PMC6286736_01
Anteroposterior chest radiograph demonstrating subcutaneous emphysema. Anatomic locations of Figures 2(a), 2(b), and 3 are indicated.
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At the time of presentation, the patient displayed moderate subcutaneous emphysema on physical examination and subcutaneous emphysema on chest X-ray (Figure 1).
(a) Axial CT image at the T5 level demonstrating extensive subcutaneous and mediastinal emphysema. (b) Axial CT image at the T8 level demonstrating a pneumothorax on the left side. Extensive bilateral subcutaneous air is also visible.
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Computed tomography of the chest, abdomen, and pelvis revealed a left-sided pneumothorax and subcutaneous emphysema (Figures 2(a) and 2(b)).
Axial CT image at the level of the thyroid cartilage demonstrating air infiltration around the larynx. There is notable swelling of the soft tissue of the larynx.
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Significant laryngeal swelling was also noted (Figure 3).
Chest radiograph from day 28 demonstrating the normal airway anatomy as well as the two left rib fractures.
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A normal CXR was performed on day 23 (Figure 4), and he was discharged on day 28.