PMC7510447_01
Patient's initial chest x-ray demonstrates no acute abnormalities, no infiltrate or effusion.
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The patient's initial chest x-ray (CXR) demonstrated no acute abnormalities, no infiltrate or effusion (Fig. 1).
Chest x-ray taken on patient's seventh day of hospitalization after clinical deterioration requiring increased supplemental oxygen. Chest x-ray notable for new findings of spontaneous pneumomediastinum, subcutaneous emphysema, and bilateral patchy airspace disease compared to chest x-ray on initial presentation.
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Chest x-ray was repeated on this seventh day of his hospitalization, and spontaneous pneumomediastinum, subcutaneous emphysema, and bilateral patchy airspace disease were noted, all new findings compared to CXR on initial presentation (Fig. 2).
Computed tomography (CT) chest performed without IV contrast on patient's seventh day of hospitalization demonstrated extensive pneumomediastinum and bilateral ground-glass opacity but no pleural or pericardial effusion, no pneumothorax, and no lymphadenopathy.
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With these new findings on portable CXR, the patient had a computed tomography (CT) chest without IV contrast performed that also demonstrated extensive pneumomediastinum and bilateral ground-glass opacities, but no pleural or pericardial effusion, no pneumothorax, and no lymphadenopathy (Fig. 3).
A) Computed tomography angiogram (CTA) chest demonstrated extensive ground-glass opacities, mediastinal emphysema, subcutaneous emphysema in the neck, and a small right pneumothorax in coronal plane. B) CTA chest demonstrated extensive ground-glass opacities, mediastinal emphysema, and a small right pneumothorax in axial plane.
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CT angiogram (CTA) chest. CTA chest demonstrated extensive ground-glass opacities, pneumomediastinum, subcutaneous emphysema in the neck, and a new finding of a small right pneumothorax (Fig. 4A and B).