, a chest CT scan was performed to evaluate the result of the intervention (figure 2). 