PMC5368373_01
CT revealed diffuse subcutaneous emphysema (white arrows), pneumomediastinum (black dotted arrow), and a small pneumothorax of the right lung (black arrow).
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Chest computed tomography (CT) revealed serial fractures in ribs 7-9 on the right, accompanied by underlying laceration of the visceral and parietal pleura and adjacent lung parenchyma, resulting in extensive subcutaneous emphysema and distinct pneumomediastinum (Figures 1 and 2). Furthermore, a small pneumothorax was noted on the right side (Figure 1).
The image shows a displaced fracture of the 7th rib (black arrow). White arrows outline diffuse thoracic subcutaneous emphysema of the lateral chest wall.
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Chest computed tomography (CT) revealed serial fractures in ribs 7-9 on the right, accompanied by underlying laceration of the visceral and parietal pleura and adjacent lung parenchyma, resulting in extensive subcutaneous emphysema and distinct pneumomediastinum (Figures 1 and 2).
X-ray of the right humeral shaft, indicating emphysema.
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A right humeral shaft fracture was excluded by conventional radiography, which also confirmed subcutaneous emphysema in both upper arm compartments (Figure 3).
Chest X-ray after insertion of thorax drainage.
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He was instructed to avoid any strenuous manoeuvres, such as forced expiration or the valsalva manoeuvre, which could potentially lead to increased pulmonary pressure (Figure 4).