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Right shoulder X Ray showing air in the soft tissues around shoulder.
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Shoulder x-ray (Fig. 1) showed moderate sub-cutaneous emphysema over the right shoulder and neck.
CT scan neck showing air in the soft tissues around right side of the neck.
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CT scan of neck and chest were done (Fig. 2, Fig. 3, Fig. 4), showed large amount of air within the subcutaneous tissues centered about the right neck, right thoracic inlet, shoulder, and chest wall without any pneumomediastinum or pneumothorax.
CT chest showing air in the soft tissues right side of neck and chest wall.
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CT scan of neck and chest were done (Fig. 2, Fig. 3, Fig. 4), showed large amount of air within the subcutaneous tissues centered about the right neck, right thoracic inlet, shoulder, and chest wall without any pneumomediastinum or pneumothorax.
Discoloration of skin over right chest wall.
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Physical exam later in the day started showing discoloration over the right shoulder, neck and extending into the back areas (Fig. 5, Fig. 6).